160774 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00352276 Page 1 of 1
ONE CIVIC SQUARE BREAKERS UNLIMITED
CARMEL, INDIANA 46032 15241 STONY CREEK WAY CHECK AMOUNT: $73.60
NOBLESVILLE IN 46060
CHECK NUMBER: 160774
CHECK DATE: 612512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
r�651 5023990 145858501 73.60 OTHER EXPENSES
i
BREAKERS UNLIMITED BREAKERS UNLIMITED, CO BREAKERS UNLIMITED, GA BREAKERS UNLIMITED, CA BREAKERS UNLIMITED, TX
15241 Stony Creek Way 5905 Lamar Street 100 Petty Road, Suite F 5880 District Boulevard, Suite 18 12821 Duncan Road, Suite A
3 Noblesville, IN 46060 Arvada, CO 80003 Lawrenceville, GA 30043 Bakersfield, CA 93313 Houston, TX 77066
Toll Free:(800) 875 -3294 Toll Free;(800) 227 -5731 Toll Free:(888) 237.8923 Toll Free:(877) 232.8732 Toll Free:(800) 8753294
mN I ••1/ r• I:
CUSTOMER CODE SHIP TR INVOICE NUMBER
CIT666 1458585 -01
317- 571 -2443
BILL CITY OF CARMEL SHIP CAZRMEL WWTP
750 THIRD AVE SW 9609 HAZEL DELL PARKWAY
CARMEL IN 46032 INDPLS IN 46280
CUSTOMER P.O. NO. 511243
SHIP TR I INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O. NUMBER DATE
1458585 -01 100 06/13/08 180 S11243 06/13/08
INSTRUCTIONS FRT. PAGE NO.
WILL CALL P/U T 1
QUANTITY
ORDERED B.O. I RET. SHIPPED DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
1 1 BAB3025H EA 59.80 59.80
3P- 25A- 240VAC
4 4 Q120 EA 3.45 13.80
1P- 20A- 120VAC
THIS IS YOUR INVOICE SUBTOTAL 73.60
MISC. CHARGE
FREIGHT IN FREIGHT OUT TELE. CHARGE
FREIGHT TOTAL
FED. /OTHER TAX
NET TERMS: INV 30 DUE: 07/13/08 STATF TAX
ORDER COMPLETED PAYMENT RECD. 0.00
Please Remit Payment To: Breakers Unlimited TOTAL AMT DUE
15241 Stony Creek Way 73.60
Noblesville, IN 46060
VOUCHER 085745 WARRANT ALLOWED
�'352276 IN SUM OF
BREAKERS UNLIMITED
15241 Stony Creek Way
Noblesville, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
145858501 01- 7202 -06 $73.60
N
Voucher Total $73.60
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 VOUCHE t
CITY OF CARIVIEL
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.
s
Payee
352276
BREAKERS UNLIMITED Purchase Order No.
15241 Stony Creek Way Terms
Noblesville, IN 46060 Due Date 6/17/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/2008 145858501 $73.60
I
4
r
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
L 'Pva.[� y
Date officer