HomeMy WebLinkAbout196612 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $15.00
s,s CARMEL, INDIANA 46032 305 SOUTH POST ROAD
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 196612
CHECK DATE: 4113/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 208014 15.00 CONT SVS -OTHER
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CITY OF CARMEL CITY OF CARMEL
WATER- WASTEWATER UTILITIES SCOTT CAMPBELL
760 3RD AVE SW 4000 Pendleton Way
CARMEL, IN 46032 Indianapolis, IN 46226
mikejcoc
sales Customer Job Ship Shipped
Person J Worrell P. No. IN-. 635147 ID-ta 03/24/2011 V +a WORRELL TRUCK
COC -EDG1 10 Envelope, #10 Double Window, Printed 1 BOX 00
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Freight: 15.00
S a!es Tax, .no
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will he applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must he made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER 107439 WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
208014 01- 7360 -07 $15.00
Voucher Total $15.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 4/5/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/5/2011 208014 $15.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer