166998 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00350801 Page 1 of 1
ONE CIVIC SQUARE AUTOMATIC IRRIGATION SUPPLY CO CHECK AMOUNT: $627.38
CARMEL, INDIANA 46032 PO BOX 7275 DEPT 601
INDIANAPOLIS IN 46207 -7275 CHECK NUMBER: 166998
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION
1120 4237000 7.048308 —IN 627.38 REPAIR PARTS
ILI
iR
i
e
Invoice Page: 1
116 Shadowlawn Drive Invoice Number: 7048308 -IN
Fishers, IN 46038 -2431 Invoice Date: 12/4/2008
(317) 842 -3123
(800) 842 -3911
AUTOMATIC IRRIGATION Fax (317) 845 -0977 Order Number: 7048308
S U P P L Y C O M P A N Y Order Date 12/3 /2008
Salesperson: 0000
Customer Number: 00- 0009055
CITY OF CARMEL STREET DEPT CITY OF CARMEL STREET DEPT
3400 W 131 ST 3400 W 131 ST
WESTFIELD,IN 46074 WESTFIELD,IN 46074
Confirm To:
P.O. Customer F.O
F Station #41 W/C 30 DAYS NET
Ord Ship Item Number
1 1 0 WIRPZ150 BACKFLOW PRVNTR 11/2" 975XL 627.3750 627.38
1 0 1 WIAG5 BKFLW AIR GAP RPZ 11/4 -2 "975XL 65.2500 0.00
Net Invoice: 627.38
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
You May Deduct $0.00 If Paid by 12/4/2008 Invoice Total: 627.38
Sales Order Page: 1
Branch Address
AUTOMATIC IRRIGATION SUPPLY CO Order Number: 7048308
116 SHADOWLAWN DRIVE Order Date: 12/3/2008
TISHERS,IN 46038 AUTOMATIC IRRIGATION Salesperson: 0000
800 -842 -3911 S U P P L Y C 0 M P A N Y Customer Number: 00- 0009055
AUTOMATIC IRRIGATION SUPPLY CO. Entered by: JDM
116 SHADOWLAWN DR
FISHERS, IN 46038
Sold To: Ship To:
CITY OF CARMEL STREET DEPT CITY OF CARMEL STREET DEPT
3400 W 131 ST 3400 W 131 ST
WESTFIELD, iN 46074 WESTFIELD, IN 46074
Confirm to:
Customer P.O. Ship VIA Terms d;
Station #41 W/C 30 DAYS NET
Item Number Description Unit Ordered Shipped Back Ord Price Amount
WIRPZ150 BACKFLOW PRVNTR 11/2" 975XL W/C EACH 1 627.3750 627.38
Whse: 000 Bin: 032 -B -02
WIAG5 BKFLW AIR GAP RPZ 11/4 -2 "975XL EACH 1 65.2500 65.25
Whse: 000 Bin:
M Net Order: 692.63
Entered By: Pulled By: UPS Less Discount: 0.00
0 Freight: 0.00
Customer Signature: J- l3 �Q e, Sales Tax: 0.00
Order Total: 692.63
VOUCHER WARRANT NO.
Automatic Irrigation Supply Co. ALLOWED 20
IN SUM OF
116 Shadowlawn Drive
Fishers, IN 46038
$62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 7048308 -IN 42- 370.00 $627.38 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
DEC 15 2008
'V
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7048308 -IN Sta. 41 Backflow Part $627.38
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
20
Clerk- Treasurer