157382 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 00350188 Page 1 of 1
0 \Mf ONE CIVIC SQUARE AMERICAN WATER WORKS ASSOCIATTPECK AMOUNT: $1,226.00
CARMEL, INDIANA 46032 6666 W QUINCY AVE
DENVER CO 60235
CHECK NUMBER: 157382
CHECK DATE: 3119/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08056 1000381517 1,226.00 SAFETY DVDS
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AMERICAN WATER WORKS ASSOCIATION Page I of 2
6666 W. Quincy Avenue
Denver, CO 80235 Phone 800.926.7337
Fax 303.347.0804
Product Invoice
03/07/2008
BILL TO: SHIP TO:
00024396 00024396
Mr. John M. Duffy Attn: Jack Spears
City of Carmel Utilities City of Carmel Utilities
760 3rd Ave SW Ste 110 3450 W 131st St
Carmel, IN 46032 -2070 Westfield, IN 46074 -8267
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Order No 1000381517 Invoice No: Invoice Date: PO W08056
Amount Discount Adjustments Shipping Ship Via Tax Paid Method Balance Due
$1,210.50 $0.00 $0.00 $15.50 STD $0.00 $0.00 $1,226.00
Product Information
Quantity Unit
Product Ordered Back Ord Shipped Price Discount Net Total
ERGONOMICS AT WORK SET 1 0 1 $195.00 $0.00 $195.00 $195.00
EXCAVATION SAFETY SET I 0 1 $195.00 $0.00 $195.00 $195.00
UTILITY DRIVER SAFETY SET 1 0 1 $195.00 $0.00 $195.00 $195.00
BACKFLOW PREVENTION AND 1 0 1 $195.00 $0.00 5195.00 $195.00
CROSS CONNECTION CONTROL
SAFETY NOW: DOG ATTACKS 1 0 1 $99.00 $0.00 $99.00 $99.00
SAFETY BASICS: OFFICE SAFETY 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: WINTER SAFETY 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: SUMMER HEAT 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: DEFENSIVE DRIVING 1 0 1 $19.50 $0.00 $19.50 $1950
SAFETY BASICS: LABORATORY SAFETY 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: RESPIRATORY PROTECTION 1 0 1 $19.50 $0.00 $19.50 $19.50
Please detach the lower portion and return it with your payment. Thank you.
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AMERICAN WATER WORKS ASSOCIATION Page 2 of 2
6666 W. Quincy Avenue
Denver, CO 80235 Phone 800.926.7337
1 Fax 303.347.0804
Product Invoice
03/07/2008
BILL TO: SHIP TO:
00024396 00024396
Mr. John M. Duffy Attn: Jack Spears
City of Carmel Utilities City of Cannel Utilities
760 3rd Ave SW Ste 110 3450 W 131 st St
Carmel, IN 46032 -2070 Westfield, IN 46074 -8267
Order No 1000381517 Invoice No: Invoice Date: PO W08056
SAFETY BASICS: BACK AND LIFTING SAFETY 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: ERGONOMICS 1 0 1 $1950 $0.00 $19.50 $19.50
SAFETY BASICS: SLIPS, TRIPS, AND FALLS 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: PERSONAL PROTECTIVE 1 0 1 $19.50 $0.00 $19.50 $19.50
EQUIPMENT
SAFETY BASICS: FIRE SAFETY 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: LOCKOUT/TAGOUT 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: CONFINED SPACES 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: HAZARD COMMUNICATIONS I 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: VEHICLE SAFETY I 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: ELECTRICAL SAFETY 1 0 1 $19.50 $0.00 $19.50 $19.50
SAFETY BASICS: CHLORINE SAFETY l 0 1 $19.50 $0.00 $19.50 $19.50
Please detach the lower portion and return it with your payment. Thank you.
Order No 1000381517 Invoice No Balance Due $1,226.00
Customer No 00024396 City of Carmel Utilities Payment
(US Funds Only)
Visa, MasterCard, AMEX, Discover
CC Exp. Date CC Holder Signature
Send payment to
AMERICAN WATER WORKS ASSOCIATION
6666 W. Quincy Avenue
Denver, CO 80235
NAOUCHER 081025 WARRANT ALLOWED
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155109 IN SUM OF
AWWA
Dept 0064 �d
Denver, CO 80256���
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Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
�y 1000381517 01- 6040 -05 $1,210.50
1000381517 01- 6040 -05 $15.50
^t,
Voucher Total $1,226.00
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
J.
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
155109
AWWA Purchase Order No.
Dept 0064 Terms
Denver, CO 80256 Due Date 3/7/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/7/2008 1000381517 $1,226.00
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
-5
Date Officer