165835 11/12/2008 CITY OF CARMRL, INDIANA VENDOR: 00350575 Page 1 of 1
0 ONE CIVIC SQUARE JOHNSTONE SUPPLY CHECK AMOUNT: $191.98
CARMEL, INDIANA 46032 1913 W 16TH ST
INDIANAPOLIS IN 46202 -2034 CHECK NUMBER: 165835
CHECK DATE: 11/12/2008
DEPAR A CCOUNT PO NUMBER INVOICE NUMBE AMOU DESCRI
651 5023990 146572 191.96 OTHER EXPENSES
From Johnstone Supply Mon 03 Nov 2008 11:26:07 AM EST Page 2 of 2
Branch Locations
S0 10H A 1ST AVE 1646 EAST EM ER RD_ 1212 DAL AVE 7472 NDUSTROL RD
w� SO CHARLESTON WV CINCINNATI OR 45246 CINCINNATI OR 45203 FLORENCE KY 41042
25303 513- 772 -2665 513- 651 -2665 659- 525 -2665
1125 WESTERN DRIVE 304- 744 -2665
MONROE INDIANAPOLIS
INDIANAPOLIS, IN 46241 255 WRIGHT DRIVE 1125 WESTERN DRIVE
Phone:317- 634 -2665 MIDDLETOWN OH 45044 INDIANAPOLIS IN 46241
513-360-2665 317 -634 -2665
Fax:317 -634 -2666
Web: www.johnstoneindy.com
For All Accountieliling Inquiries Please Call 513 772 2565
SOLD TO: SHIP TO: Invoke Date .;Invoice
CITY OF CARMEL WWTP CITY OF CARMEL WWTP 09/30/08 115288
760 3rd AVE S.W. 760 3rd AVE S.W. TtyYal"Amount Due::
CARMEL Its 46032 CARMEL IN 46032
317- 571 -2443 191.96 1
Remit To:
CONTROLS CENTER INC
15:36:46 30 Sep 2008 JOHNSTONE SUPPLY
P.O. BOX 145741
DS INVOICE CINCINNATI, OHIO 45271 -0741
Order Date Cias #arner Number.
Customer PO. Sa1es':'Perssin'......'
09/18/08 331860 'eff STEPHEN KNIZNER
Order> Number:: Shi :VIA Ordered TERMS
06- 113996 -001 DROPSHIP JEFF COOPER NET 30 DAYS
GROUND
Item Johns #pne'Produci "'Ctuantil' item Description Each Un:it Prlc Amount
Numl7er ORD SHIP B/O r Price
1 N86EEGW2 1 1 1 0 NS CITY 6EF-GW -2 6000V 240 182.84 182.84 182.84
2 *ABOVE LINE IS A DROPSHIP
3 THIS ORDER CONTAINS NON -STOCK ITEMS
4 UNFORTUNATELY CANNOT BE CANCELLED OR RETURNED
5
6 317 571 2634 EXT 222
CERTIFICATION
Tax Rate Taxable:Amt Total Tax Core Tatai MISC Char es! Merchandiw Total
7,000% $0.00 $0.00 $0.00 $182.84
i Frei ht7Fuel
Tax Number Units Shipped char a MDSE DISCOUNT TQTAL AMOUNT DUE
0031201550020 1 9.12 $0.00 $191.96
Cash: Remit To:
Check CONTROLS CENTER INC
Change: JOHNSTONE SUPPLY
P.O. BOX 145741
CINCINNATI, OHIO 45271 -0741
NOTE: 2 SERVICE CHARGE ADDED TO ALL PAST DUE AMOUNTS RETURNS POLICY AS NOTED: MUST
HAVE OUR PRIOR CONSENT, ORIGINAL INVOICE MUST BE FURNISHED, SUBJECT TO RESTOCKING AND
RETURN FREIGHT CHARGES
1
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 u
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee r
350575
JOHNSTONE SUPPLY Purchase Order No.
PO BOX 716037 Terms
CINCINNATI, OH 45271 -6037 Due Date 111312008
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
11/312008 115288 $191.96
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
Date Officer
VOUCHER 086583 WARRANT ALLOWED
350575 IN SUM OF
.JOHNSTONE SUPPLY
PO �OXZ -1 -957 W'
CINCINNATI, OH 45271
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
115288 01- 7202 -06 6191.96
Voucher Total $191.96
Costdistribution ledger classification if
claim paid under vehicle highway fund