198143 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 141050 Page 1 of 1
ONE CIVIC SQUARE INDEPENDENT CONCRETE PIPE
CARMEL, INDIANA 46032 INDIANA DIVISION CHECK AMOUNT: $496,80
PO BOX 2047 CHECK NUMBER: 198143
op
INDIANAPOLIS IN 46206 -2847
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 305689 496.80 OTHER EXPENSES
I N V O I C E
INDEPENDENT CONCRETE PIPE CO. INVOICE# PAGE
INDIANA DIVISION 305689 1 1
2050 S. Harding INVOICE DATE
Indianapolis, IN 46221 05/26/11
REMIT TO:
Phone: 317- 262 -4920 INDEPENDENT CONCRETE PIPE CO.
IN DIVISION
PO_B 8 7
�INDIk t f IN 46206 -2847
(dip SOLD CITY OF CARMEL Sewer Dept 5/26/11
TO 3400 West 131st Street
Westfield IN 46074
Po
ORDER ORD DATE CUST.$# LOC. SLM. PURCHASE ORDER NO. SHIP VIA
32899 105/26/11 1000520 IN JSLH I WIL PICK UP
QTY. QTY
ORDER /B.O. SHIP /RETURN ITEM NO. /DESC. UNIT PRICE UOM NET PRICE
24.00 24.00 0 JTMKS 20.0000 EA 480.00
1.00 ROLLS 1 INCH KENT SEAL .00
Ticket 032899 -004 24.00
Original Copy
SALES AMOUNT 480.00
COMMENT
SURCHARGE 16.80
FREIGHT! .00
SALES TAX .00
TOTAL 496.80
TERMS Net 30 days AMOUNT RECEIVED .00
BALANCE DUE 496.80
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
141050
INDEP CONCRETE PIPE CO Purchase Order No.
INDIANA DIVISION Terms
SECTION 935 Due Date 6/1/2011
LOUISVILLE, KY 40289
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2011 305689 $496.80
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
6 C,--A Yv^
Date Officer
VOUCHER 115192 WARRANT ALLOWED
141050 IN SUM OF
INDEP CONCRETE PIPE CO
INDIANA DIVISION
LG.biS VItEE K-Y-46H 9
Car el Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
d -1 100.0
305689 01- 11-00 $496.80
Voucher Total $496.80
Cost distribution ledger classification if
claim paid under vehicle highway fund