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163841 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1 ONE CIVIC SQUARE LIVING WATERS CO. CHECK AMOUNT: $845.29 CARMEL, INDIANA 46032 PO BOX 402 o MONROVIA IN 46157 CHECK NUMBER: 163841 CHECK DATE: 9/1712008 DEPARTMENT AC COUN T PO NUMB ER IN VOICE NUM AMOUNT DESCRIPTION 601 5023990 W08321 00704 845.29 BOOSTER PUMP c:_ 1 Invoice Page: Customer Living Waters Company, Inc. Invoice Number: 0070456 -IN P. O. Box 402 Invoice Date: 8/7/2008 Monrovia, IN 46157 W (317) 996 -2508 Order Number: 0002918 Order Date 8/6/2008 C� Salesperson: HOUS Customer Number: CARMWAT 4 Sold To: Ship To: CARMEL WATER UTILITY CARMEL WATER UTILITY 3450 WEST 131ST STREET 5484 E 126TH STREET Westfield, IN 46074 Carmel, IN 46033 Customer P.O. Ship VIA F.O.B. Terms W08321 UPS Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount JZH41012T EACH 1.00 1.00 0.00 825.00 825.00 1HP 3PH 208- 230/460V PUMP Whse: 000 A finance charge of 1.5% (18% APR) Net Invoice: 825.00 Less Discount: 0.00 will be charged on all past due accounts. Freight: 20.29 Thank you for your business Sales Tax: 0.00 Invoice Total: 845.29 V,,OUCHER 083009 WARRANT ALLOWED 184825 �AER IN SUM OF LIVING WATERS CO. r P.O. Box 402 s MONROVIA, IN 46157 ®OEVO;��o 9 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code n v2 l7" 0070456 01- 6200 -04 $825.00 7 0070456 01- 6200 -04 $20.29 i Voucher Total $845.29 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 v 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 184825 LIVING WATERS CO. Purchase Order No. P.O. Box 402 Terms MONROVIA, IN 46157 Due Date 9/12/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/12/2008 0070456 $845.29 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