157559 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1
0 ONE CIVIC SQUARE LIVING WATERS CO. CHECK AMOUNT: $641.37
CARMEL, INDIANA 46032 PO BOX 402
MONROVIA IN 46157 CHECK NUMBER: 157559
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 69565 324.37 OTHER EXPENSES
601 5023990 69566 317.00 OTHER EXPENSES
Page: 1
Invoice
Customer
Living Waters Company Inc. Invoice Number: 0069566 -IN
P. O. Box 402 Invoice Date: 3/312008
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0002091
Order Date 3/3/2008
a Salesperson: EGGE
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY CARMEL WATER UTILITY
3450 WEST 131ST STREET 3450 WEST 131ST STREET
Westfield, IN 46074 �i n "PLANT 5"
Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
OUR TRUCK Net 30 Days
iiem Unii Ordered Shipped Back Ordered Price Amount
/LABOR -G 1.00 1.00 0.00 317.00 317.00
SERVICE TO INSTALL ANTI SYPHON VALVE ON FLUORIDE SYSTEM
A finance charge of 1.5% (18% APR) Net Invoice: 317.00
Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business. 2� Sales Tax: 0.00
Invoice Total: 317.00
Page: 1
I nvoice
Customer
Living Waters Company, Inc. Invoice Number: 0069565 -IN
P. O. Box 402 Invoice Date: 3/3/2008
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0002090
Order Date 3/3/2008
Q Salesperson: EGGE
r Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY CARMEL WATER UTILITY
3450 WEST 131ST STREET 3450 WEST 131ST STREET
Westfield, IN 46074 I "PLANT 5"
1 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
VERBAL JERRY OUR TRUCK Net 30 Days
;tc i ''u1 ber Unit Ordered Sh" NNe d Back Ordered Price �Arnounf
WTU22981 EACH 1.00 1.00 0.00 284.00 284.00
3/4 ANTI SYPHON VALVE Whse: 000
SPTB1100 EACH 1.00 1.00 0.00 37.02 37.02
1" PVC TU BALL VALVE -V Whse: 002
/102 EACH 1.00 1.00 0.00 1.44 1.44
3/4" NIPPLE
/102 EACH 1.00 1.00 0.00 1.91 1.91
3/4" COUPLING
A finance charge of 1.5% (18% APR) Net Invoice: 324.37
Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business. l/� Sales Tax: 0.00
Invoice Total: 324.37
LN
VOUCHER 081027 WARRANT ALLOWED
184825 SAE IN SUM OF
LIVING WATERS CO. cp
P`.O. Box 402 4
MONROVIA, IN 46157
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
69565 01- 6200 -04 $324.37
Voucher Total�
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. 3
Payee
184825
LIVING WATERS CO. Purchase Order No.
P.O. Box 402 Terms
MONROVIA, IN 46157 Due Date 3/7/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/7/2008 69565 $324.37
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
3 C L V"
Date Officer