161743 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 359661 Page 1 of 1
ONE CIVIC SQUARE BRENNTAG MID -SOUTH INC
CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $1,287.21
CHICAGO IL 60686 -0037
CHECK NUMBER: 161743
CHECK DATE: 7123/2008
DEPARTMENT ACCOU PO NU MBER INVOICE NUMBER AMOUNT DESC RIPTION
2201 4350400 17572 BMS506704 775.77 REFLECTING POOL CHEMI
2201 4350400 17572 BMS509054 511.44 REFLECTING POOL CHEMI
Brenntag hlid- Mouth, Inc. B R E N NTAG
1405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS506704 INV DATE: 7/01/08 PAGE 1 OF 1
DUE DATE: 7/31/08
SOLD TO: SHIP TO:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
ONE CIVIC SQUARE REFLECTING POOL
CARMEL IN 46032 THIRD AVE. 126TH STREET
CARMEL IN 46032
FEDERAL 'JD 610504545 HATE c.NrgP -ED:-_ _7- /0.110 -8_ TERMS NET _30 DAYS
B/L 59806 -00 SHIP WHS: 29 SALESPRSN: 294
CUSTOMER 897255 SHIP VIA.: OUR TRUCK PKG
CUSTOMER PO 1873 FOB DELIVERED
TAX EX# 0031201550 -020
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
325.4427 365998 1.0.140 325.4427G 2.1072 685.77
1.0000 G BULK SOD HYPOCHLORITE 12.50
DRUM OFF -330 G POLY TOTE BLK
QUESTIONS, CALL 317- 898 -8632
REMIT TO ADDRESS:
BRLNNTAG MID- SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 685.77
FUEL SURCHARGE 90.00
PAID ON OR PRIOR TO 7/31/08 INVOICE TOTAL 775.77
PAID AFTER 7/31/08 INVOICE TOTAL 783.53
Original Document
Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Albans, WV
Bartonville, IL Georgetown, KY Kansas City, MO Nashville, TN St. Louis, MO
Calvert City, KY Greeneville, TN Kennesaw, GA Nitro, WV Tampa, FL
Chattanooga, TN Henderson, KY Louisville, KY Orlando, FL Terre Haute, IN
Clearwater, FL Huntsville, AL Memphis, TN Springfield, MO Valdosta, GA
ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
'LERMS AND CONDI "PIONS
L Con flicting Provisions
Seller', terms and conditions ,elated in lhi� Document ("Teens and Condition, shall he deemed controlling not withstandin, ally prior or arbseclueut purchase orderor similar document
from Pllfelnl,er Purchaser by taking delivery of all or tiny portion of the items shown on the reverse side shall he conclusively dcamed to have accepted and a,cservecl to Seller's Terms
and Co11clitions-
2. Purchase Price and Payment
'file purchase price for :ill items shown on the reverse side excludes sales, use, occupation, license, excise and other taxes and fees in respect of manufacture, Sala storage, Cosunlption
Or dctivcly, all of which shale be Imid by Purchaser. The porchasc price for all items is payahle in Itnvl'ttl mmIley of the United States. Acceptance by Seller of drafts, checks or other
media of payment will be pmvislnnal onl% and subject to immediate collection of the full face armour[ thereof. Seller reserves the right io charge a late fee and/or interest. if Purchaser
fails to make any payments lo Seller when wilts hecomC (Inc.
3. Delivery/Force Maicure
Delivery of good: to Thu Purchi ser'S location Shall constitute delivery to the Pw'chaser; and all risk of loss or damage shall thereupon paS.S In and be aSsUnletl by the Purchaser. Any lime
or date staled for dcliveiv is an CStimmc only and the Seller Shall not he liable for failure to deliver at [lie specified time or on the specified date, nor shall such allure on the part of the
Seller he decreed to he a hreach of this A or any terms and conditions or port lhereol. Purchaser shall not be entilled to cancel or rescind this sale nor ,hall Seller he liable in
dantageS Or otherwise, in the cure Of delay fir intpairnlenl or failure of performance by Seller by reason of causes beyond Seller's control, includimt. without limitation, claims of force
ntajcurc by Seller's suppiiers, stripes, labor dilliculties, shortages of labor, fuel, power, m.neriais or supplies, inability to obtain shipping, space, u delays, lire, floods.
accidents viols. acts of Cod. wire goycmntel interference or embargo. In Lilly Such event, Seller reserves the right, in its sole discretion. 10 alloca its inventoiv between Purchaser
and SCIICI'S Other customers, and Purchaser waives any right Io i ssa7 a claim against Seller therefor.
d. Sus pcnsion of Credit or Shipment
Scllcr stay oI any inns alter or suspend credit io Purchaser. crop Shipmcin to Purch:ucr in transit, or delay or refu,ee to ship n, Purchaser. or cancel any Or all unfilled orders when, in
Scllcr s sole Opinion:
:I, the financial condition of I'lFCh:1,Cr is ILnS;niSfaClOIV to Scllcr;
h. dclivcry is clehcved by the fault of Purchaser.
Pill, ha,cr i, delinquent in pilpment of any ohli, ;aeon owed to Seller, or
d. side tit productS or materials to Purchaser nary result in cnvironmenlal, safety or hcidth dan. ere or hnzarcl.
S. Wuranf
Sellerwarlanu that the products or materials delivered hereunder nicer the standard specifications of the ntanuracturer(S) for the products or such other Specifications as may have been
expressly agrcd to it) writing by Purchaser and Scllci. SELLER MAKES NO O'T'HER WARRANTIES, EXPRESS OR IMPLIED. INCLUDING, WITHOUT LIMITATION, ANY
WARRANTY OF NIERCHANTABILIIY OR FITNESS FOR A PARTICULAR PURPOSE. Determination of the suitability Of the Product supplied hereunder for the uses and Ippli-
cations contemplated by Iurchaser and other, Shall be the sole responsibility of Purchaser. Purchaser assumes ail risk and liability ICSUlting from the handlin_ use, storagc or resale of
the productS deliveral berearrdel: whether used, handled, stored or resold singly or in combination with other products, and Purchaser agrees 10 indemnify and hold Seller harmless
against any and Lill loss. damaecs. liabilim cost and expense (including reicsonahle attorneys' fees), arising Oil of Such use, handling, storage or resale. Seller assumes nn ohligation or
liabifity for the Icchnical advice given by Scllcr Willi reference to the o,e of the Products Or reStdls obtained thercl'ront, and all such advice is civen and accepted at Purchaser's risk.
6. LIM1TAFIONS OF LIABILITY
it. PURCHASER llLRl713Y WAIVES ANY CLAIM AGAINST SELLER FOR CONS EQUEiNTiAL DAMAGES. LOSS OF OR DAMAGE TO GOODWILL OR ANY OTHER
SPECIAI_. DIRECT, INDIRFCT OR INCIIJEN AL DAMAGES, EVEN IF SELLER HAS BEEN ADVISED OP OR HAS NOTICE OF THE POSSIBILITY OF SUCH DAMAGES
AND PURCHASER S EXCLUSIVE RFI1EDY WITH RESPECI' I'O ANY CLAIM, WHETHER IN CONTRACT, TORT OR STRICT LIABILITY OR OTHERWISE. IN RESPECT
OFTI117 PRODUCTS SOLD IIEkEUNDFR SHALL HE EXPRESSLY LIMITED TO THEAMOUNTOFTHF PIJRCI1ASE PRICE OF SUCH PRODUCT OR THE REPLACEMENT
OF SUCH PRODUCT.
h. FAILURE BY PURCHASER TO GIVE WRITTEN NOTICE OF SUCK CLAIM'I'O SELLER WITHIN 30 DAYS FROM THE DATE OF DELIVERY OF SUCK PRODUCT ShIALL
CONSTITUTE A WAIVER 13S' PURCHASER OF ALL CLAIMS IN RESPECT OF SUCH PRODUCT NO PRODUCT SOLD HEREUNDER SHALL BE RETURNED TO
SELLER wri ifour sFLt.FR'S PERMISSION. NO CLAIM SIirVJ,. BE ALLOWABLE AFTER ANY SUCH PRODUCT HAS BEEN PROCF.,SSED IN ANY MANNER.
7. Containcrs /C lily tdcl�e
a. All returnable containcn and cylinders remain the property of the Seller and must he returned to Seller.
h. COInnInCr and cylinder deposits will he fort'cited if conainers are not returocd within 90 days o1' shipmcnl. unless othcnviSC dared to in writing by Seller In addition to the
torliiture or any such deposil. Purchaser Shall rcnnain liable tol an amount equal to the difference hetwcen the deposit and tic replacement cost of ally rhirnable container or
cylinder which is Hot rclumcd to Sella.
C, Pm thrice agrocs to accept f Lill responsihihly and liability for the disposal of non -rcl unable containers and cylinders in strict compliance with all IawS and regulations.
d. Pm'chascr shall indemnify and hold Seller harmless against any claim, loss, dutna,e or expense arising from Purchaser's handling, use, Storage or dispusul of ally container Or
cylinder.
C. Scllcr reserves the right to charge Purchaser with demurrage fort I CILIR tble container Or Cylinder.
4 Rcnlnncd Alaterial
Nto credit kill be issued liar m ;ncrml returned unless Seller has given written consent to Such r urn. All returned material is subject to a resiockiuf= char-
C_rrdi
An% credit is,uad by Seder In Purchaser. may only he applied against the nature IMIVIMSC of Products by Purchaser and will riot he paid in cash. Any Such credit will expire One year
cater the dale of issuance, and Scllcr will have no oblig:uiou with I therclo in the event ILIA PnIC'hiieer does not apply the credit agmiist rte cost of Product purchased b_v it prior to
,Lich expiry dale.
10. Gemral
n. This Doc.unicnt shall not he assignahle in whole or in part by Purchaser willlout the prior written consent of SCllcr.
h. Unless staicd to the conlnu elsewhere in this DVCLIMCM, nu action, rgatilc,ss of form, arising out of the sale or delivery of product hel'enndeY, ntav be comm�enccd mute Ih:ui one
your ePier the cause of action has accrued. except that an action [or nonpayment or for failure Io return containers and cylinders may be brought at any lime.
c. Scllcr', waiver Of any breach. or failure to enforce sty of the terms and conditions of this Agreement, at any time, shall not ill any way affect, limit or waive Seller's riche thcrc-
aftcr to enforce and compel strict compliance with each and every term and condition hereof. The acccptance by the Seller or any payment after the specif iccl due dale shall not
constitute a waiver of the Purcha_ <&s obligation to make further payments On the specified dates.
d. This Agreement shall he governed by and enforced in accordance with the Taws of the state in which the Seller's corporate office is located without reference to its conflict Of' law
ales. Purchaser by taking delivery of all or ,ay hems shall be conclusively deemed to have consented to personal jurisdiction in the above mentioned state.
C. The. refills and conditions herein constitute the entire agrevutent between Seller and Purchaser and may nor be modified or amended except by it writing executed by an amhorized
orricer of Scllcr and no modification shall be effected by the parties' course of dealing or the acknow let] ement or acceptance of purchase order formS containing terms or condi-
tions in addition to or at variance with those Set forth herein.
F. If any provision or provisions of this Document shall be held to be illegal or unenforceable the legahay and enforceability of the remaining provisions shill not in any way he affect-
ed or impaired.
Product, shall he delivered to Purchaser is indicated on the face hereof. and unless otherwise indicaiccl, Purchaser shall he responsible for the puynlein of till freight and
Iransponmion charges l on Seller's point of fouling to the deliverv° address specified on the face hereof. Delivery dates are appioainlate and are predicated on the prompt receipt
by Seller or all necessary inlormalion and documentation from ParhaSCr
It. Unless Ptuchaser is authorized to digs hutc the prodUC(S delivered hereunder pursuant to a written agreement with Seller. Seller agrees that the product is supplied to Purchaser for
Purchitses''s' internal use only, and Purchaser niuy not repackawe, resell (it olhetwise distribute the product to third parties without the express written consent of Seller.
i. In dhe event that Pw'chascr and Seller engage in any electronic transaetiunS, including, but not limited lo, electronic data interchange or raeSlllIAC C,xehallLe5, such electronic
u.xchaugcs shall he considered as valid and legally binding and shall he SuhJCCt 10 the terms and condillOnS of this Agreement.
Brenntag Mid- Inc. B R E N N TAG
1 7 405 Highway 136 W P.O. BOX 20
Henderson, Kentucky 42419 -0020
INVOICE BMS509054 INV DATE: 7/08/08 PAGE 1 OF 1
DUE DATE: 8/07/08
SOLD TO: SHIP TO:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
ONE CIVIC SQUARE REFLECTING POOL
CARMEL IN 46032 THIRD AVE. 126TH STREET
CARMEL IN 46032
FEDEn-A-L.I
_D_ :__6105.0.4545- DATE __SHIPP_ED:_.._7 /08/08_TERMS NET 3 D AYS
B /L#. 59811 -00 SHIP LVHS: 29 SALESP RSN: 294
CUSTOMER 897255 SHIP VIA: OUR TRUCK PKG
CUSTOMER PO 1873 FOB DELIVERED
TAX EX# 0031201550 -020
UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED
199.9993 365998 10.140 199.9993G 2.1072 421.44
1.0000 G BULK SOD HYPOCHLORITE 12.5%
DRUM OFF -330 G POLY TOTE BLK
QUESTIONS, CALL 317 898 -8632
*it *ic�F *it 5riryric *X'� *�xx' x* **•kfric i.r
REMIT -TO ADDRESS:
BRENNTAG MID SOUTH, INC
3796 RELIABLE PARKWAY
CHICAGO IL 60686 -0037 MERCHANDISE 421.44
FUEL SURCHARGE 90.00
PAID ON OR PRIOR TO 8/07/08 INVOICE TOTAL 511.44
PAID AFTER 8/07/08 INVOICE TOTAL 516.55
Original Document
Atlanta, GA Columbus, OH Indianapolis IN Miami, FL St. Albans, WV
Bartonville, 1L Georgetown, KY Kansas City, MO Nashville, TN St. Louis, MO
Calvert City, KY Greeneville, TN Kennesaw, GA Nitro, WV Tampa, FL
Chattanooga, TN Henderson, KY Louisville, KY Orlando, FL Terre Haute, IN
Clearwater, FL Huntsville, AL Memphis, TN Springfield, MO Valdosta, GA
ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE
TERMS AND CONDITIONS
1. Coulliclimt Provisions
Seller's terms and conditions sorted in this Document "Terius and Conditions' shall be deemed controlling notwithstanding any prior or subsequent purchase order or similar document
from Purchase_ Purchaser by taking delivery of all or any portion of the items shown on the reverse side shall he conclusively deemed to have accepted and assented to Seller's Terms
and Conditions.
2. Purchase Price and Pay meal
The purchase price for all items shown nn the revere side excludes sales. use, occupation, license, excise and other taxes and fees in respect of mallUfacrtuc. sale, storage, COnsuntpt On
or delivery, all of which shall he paid by Purchaser. The purchase price for all items is payable in lawful money of the United States. Acceptance by Seller of drafts, checks or otter
media of payment will be provisional only and subject to inurnediaw collection of the full face amount thereof. Seller reserves the right to charge a late fee and/or interest. if Purchaser
fails to snake any payments to Seller when saute become duc.
3. Delivery /Force Majcure
Delivery of goods to the Purchasers location shall constitute delivery to the Purchaser, and all risk of loss cr damage shall thereupon pass to and he assumed by the Purchaser. Any time
or date ,stated for delivery is an estintale only and the Seller shall not he liable for failure to deliver at the specified lime or on the specified date, nor shall such failure on the part of the
Seller be deemed to he a breach of this Agreement or any terms and conditions or part thereof. Purchaser shall not he entitled to cancel or rescind this sale nor shall Seller he liable in
damages or otherwise, in the case of delay or intpairmen or failuic of performance by Seller by reason of causes beyond Seller's control, including. Without limitation, claims of force
nmjeure by Sellers SUpplierS, strikes. labor difficulties. shortages of labor, fuel, power. materials Or supplies, inability to obtain Shipping space, transportation delays. fire. goods.
accidcros, riots, acts of God, war, governmental interference or smog go. In ally such event. Seller reserves the right, in its sole discretion. to allocate its invontory behvccn Purchaser
and Scllcr's other customers. and Purchaser waives any right to assert a claim against Seller therefor.
Suspension of Credit or Shipmcol
Scllcr may at any time alter or Suspend credit act Purchaser, slop shipment to Purchaser in transit. or delay or refuse to ship to Purchaser, or cancel any or all Unfilled orders when, in
Seller's sole opinion:
a. the flounuial condition of Imchaser is nnsatisfaciory to Seticr;
b. delivery is delayed by the fault Of Purchaser:
C, Purchaser is delimqucnt in pavtnc;u of any obligation owed to Seller: or
d. sale of products 01 materials to PurCasCr 111LIV result in environmental. safety or health danger or hazard.
5. Warranty
Seller warrants that the products or materials dclivcred hereunder meet the standard speciPcations of the manufacturer(s) for the products or Such other specifications as may have been
expressly agreed to in writing by Purchaser and Seller. SFlJ -FR MAKES NO OTHER WARRAN'T'IES, EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, ANY
WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Derennination of the suitability of the Product supplied hereunder for the uses and appli-
cations contemplated by Purchaser and others shall be the sole responsibility or Purchaser. Purchaser assumes all risk and liability resulting from the handling, use. Storage or resale of
the products delivered hereunder, whether used, handled, stored or resold singly or in combination with other products, and Purchaser agrees to inderunify and hold Seller harmless
against any and all Jos,,. damages, liability, cost and expense (including reasonable altorneys' fees), arising out of such use, handling, storage or resale. Scher assumes no obligation or
liability lot the technical advice given by Seller with reference to the use of ills PrOLILlUs Or results Obtained therefrom, and all such advice is given and accepted at Purchaser's risk.
G. LIMITATIONS OF LIABILITY
a. PURCHASER HEREBY WAIVES ANY CLAIM AGAINST SELLER FOR CONSEQUENTIAL DAMAGES, LOSS 01= OR DAMAGE TO GOODWILL OR ANY OTHER
SPECIAL, DIRECT, INDIRECT OR INCIDENTAL DAMAGES, EVEN IF SELLER HAS BEEN ADVISED OF OR HAS NOTICE OF THE POSSIBILITY OF SUCH DAMAGES
AND PURCHASER'S EXCLUSIVE. REMEDY WITH RESPECT TO ANY CLAIM, WHETHER IN CONTRACT. TORT OR STRICT LIABILITY OR OTHERWISE. IN RESPECT
OFTHE PRODUCTS SOLD HEREUNDER SHALL BE EXPRESSLY LIMITED'I'O THE AMOUNTOF THE PURCHASE PRICE OF SUCH PRODUCTOR THE RIi.PI_ACI= :MENT
OF SUCH PRODUCT.
h. FAILURE BY PURCHASER TO GIVE WRITTEN NOTICE OF SUCH CLAIM TO SELLER WITHIN 30 DAYS FROM THE DATE OF DELIVERY OF SUCH PRODIJCT SHALL
CONS'T'ITUTE A WAIVER BY PURCHASER OF ALL, CLAIMS IN RESPECT OF SUCH PRODUCT. NO PRODUCT SOLD HEREUNDER SHALL BE RETURNED TO
SELLER WTTFIOUT SELLER'S PERMISSION. NO CLAIM SHALL BE ALLOWABLE AFTER ANY SUCH PRODUCT HAS BEEN PROCESSED IN ANY MANNER.
7. Containers /Cylinders
All returnable containers and cylinders remain the property of the Scllcr and must be returned to Seller.
b. Container and cylinder deposits will he firreaccl if containers are not renunctl within 90 days of shipment, unless Otherwise agreed to in writing by Seller. In addition to the
forfeiture of any such deposit, Purchaser shall remain liable f an amount equal to the dif7erence between the deposit and the rcplacentcnt cost of env remnablc container or
cylinder which is not returned to Scllcr.
C. Purchaser agrees to accept lull responsibility and liability for the disposal of non- rchrrnable containers and cylinders in strict compliance with all laws and regulations.
d. Purchaser shall indemnify and hold Seller harmless against any claim. loss, damage or expense arising front Purchaser's handling, use, storage or disposal of any container or
cylinder:
U. Sclier reserves the light to charge Purchaser with demurrage for any returnable container or cylinder.
R. RcrtrntcJ-- �l4etnnal No credit will be issued liar material returned unless Seller has given written consent to such return. All retuned nnnerkd is subject to a restocking, charge.
9. Credit,
Any credit issued tw Seller Lit Purchaser, may Only be applied against trio future purclnrse of Producis by Purchaser and will not be paid in cash. Any such credit will expire one year
after the date of issuance, and Scllcr will have no obligation with respect thereto in the event that Purchaser does not apply the credit ;o amim the cost of Product purchased by it prior to
such expiry dale.
IO. General
L1. r Htis Docmncnt shall not be assignahle in whole or in parr by Purchaser without the prior written consent of Seller.
b. Unless Stated to the contrary elsewhere in thin Docmncnt, no action, regardless of form, arising out or the sale or delivery of product hereunder, may he commcnccd more [Iran uric
year after the cause of action bus accrued, except that an action far nonpayment or for Iailure- to return containers and cylinders may be brought at any lime.
C. Seller's waiver of any breach, or railUne to enforce any of the terms and conditions of this Agreement, at any lime. shall not in any way affect, limit or waive Seller's right there-
after to enforce and compel strict compliance with each and every term and condition hereof. The acceptance by the Seller of any payment after the specified due date shall not
constitute a waiver of the Purchaser's obligation to make further payments on the specified dates.
d. This Agreement shall be governed by and enforced in accordance with the laws or the state in which the Seller's corporate Office is located without reference to its conflict of law
rules. Purchaser by takht, delivery Of Lill or any items shall be conclusively deemed to have consented to personal jurisdiction in the above mentioned state.
C. The terms and conditions hcrcin constitute the entire agreement between Seller and Purchaser and may not be modified or amended except by a writing executed by an authorized
officer of Seller and no modification shall he effected by the parties' course of dealing or the acknowledgment or acceptance or purchase order forms containing terms or condi-
tions in addition to or at variance with those set forth herein.
f. If any provision or provisions of this Document shall he held to be illegal or unenforceable the legality and enforceability of' the remaining provisions shall not in any way be arlect-
ed or impaired.
g. Products shall be delivered to Purchaser as indicated on the face hereof, and unless otherwise indicated, Purchaser shall be responsible for the payment of all freight and
transportation charge, front Seller's point of loading to the delivery address specified on the face hereof. Dciivety dates are approximate and are predicated on the prompt receipt
by Scllcr of all nceessary infimnation and documentation f Purchaser.
h. Uedms PUO:hascr iS authorized to cdisti bute the products delivered hereunder pursuant to a written agreement with Seller, Seller agrees that the product is supplied to Purchaser for
Purchaser's' internal use only, and Purchaser may not repackage, resell or otherwise distribute the product to third parties without the express written consent of Seller.
i. In the event that Purchaser and Seller engage in any electronic transactions, including, but not limited lo, electronic data interchange or facsimile exchanges, such electronic
exchan. shall be considered as valid and legally binding and shall be subject to the terms and conditions of this Agreement.
VOUCHER,NO. WARRANT NO.
ALLOWED 20
Brenntag Mid -South Inc
IN SUM OF
3111 N. Post Road
Indianapolis, IN 46226
$1,287.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
17572 BMS506704 43- 504.00 $775.77 1 hereby certify that the attached invoice(s), or
17572 BMS509054 43- 504.00 $511.44 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
Thursday, July 17, 2008
Street C044ssioner
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))
07/01/08 BMS506704 $775.77
07/08/08 BMS509054 $511.44
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