159112 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361177 Page 1 of 1
ONE CIVIC SQUARE VAUGHAN CO INC
CARMEL, INDIANA 46032 364 MONTE ELMA ROAD CHECK AMOUNT: $1,945.00
MONTESANO WA 98563 CHECK NUMBER: 159112
CHECK DATE: 4/3012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 502.3990 1299 1,945.00 MATERIALS SUPPLIES
i
i
I
o Invoice No 0000001299
il• Customer 000726
Sales Order No: 092669
Vaughan Co., Inc.
364 Monte Elma Road
Montesano, WA 98563
11 Phone: 360- 249 -4042 s Fax 360- 249 -0532
Bill to: SHIPPED TO ADDRESS:
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
ACCOUNTS PAYABLE PLANT
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
United States United States
Phone (317)571 -2634 Fax (317)571 -2636
Customer PO Number Invoice Date Terms FOB Ship Via
2 S\bq g 04/09/2008 NET 30 OUR PLANT FED -EX GROUND
Item Part Rev Description Details Quantity Unit Price Discount Extended Price
000001 V850 -381 B Rev 000 U/M EA 3.00 33.00 9.90 89.10
O -RING, BUNA -N, 01 -381
000002 V850 -4636 Rev 000 U/M EA 3.00 33.00 9.90 89.10
O -RING, BUNA -N, 01 -463
000003 V850 -131 B Rev 000 U/M EA 3.00 7.00 2.10 18.90
O -RING, BUNA -N, 01 -131
000004 V801 -309 Rev 000 U/M EA 1.00 1,785.00 178.50 1,606.50
SEAL, MECH, 40MM, CBH
000005 V850 -235B Rev 000 U/M EA 3.00 7.00 2.10 18.90
O -RING, BUNA -N, 01 -235
000006 V850 -380B Rev 000 U/M EA 3.00 33.00 9.90 89.10
O -RING, BUNG -N, 01 -380
000070 SHIPPING Rev NS 1.00 33,"0 0.00 33.40
Shipping /Freight Charge, Ref Shipper No
001449 Shipped on 04/08/2008
Tracking No: 424382530031607 Total Item Price 1,911.60
Shipping 33.40
Sales Tax 0.00
Total Inv Price US$ 1,945.00
CUSTOMER COPY
Page 1
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.
Y
Payee
361177
VAUGHAN CO INC Purchase Order No.
364 MONTE ELMA ROAD Terms
MONTESSANO, WA 98563 Due Date 4/16/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2008 1299 $1,945.00
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
Date Officer
\(OUCHER 085301 WARRANT ALLOWED
3P1177 IN SUM OF
VAUGHAN CO INC
364 MONTE ELMA ROAD
MONTESSANO, WA 98563
IN
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1299 01- 7202 -06 $1,911.60
1299 01- 7202 -06 $33.40
Voucher Total $1,945.00
distribution ledger classification if
claim paid under vehicle highway fund