156317 02/06/2008 f CITY OF CARMEL, INDIANA VENDOR: 354915 Page 1 of 1
ONE CIVIC SQUARE SANITAIRE
CARMEL, INDIANA 46032 71 ELM STREET CHECK AMOUNT: $135.00
WORCESTER PA 01609
n a CHECK NUMBER: 156317
CHECK DATE: 216/2008
DEPARTMENT ACCOUNT PO N UMBER INVOI NUMBER AM OUNT DES CRIPTION
651 5023990 3033340 135.00 OTHER EXPENSES
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933
INVOICE 9333 North ITT 49th Street
Brown Deer, Wisconsin 53223
(414) 365 -2200
INVOICE NUMBER: 03033340
INVOICE DATE: 01 -15 -08
CUSTOMER PO: Verbal
CUSTOMER ADDRESS:
CUSTOMER ACCT 090415
CARMEL WASTEWATER TRTMNT OUR ORDER NUMBER 0000927508 -1
PLANVATT ROBERT DOYLE
9609 HAZEL DELL PARKWAY PAYMENT TERMS: N30
INDIANAPOLIS IN 46280 CURRENCY: USD
SALES REP: B.L. ANDERSON CO
REMARKS:
DELIVERY ADDRESS:
CARMEL WASTEWATER TRTMNT
9609 Hazel Dell Pkwy.
Attn: Jeff SHIPPED DATE: 01 -15 -08
Indianapolis IN 46280
Line Qty Qty Unit Price Total in
No. Part Number Description U.O.M Ord. Delvd USD USD
001 HVS350 -4 LUBRICANT, SILICONE, Each 1 1 120.00 120.00
TOTAL 120.00
FREIGHT 15.00
Sales Tax 0.0% 0.00
AMOUNT TO PAY USD 135.00
REMIT PAYMENT TO:
ITT
PO Box 371630
Pittsburgh. PA 15250 -7630
VOUCHER 077149 WARRANT ALLOWED
3M915 IN SUM OF
SAN ITAI RE
1 9
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3033340 01- 7202 -06 $135.00
Voucher Total $135.00
ost distribution ledger classification if
rn paid under vehicle highway fund
s
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
354915
SANITAIRE Purchase Order No.
71 ELM STREET Terms
SUITE 200 Due Date 1/25/2008
WORCESTER, MA 01609
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2008 3033340 $135.00
i
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