198294 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
ONE CIVIC SQUARE UTILITY SUPPLY CO INC.
se r� CARMEL, INDIANA 46032 6310 S HARDING ST CHECK AMOUNT: $332.40
INDIANAPOLIS IN 46217 CHECK NUMBER: 198294
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1034741 166.20 OTHER EXPENSES
601 5023990 1037862 166.20 OTHER EXPENSES
INV ®ICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
1a
6310 SOUTH HARDING STREET 1034741
C INDIANAPOLIS, IN 46217
Invoice Date Page
US 5/16/2011 16:01:34 1 of]
ORDER NUMBER
317- 783 -4196 1037468
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER METERS
3450 WEST 131ST STREET 3450 WEST 131 ST STREET
CARMEL, IN 46074 (WATER METERS AND METER PARTS ONLY)
US CARMEL, IN 46074
US
Attn: K LOVEALL Ordered By: JACK SPEARS
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
JACK 5/11/2011 15:34:04 Net 30 DAYS 6/15/2011 6/15/2011 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
5/11/2011 15:33:46 1037863 DOUG KARST ZSTIERWALT
Quantities
Pricing
Item Pricing
U0m Unit Extended
Ordered Shipped Remaining UOM G Item Description Price Price
Unit Size O Unit Size
Carrier: CUSTOMER PICK UP Tracking
5.00 5.00 0.00 EA 21 /2FNSTXI I /2MIP EA 30.0000 150.00
1.0 2 1/2 FNST X 1 1/2 M1P HYDRANT ADAPTER 1.0000
5.00 5.00 0.00 EA SW250 EA 3.2400 16.20
1.0 2 1/2" SWIVEL WASHER 1.0000
Total Lines: 2
SUB TOTAL: 166.20
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2 per month (18% AMOUNT DUE: 166.20
ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
QJ Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1034740
C
INDIANAPOLIS, IN 46217 Invoice Date Page
US 5/16/2011 16:01:20 1 of I
ORDER NUMBER
317- 783 -4196 1037464
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER METERS
3450 WEST 131 ST STREET 3450 WEST 131 ST STREET
CARMEL, IN 46074 (WATER METERS AND METER PARTS ONLY)
US CARMEL, IN 46074
US
Attn: K LOVEALL Ordered By: JACK SPEARS
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
JACK 5/11/2011 15:33:40 Net 30 DAYS 6/15/2011 6/15/2011 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
5/11/2011 15:24:26 1037862 DOUG KARST ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Extender/
Ordered Shipped Retnainin UOQa Item Descript ion Price Price
PP g Unit Size
Carrier: CUSTOMER PICK UP Tracking
5.00 5.00 0.00 EA 21 /2FNSTXII /2MIP EA 30.0000 150.00
1.0 2 1/2 FNST X 1 1/2 MIP HYDRANT ADAPTER 1.0000
5.00 5.00 0.00 EA SW250 EA 3.2400 16.20
1.0 2 1/2" SWIVEL WASHER 1.0000
Total Lines: 2
SUB TOTAL: 166.20
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2 %per month (18% AMOUNT DUE: 166.20
ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 5/31/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/31/2011 1034741 $166.20
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
Date Officer
VOUCHER 111316 WARRANT ALLOWED
316200 IN SUM OF
Utility Supply Company WATER
6310 South Harding Street OpMATIONS
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1034741 44 B-BfT� $166:20
Voucher Total'53�) qo
Cost distribution ledger classification if
claim paid under vehicle highway fund