161427 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 361370 Page 1 of 1
ONE CIVIC SQUARE J M S SOUTHEAST
CARMEL, INDIANA 46032 105 TEMPERATURE LANE CHECK AMOUNT: $445.41
STATESVILLE NC 28677
CHECK NUMBER: 161427
CHECK DATE: 7/11/2008
DEPARTMENT AC COUNT PO NUMB INVOI NUMB AMOUNT DESCRIPTION
651 5023990 S11225 112860 445.41 RTDS
JMS SOUTHEAST, INCORPORATED INVOICE
Temperature Measurement
105 Temperature Lane Number: 112860
Statesville, North Carolina 28677 -9639 Date: 06 -13 -08
(800) 873 -1835 Fax (704) 878 -6166 Page: 1
Bill To: CAR200 Ship To: CAR200
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
Terms Finance Charge Tax Exempt N br S
G 5j1G NET /30 10 Per ivio. After 30 Days ahirons /ahirons
Your PO Nbr Order Date JMS WO Nbr FOB Ship Pt.
511225 06 -04 -08 98548 Statesville NC
Item Quantity Quantity Quantity
NO. Ordered Backorder Shipped Unit Price Extended Amount
1 6 0 6 72.000 432.00
Part: 4PADTA3X0
Desc: SURFACE SENSOR LARGE PAD SURFACE UM EA
X= 12" LEADS
25ML8AH1SP1
Extra Charges:
FREIGHT HANDLING CHARGES 13.41
ALL EXPENSES NECESSITATED TO COLLECT FOR OVERDUE ACCOUNTS, INCLUDING
ATTORNEYS FEES TO THE EXTENT PERMITTED BY LAW, WILL BE PAYABLE IN FULL
BY THE BUYER
MATERIAL UPGRADES ALLOWED XX Yes No
Date Shipped No.Boxes Shipping Instructions Sub Total: 432.00
Extra Charges: 13.41
06 -12 -08 FDX G Sales Tax: 0.00
Manufactured By QC Approved By Pay This Amount: $445.41
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
361370
JMS SOUTHEAST Purchase Order No.
105 TEMPERATURE LANE Terms
STATESVILLE, NC 28677 Due Date 6/26/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2008 112860 $445.41
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
/1 c�c.� �l M.o....�-
Date Officer
VOUCHER 085783 WARRANT ALLOWED
361370 IN SUM OF
'JMS SOUTHEAST
105 TEMPERATURE LANE
TATESVILLE, NC 28677
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
112860 01- 7202 -05 $432.00
112860 01- 7202 -05 $13.41
S�
Voucher Total $445.41
Cost distribution ledger classification if
claim paid under vehicle highway fund