200153 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
ONE CIVIC SQUARE UTILITY SUPPLY CO INC.
CHECK AMOUNT: $2,274.34
CARMEL, INDIANA 46032 6310 S HARDING ST
INDIANAPOLIS IN 46217 CHECK NUMBER: 200153
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1039291 755.75 OTHER EXPENSES
601 5023990 1039292 415.00 OTHER EXPENSES
601 5023990 1039293 864.12 OTHER EXPENSES
601 5023990 1039359 239.47 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1039293
INDIANAPOLIS, IN 46217 Invoice Date Page
US 7/13/2011 16:37:25 1 of 1
ORDER NUMBER
317- 783 -4196 1042531
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 Ternt Description Net Due Date Disc Due Date Discount Amount
GH7131IB Net 30 DAYS 8/12/2011 8/12/2011 0.00
Order Date Pick Ticket No Primary Safesrep Name Taker
7/13/2.011 11:02:26 1043038 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Extended
Orderer! Shipped Remaining UOM c Item Description Price Price
Unit Size p Unit Size
Carrier: CUSTOMER PICK UP Tracking
7.00 7.00 0.00 EA 4ML EA 20.6800 144.76
1.0 4 LUG STYLE RETAINER FOR DUCTILE 1.0000
12.00 12.00 0.00 EA 6ML EA 24.3333 292.00
1.0 6 LUG STYLE RETAINER FOR DUCTILE 1.0000
2.00 2.00 0.00 EA 6X12MJSSD EA 92.1600 184.32
1.0 6 X 12 MJ SOLID SLEEVE DOMESTIC 1.0000
12.00 12.00 0.00 EA 4MJGAS EA 3.0667 36.80
1.0 4 MJ GASKET 1.0000
12.00 12.00 0.00 EA 6MJGAS EA 3.0667 36.80
1.0 6 MJ GASKET 1.0000
24.00 24.00 0.00 EA S14 EA 2.0000 48.00
1.0 DUC -LUG 1.0000
2,00 2.00 0.00 EA 4X12MJSSL EA 603200 121.44
1.0 4 X 12MJ SOLID SLEEVE L/ ACC IMPORT 1.0000
Total Lines: 7 .SUB TOTAL: 864.12
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2 per month (18% AMOUNT DUE: 864.12
ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USG NW INDY INVOICE
'Ut 6310 SOUTH HARDING STREET
1039292
C
INDIANAPOLIS, IN 46217 Invoice Date Page
US 7/13/2011 16:37:14 1 of 1
ORDER NUMBER
317- 783 -4196 1042655
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
GH7131 I Net 30 DAYS 8/12/2011 8/12/2011 0.00
Order Date Pick Ticket No Primary Satesrep Name Taker
7/13/2011 10:31:12 1043045 ANDY NUGENT RROPES
Quantities Pricing
Item ID UOM
Unit Extended
Ordered Shipped Remaining I'll Size Unil Size Item Description Price Price
q
Carrier: CUSTOMER PICK UP Tracking
1.00 1.00 0.00 EA WX I OA4 EA 415.0000 415.00
1.0 1 HONDA PUMP WITH COMPLETE HOSE 1.0000
KIT
Total Lines- I SUB TOTAL: 415.00
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2 per month (18% AMOUNT DUE: 415.00
ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1039291
Page
INDIANAPOLIS, IN 46217 Invoice Date Pa g
US 7113/2011 16:37:03 1 of
ORDER NUMBER
317- 783 -4196 1042691
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST 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
W09561 Net 30 DAYS 8/12/2011 8/1212011 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
7/13/2011 14:00:14 1043064 ANDY NUGENT ZSTIERWALT
Quantities Pricing
(tent ID UOM Unit Extended
UOM y Rent Description price Price
Ordered Shipped Remaining Unit Size A Unit .Size
Carrier: OUR TRUCK Tracking
1.00 1.00 0.00 EA 274 000690 -000 EA 131.8458 131.85
1.0 6 SMITH BLAIR BELL JT 690 -710 1.0000
REPAIR CLAMP
1.00 1.00 0.00 EA 274- 002160 -000 EA 623.8983 623.90
1.0 20 SMITH BLAIR BELL JT 2160 -2206 1.0000
REPAIR CLAMP
7'otal Lines: 2 SUB- TOTAL: 755.75
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 I/2 %per month (IS% AMOUNT DUE 75S.7S
ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
INVOICE
UTILITY SUPPLY COMPANY
A Branch: 03 USC NW INDY INVOICE
1039359
6310 SOUTH HARDING STREET
INDIANAPOLIS, IN 46217 Invoice Date Page
m
US 7/14/2011 15:1433 1 of 1
ORDER NUMBER
317 -783 -4196 1042865
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST 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
GH- 7/14/2011 14:15:40 Net 30 DAYS 8/13/2011 8/13/2011 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
7/1412011 12:46:57 1043232 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM Item Description Price Price
Uni! Size O Unit Size
Carrier: CUSTOMER PICK UP Tracking
4.00 4.00 0.00 EA 8KF EA 55.5571 222.23
1.0 8 KWIK FLANGE W/ GASKET 1.0000
4.00 4.00 0.00 EA 8RFFG EA 4,3091 17.24
1.0 8 RED RUBBER FLANGED 1/8 THICK 1.0000
FULL FACE GASKET
Total Lines: 2 SUB TOTAL: 239.47
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2 per month (I8% AMOUNT DUE: 239.47
ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
VOUCHER 111862 WARRANT ALLOWED
316200 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
1039293 01- 6200 -06 $864.12
103'Z9z UPS 00
Voucher Total
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 7/26/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/26/2011 1039293 $864.12
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
7 /z9�✓ ✓nom
Date Officer