199229 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
ONE CIVIC SQUARE UTILITY SUPPLY CO INC.
CARMEL, INDIANA 46032 6310 S HARDING ST CHECK AMOUNT: $94.44
INDIANAPOLIS IN 46217 CHECK NUMBER: 199229
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1037687 28.79 OTHER EXPENSES
601 5023990 1037688 65.65 MATERIALS SUPPLIES
INVOICE
UTILITY SUPPLY COMPANY
U Branch: 03 USC NW INDY INVOICE
S 6310 SOUTH HARDING STREET 1037688
C INDIANAPOLIS, IN 46217 Invoice Date Page
US 6/23/2011 15:10:35 1 of 1
ORDER NUMBER
317 783 -4196 1040866
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131 ST STREET 3450 WEST 131 ST STREET
CARMEL, IN 46074 CARMEL, IN 46074
US US
Attn: K LOVEALL Ordered By: GREG HOLLANDER
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
GREG 6/22/2011 08:18:11 Net 30 DAYS 7/23/2011 7/23/2011 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
6/22/201108:17:43 1041166 ANDY NUGENT ZSTIERWALT
Quantities Pricing
/lent ID UOM Unit Extender/
Orderer/ Shipped Remaining UOAI Item Description Price Price
Unit.Size O Unit Size
Carrier: OUR TRUCK Tracking
5.00 5.00 0.00 EA 198357 EA 13.1291 65.65
1.0 A10 BONNET GSKT FOR 4 -1/2 1.0000
5 -1/4 CENTURION POR SC 200 AND
CENTURION HYDRANTS ONLY
Total Lines: I .SUB- TOTAL: 65.65
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2 %per month (18% AMOUNT DUE: 65.65
ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
V Branch: 03 USC NW INDY INVOICE
S 6310 SOUTH HARDING STREET 1037687
C INDIANAPOLIS, IN 46217 Invoice Date Page
US 6/23/2011 15:08:47 1 of I
ORDER NUMBER
317 783 -4196 1041031
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL, IN 46074 CARMEL, IN 46074
US US
Attn: K LOVEALL Ordered By: GREG HOLLANDER
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
GREG-6/23/2011 09:18:24 Net 30 DAYS 7/23/2011 7/23/2011 0.00
Order Date Pick Ticket No PrinmrP Salesrep Name Taker
6/23/2011 09:14:11 1041306 ANDY NUGENT ZSTIERWALT
Quantities Pricing
/tent /D UOM Unit Extended
Ordered Shipper) Remaining UOM /tent Description Price Price
Unit Size O Unit Size
Carrier: CUSTOMER PICK UP Tracking
2.00 2.00 0.00 EA H 15428 -250 EA 14.3966 28.79
1.0 3/4 MUELLER CTS COMP MALE ADAPTER 1.0000
Total Lines: 1 SUB TOTAL: 28.79
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2 per month (18% AMOUNT DUE: 28.79
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 6/27/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/27/2011 1037688 $65.65
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 Officer
VOUCHER 111606 WARRANT ALLOWED
3162.00 IN SUM OF
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1037688 01- 6200 -06 $65.65
I b3� �5 7 o -29.79
Voucher Total I q `7
Cost distribution ledger classification if
claim paid under vehicle highway fund