165322 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00350691 Page 1 of 1
ONE CIVIC SQUARE MACHINE DRIVE COMPANY CHECK AMOUNT: $277.33
CARMEL, INDIANA 46032 PO BOX 569
AKRON OH 44309 CHECK NUMBER: 165322
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08475 54819 -001 277.33 POWER SUPPLY
sy1
INVOICE
MAIL REIVITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
MACHINE DRIVE CODE
MACHINE DRIVE CO. E548 1 9 -00 1 DI
C 0 M P A N Y DIV. OF B.W. ROGERS CO. INVOICE DATE PAGE
15402 STONY CREEK WAY
P.O. Box 569 Akron, Ohio 44309 NOBLESVILLE IN 46060 10/09/08 1
For Terms and Conditions visit: www.bwrogers.com
Any different or additional terms that may be embodied in your purchase order are hereby objected to. If your order is not an
acceptance of our proposal, this will operate as an acceptance of your order only in the event you agree to the terms hereof.
The terms and conditions contained above and attached shall apply.
t3UAPITi7Y
1111 pAfi7 NEEM$ER ifAEET itE' AAEi4SIJFtE ifls[t(::PRECE''' EXTENDED.
,arn,� �act� Tyts
NCJ I]E &£R]ATIQ3tE F'RQRl3t;# p1SGQUM1IT:"�o-: >IVEt7U11tT
10 3 3 859 -805 87.7800 263.34
WAGO CONVERTER W07M EA
INBOUND FRT IS: .00
FOLD
CUST. N0. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 263.34
C4037 09/11/08 98 08 S JSC 10109108 08
FRGHT /INS /HNDL 13.99
Carrier: UPS FOB: SP,FNA,PREPAID ORIGINAL INVOICE
SALES TAX 00
Tracking:
Terms of Payment: NET 30 DAYS CUST FAX 317- 733 -2053 INVOICE TOTAL 277.33
Please Pay This Amount
ORDER ISSUED IN: NOBLESVILLE
PHONE: 317- 776 -2900
Customer PO No. KR91008 Mark No. KR91008
s CITY OF CARMEL UTILITIES s CITY OF CARMEL UTILITIES
0 3450 W. 131 ST STREET H 5484 EAST 126TH STREET
D ATTN: PAULA WILLIAMS /AP p BOB ADAMS DELIVERY
T WESTFIELD IN 46074 T CARMEL IN 46033
0 0
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.
a
Payee
350691
MACHINE DRIVE COMPANY Purchase Order No.
PO BOX 569 Terms
AKRON, OHIO 44309 Due Date 10/21/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/21/20M 54819 -001 $277.33
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
VOUCHER 083436 WARRANT ALLOWED
350691 IN SUM OF
MACHINE DRIVE COMPANY
PO BOX 569
AKRON, OHIO 44309 R �g®
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
%A�� 54819 -001 01- 6200 -02 $277.33
Voucher Total $277.33
Cost distribution ledger classification if
claim paid under vehicle highway fund