161456 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1
ONE CIVIC SQUARE LIVING WATERS CO.
CHECK AMOUNT: $955.39
CARMEL, INDIANA 46032 Po eox aoz
MONROVIA IN 46157 CHECK NUMBER: 161456
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08240 70136IN 955.39 MONITOR MODULE
I ZI(ID Page: 1
Invoice
Customer
Living Waters Company, Inc. Invoice Number: 0070136 -IN
P. O. Box 402 Invoice Date: 6/10/2008
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0002624
Order Date 6/5/2008
a Salesperson: HOUS
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY CARMEL WATER UTILITY
3450 WEST 131ST STREET 3450 WEST 131ST STREET
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
J ERRY 6503 CUSTOMER PICKUP Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
WTU29323 EACH 1.00 1.00 0.00 955.39 955.39
MONITOR MODULE (CHLORINE) Whse: 000
A finance charge of 1.5% (18% APR) Net Invoice: 955.39
Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business. Sales Tax: 0.00
Invoice Total: 955.39
.IVOUCHER 082251 WARRANT ALLOWED
184825 IN SUM OF
LIVING WATERS CO.
P.O. Box 402
-.,MONROVIA, IN 46157
1
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6'2. 3800, Lta
701361N 02- 2308 -00 $955.39
Depreciation
Voucher Total $955.39
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
F 184825
LIVING WATERS CO. Purchase Order No.
P.O. Box 402 Terms
MONROVIA, IN 46157 Due Date 7/1/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/2008 70136IN $955.39
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
I
Date Officer