197749 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 359854 Page 1 of 1
ONE CIVIC SQUARE N M C INC
CARMEL, INDIANA 46032 DEPT 1784 CHECK AMOUNT: $248.52
DENVER CO 80291 -1784 CHECK NUMBER: 197749
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0040670 248.52 OTHER EXPENSES
.t Pagel
Invoice Summary
Invoice Number PART2275516
11002 Sapp Bros. Dr Invoice Date 04 -28 -11
Omaha N1_' 681 Account Number 0040670
ADDRESS SERVICE REQUESTED SHIP TO
CARMEL WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
......SNGLP
CARMEL UTILITIES For Billing Inquiries: Please Call (800) 891 -8015
760 3RD AVE SW STE 110 2 All other inquires: (800) 628 -6025
CARMEL IN 46032 -2070 E 4-
Document Number. 0OC673140A P10 Number. JEFF COPPER Make: ID Number
Document Date-. 04- 26 -11. Ship Vi UPS Model: Meter
Branch: Omaha Cust unit Serial
Quantity Description Units Price Totals
PARTS SALES PERSON: Dave Thomas
1 3120M MAILER 20 S 235.00
00000 235.00
TOTAL PARTS 235.00 T
1 FREIGHT IN 4.00
1 UPS 9.52
TOTAL MISC CHARGES 1 -52
NE SALES TAX 13.67 T�
BRING IN FROM LINCOLN
SHIP GROUND GROUND UPS TO CUST.FROM OMAHA
g t it to: Please Pay This Amount $262
NMC Exchange I,I_C (NSO)
DEPT 1784 Amount Credited
DENVER, CO 80291 -1784
Please disregard if already paid
Accounts not paid by 15th of month, following date of purchase, will be past due and a service charge will be added.
Accounts exceeding credit limit or 30 days past due will be handled on a cash basis.
Claims for shortages or damages must be made within 5 days.
Returns, if acceptable, subject to 15% handling charge. "Non- returnable item. Items not shown are backordered.
No service adjustment unless NMC,Inc. is notified, in writing, within 30 days.
4 001- 001 Customer Copy
VOUCHER 115100 WARRANT ALLOWED
359854 IN SUM OF
N M C INC
Dept 1784
Denver, CO 80291 -1784
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
PART227551( 01- 7202 -06 $262.19
J�
Voucher Total %62.19
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
359854
N M C INC Purchase Order No.
Dept 1784 Terms
Denver, CO 80291 -1784 Due Date 5/11/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/11/2011 PART227551 $262.19
I hereby certify that the attached invoice(s), or bills) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer