162788 08/20/2008 CITY OF CARMEL INDIANA VENDOR: 00353364 Page 1 of 1
ONE CIVIC SQUARE IN VIRONMENTAL INC.
s 0 CHECK AMOUNT: $941.56
CARMEL, INDIANA 46032 12109 SOMERSET WAY EAST
�L �>oH co y CARMEL IN 46033 CHECK NUMBER: 162788
CHECK DATE: 8/20/2008
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AM DESCRIPTION
6'51 5023990 S11126 I80610D 941.56 GASKET, SEAL, IMPELLE
i
1
IN *VIRONMENTAL INC.
INVOICE
12109 Somerset Way E.
Carmel, IN 46033 -3330 Date Invoice
PH: 317.844.0570 FAX:844 -0757
E -mail: invironmental @indy.rr.com 6/10/2008 1- 80610 -D
Bill To Ship To
CARMEL UTILITIES CARMEL UTILITIES
CARMEL WWTP CARMEL WWTP
750 Third Avenue SW 9609 HAZEL DELL PKWY.
CARMEL,, IN 46032 INDIANAPOLIS, IN 46280
USA
P.O. No. Terms Due Date Ship Date Shipped Via FOB Project/Job
S11126 30 Days A.R.M. 6/13/2008 6/10/2008 FEDEX -GRD Ship Point
Qty. Description Price Each Amount
PARTS FOR CHICAGO PUMP HBB -VTX 44091, 61- 26330,
DIGESTER TRANSFER PUMP
3 GASKET, STF BOX/BK. PLT., P/N 04700059 -000 16.00 48.00
2 MECHANICAL SEAL, T -21, DBL. INS. C /CER, P/N 184.00 368.00
04700050 -000
3 IMPELLER NUT WASHER, C17 -37 -5 C12 -2 -13 18.00 54.00
3 SHAFT SLEEVE, 420 SS, P/N 04700020 -000 154.00 462.00
SHIPPING HANDLING 9.56 9.56
Subtotal $941.56
Sales Tax (0.0 $0.00
Thank You your business is appreciated
Payments or Credits $0.00
E -mail
fNvironmeiital@in rr.com TOTAL DUE $941.56
GrJ
VOUCHER 086046 WARRANT ALLOWED
0'0353364 IN SUM OF
IN VIRONMENTAL INC
12109 Somerset Way East
Carmel, IN 46033
n Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
18061 OD 01- 7202 -06 $932.00
18061 OD 01- 7202 -06 $9.56
•r
Voucher Total $941.56
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
00353364
IN VIRONMENTAL INC Purchase Order No.
12109 Somerset Way East Terms
Carmel, IN 46033 Due Date 8/6/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2008 18061 OD $941.56
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
Date Officer