163262 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 139300 Page 1 of 1
0 ONE CIVIC SQUARE ITT WATER WASTEWATER INDIANA LCRECK AMOUNT: $82.23
CARMEL, INDIANA 46032 7615 WEST NEW YORK STREET
INDIANAPOLIS IN 46214 CHECK NUMBER: 163262
CHECK DATE: 9/3/2008
DEPARTMENT A CCOUNT PO NUMBER INVOICE N UMBER AM OUNT DESCRIPTION
651 5023990 12527001 82.23 MATERIALS SUPPLIES
I
i
i
ITT WATER &WASTEWATER
INDIANA LLC
7615 WEST NEW YORK STREET
INDIANAPOLIS, INDIANA DI 46214
PHONE: INY99F M Q 12oJTF,l{Yo. PaIE No
FAX: (317) 273 -4480
0301685-001 c
S �,�ISTOMER P.O.
CITY OF CARMEL
H 9609 HAZELDELL PARKWAY
P ERIC ROBINSON TERMS ISLSMN
T INDIANAPOLIS IN 46280 AYS-
o PLEASE PAY FROM INVOICE. A SERVICE CHARGE OF 1 112% PER MONTH
(ANNUAL RATE 18 WILL BE ADDED TO DELINQUENT ACCOUNTS.
0301685 -000
CITY OF CARMEL
'760 3RD AVE SOUTHWEST
T S U 11'E 110
CARMEL IN 46032
NO RETURNS WITHOUT AUTHORIZATION. -r ITEM NUMBER 1 DESCRIPTION ORDER QTY. BIO QTY. SHIP QTY. PRICE RICE EXTENSION U!M P PROMO o�
'Tool 0
SHIPPED FROM INDY ON
2900- BlSlC1 -20 3 3 25.00 EACH 75.00
29
00- B1S1C1 -20' FLOAT /W/ WEIGH;
THANK YOU FOR YOU BUSINESS
JASON HALL
PLEASE CALL ME IF YOU HAVE ANY
QUESTIONS ON THIS INVOICE
TOTAL THIS ORDER 75.00
SHIPPING /HANDLING 7.23
PAYMENT INF•ORM&TION .007. DISCOUNT)
NET PMT NET DUE DATE GROSS AMT GROSS DUE DATE
82.23 8/24/08 82.23 8/24/08
TOT 2 2
VOUCHER 086205 WARRANT ALLOWED
139300 IN SUM OF
ITT WATER WASTEWATER INDIANF
7615 WEST NEW YORK STREET
INDIANAPOLIS, IN 46214
:r
r
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
12527001 01- 7202 -06 $82.23
Voucher Total $82.23
a
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
139300
ITT WATER WASTEWATER INDIANA LLC (Fi Purchase Order No.
7615 WEST NEW YORK STREET Terms
INDIANAPOLIS, IN 46214 Due Date 8/27/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2008 12527001 $82.23
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
x912
Date Officer