159538 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 357346 Page 1 of 1
ONE CIVIC SQUARE PASTERNACK ENTERPRISES INC CHECK AMOUNT: $98.35
CARMEL, INDIANA 46032 PO BOX 16759
IRVINE CA 92623 -6759 CHECK NUMBER: 159538
CHECK DATE: 5/14/2008
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESC
601 5023990 PSIN472401 98.35 OTHER EXPENSES
I
4
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INVOICE
Remit To: Number: PSIN472401
Pasternack Enterprises, Inc. Page: 1
PO Box 16759 Date: 04/18/08
Irvine, CA 92623 -6759
Phone: 949-261-1920 Fax: 949-261-7451
E -mail: sales @pasternack.com Federal ID# 55- 0887695
Web: www.pasternack.com Cage Code 53919
Bill To: CITY OF CARMEL Ship To: CITY OF CARMEL
3450 W. 131 st ST. BRIAN TOLAN
WATER- WASTEWATER UTILITIES 3450 W. 131 st ST.
WESTFIELD, IN 46074 WATER WASTEWATER UTILITIES
USA WESTFIELD, IN 46074
USA
Ship Date: 04/18/08 Customer ID: 142103 i
Due Date: 05/18/08 PO No PLT5- 041808A -BST
I Terms: NET 30 DAYS PO Date: 04/18/08
Contact: BRIAN TOLAN Our Order No. S0354966
Phone: 317 -417 -5063 SalesPerson: INGRID BERGSETTER
Email: Ship Via: GROUND
Fax: Ship Pmt.: Prepaid
Item /Description Unit Order Qty Quantity Unit Price Total Price
PE6022 EA 1 12.95 12.95
PE9006 EA 1 9.55 9.55
PE9007 EA 1 9.55 9.55
PE9730 EA 1 29.20 29.20
PE9731 EA 1 27.10 27.10
SERHAN EA 1 10.00 10.00
SERVICE /HANDLING
First Pkg Tracking No.: 1Z7985510310293064
No. of Packages: 1
Total Weight of Packages: 0.8
THIS IS TO CERTTIFY FY THHAT AT MATERIAL FU
CERnITFU RNISHED Amount Subject to Amount Exempt Subtotal: 98.35
ONTHIS INVOICE MEETS OUR APPLICABLE Sales Tax from Sales Tax Total Sales Tax: 0.00
MATERIAL AND /OR PROCESS SPECIFICATIONS.
0.00 98.35 Freight: 0.00
Total: 98.35
V�pUCHER 081742 WARRANT ALLOWED Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
357346 IN SUM OF CITY OF CARMEL
PASTERNACK ENTERPRISES INC
PO BOX 16759 An invoice or bill to be properly itemized must show, kind of service, where
IRVINE, CA 92623 -6759 performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
Carmel Water Utility
357346
ON ACCOUNT OF APPROPRIATION FOR PASTERNACK ENTERPRISES INC Purchase Order No.
PO BOX 16759 Terms
IRVINE, CA 92623 -6759 Due Date 5/8/2008
Board members
Invoice Invoice Description
PO INV ACCT AMOUNT Audit Trail Code Date Number (or note attached invoice(s) or bill(s)) Amount
5/8/2008 PSIN472401 $98.35
PSIN472401 01- 6200 -03 $98.35
Voucher Total $98.35 '1 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
Cost distribution ledger classification if
claim paid under vehicle highway fund S G`c 2 \f
Date Officer