156576 02/21/2008 o CITY OF CARMEL, INDIANA VENDOR: 360834 Page 1 of 1
ONE CIVIC SQUARE FARMTEK
CARMEL, INDIANA 46032 1395 JOHN FITCH BLVD CHECK AMOUNT: $497.85
SOUTH WINDSOR CT 06074 -1001 CHECK NUMBER: 156576
CHECK DATE: 212112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
654 5023990 510962 359766401 497.85 VINYL STRIP
c
i' 2�1i�0� J N, tc INVOICE NUMBER: 3597664 -01
1395 John Fitch Blvd. r �y
F
South Windsor, CT 06074 ORDER NO ORDERI:DATE PAGE:NO.
mTek Phone: 800 327 -6835 J F F 3597664 1/ 3 0/ 0 8 1
Fax: 800 457 -8887 SHIP 'VIA
www.FarmTek.com 2J� Invoice UPS Ground C
s:ORDER REF i;:
SHIP: REF :.:SALESPERSON PURCHASE ORDER
:::NO; i.i <'.i :i:i PAYMENT INFORMATION is i
5628538 FKOSGOO 511044 1NT
ORDER ORIGIN:? COL PPD ii SHIP >DATE PAYMENT TERMS
1 PHONE ORDERS I 1XI 1/31/08 NEW ACCOUNT
CUSTNO. 5628538 Invoice Printed 1/31/08
SOLD SHIP
TO TO
JEFF COOPER
JEFF COOPER CARMEL WASTE WATER TREATMENT
CARMEL WASTE WATER TREATMENT
9609 HAZEL DELL PKWY
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 -2935
INDIANAPOLIS IN 46280 -2935
ORDERED :i SHIPPED BACK'ORDERED'< IT EM:i i' ;i :i' DESCRIPTION UNITTRICE AMOUNT�(USD)
150 FT 150 XR3705 VINYL STRIP 12 "X.120
2.89 433.50
Thanks for your order. If there is anything else that
can help you with, please don't hesitate to give me a
call. You can reach me, Kathleen Osgood, directly at
1- 800 835 -7877 x244. Thanks for choosing T kSupply!
Thank you for your order!
Merchandise 433.50 Miscellaneous .00
Shipping /Handling 64.35 Sales Tax .00
Total (USD) 497.85
VOUCHER 077314 WARRANT ALLOWED
36,0834 IN SUM OF
ARMTEK
'�95 JOHN FITCH BLVD
SOUTH WINDSOR, CT 06074
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
.Board members
PO INV ACCT AMOUNT Audit Trail Code
p
O# X359766401 09- 1050 -76 $433:50
po# 359766401 09- 1050 -76 $64.35
.y�
Voucher Total $497.85
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
360834
FARMTEK Purchase Order No.
1395 JOHN FITCH BLVD Terms
SOUTH WINDSOR, CT 06074 Due Date 2/12/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/12/2008 359766401 $497.85
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
Ti, /A/
Date wcer