198520 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 353520 Page 1 of 1
ONE CIVIC SQUARE GEORGE E BOOTH CO INC
CARMEL, INDIANA 46032 8202 W 10TH STREET CHECK AMOUNT: $167.91
INDIANAPOLIS IN 46214
CHECK NUMBER: 198520
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
651 5023990 184474 167.91 OTHER EXPENSES
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
Booth OFFICE 00184474
IN George E Booth Co., Inc. INVOICE DATE
George E. Booth Co., Inc. 06/08/11
George E. Booth Co., Inc. 8202 West 10th Street
ATTN: Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1/1
Indianapolis IN 46214
USA
Cust N0. Date Ordered Date Shipped Written By Order Type Ship From Loc Selling Loc
C1190 06/01/11 06/08/11 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground NET 10/25TH PROX Shipping point
Customer PO No. Mark Number
S12540
Tracking numbers: 1Z4418480371322249
QUANTITY
LINE ITEM UOM UNIT PRICE EXTENDED
NO. TOTAL BACK THIS DESCRIPTION DISCOUNT AMOUNT
ORDERED ORDERED SHIPMENT
0010 2.00 0.00 2.00 238610 -032 -D EA 75.2500 150.50
COIL,SOLENOID,ASCO
Phone: 317- 247 -0100 AMOUNT 150.50
SO 00084923 FRGHT /INS /HNDL 17.41
PL 00086843 SALES TAX 0.00
AMOUNT DUE 167.91
B CITY OF CARMEL s CARMEL WWTP
t CARMEL WASTE WATER UTILITIES H ATTN: PO# S12540
760 THIRD AVENUE S.W. SUITE 110 P CARMEL WWTP
CARMEL IN 46032 9609 HAZEL DELL PARKWAY
T T INDIANAPOLIS IN 46280
0 0
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
353520
GEORGE E BOOTH CO INC Purchase Order No.
8202 W 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 6/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2011 184474 $167.91
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
Date O icer
VOUCHER 115269 WARRANT ALLOWED
353520 IN SUM OF
GEORGE E BOOTH CO INC
8202 W 10TH STREET
INDIANAPOLIS, IN 46214
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
184474 01- 7202 -06 $167.91
Voucher Total $167.91
Cost distribution ledger classification if
claim paid under vehicle highway fund