HomeMy WebLinkAbout200691 08/17/2011 F CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 305 SOUTH POST ROAD
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 200691
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 212672 15.00 CONT SERVICES OTHER
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Net 30 Days
Sold To Shipped To
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CITY OF CARMEL CITY OF CARMEL
WATER WASTEWATER UTILITIES SCOTT CAMPBELL
760 3RD AVE SW WATER WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
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Sates cuetpmer Job htp Shipped
Person J Worrell P-0. No. SCOTT CAMPBELL N0. 266317 I Da1e 07/22/2011 via WORRELL TRUCK
COC -EDG1 8,000 Envelope, #10 Double Window, Printed M .00
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Freight: 15.00
Sales Tax: 00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER 112085 WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219 -7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
212672 01- 6360 -07 $15.00
4
Voucher Total $15.00
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 -7900 Due Date 8/5/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/5/2011 212672 $15.00
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