163267 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00351074 Page 1 of 1
ONE CIVIC SQUARE KIMBALL MIDWEST CHECK AMOUNT: $192.80
CARMEL, INDIANA 46032 DEPT L -2780
COLUMBUS OH 43260 -2780 CHECK NUMBER: 163267
CHECK DATE: 9/3/2008
D EPARTMEN T ACCOUNT PO N UMBER INVO NUMBER AMOUN DESCRIPTION
651 5023990 767180 192.80 MATERIALS SUPPLIES
i
LL INVOICE INVOICE NO. D AYS NET DA
PLEASE PAY FROM THIS INVOICE 767180
T ORIGINAL ORDER NO. L ATE PAYMENT FEE
Specializing in Afateiills Managerxem since 1923 012 5 7 3 2 E WHICH IS I AN ANNUAL
REMIT TO: KIMBALL MIDWEST
ACCOUNT NO.
DEPT. L -2780
COLUMBUS, OHIO 43260 -2780 (614- 219 -6100) 139903
www.kimbalimidwest.com
t
SOLD TO: SHIP TO:
CITY OF CARMEL SEWER DEPT CITY OF CARMEL SEWER DEPT
760 3RD AVE SW STE 110 730 3RD AVE SW
ATTN LISA
CARMEL IN 46032 CARMEL IN 46032
PAUL
DATE ISALES REPRESENTATIVEJ PURCHASE ORDER NO. SHIPPED VIA& DATE
08/19/08 I COHEN, ROBER kUL U UPS GROUND 08/19/08
ORDERED SHIPPED BALAJ�CE DESCRIPTION UNIT PRICE AMOUNT
4 4 82520 DRILL BIT 39.20
3 3 82510 DRILL BIT 11.37
3: 8 .:82509 DRILL BIZ' 1'0. 80
1 1 82991 EXTRACTOR .53C
3 3
5047.3P: CLEANER 17 97
3 3 801559P DEGREASER 19.47
3 3 8 01 P AIR. DUSTER 21
3 3 80693P CLEANER 18.87
3 3 807 87
.44P ;LUBRICANT 21
1 1 SPF540 CATALOG .21C
To help; .us c:oxxectly prac�ss:, .yo r payment p1'ease'
include invoice number on your remittance advice
hank yo ;ox r: busa..ness Payment :;is due 0;9/1 J08
Y.:.
aeas m z] i.by 09/11!/08
o recei e invoices via email send a request inc uding you
ccourm amber t t a hamilton @kimballrnidWes c ;rim
You acknowledge and agree that, by placing this order, all information provided to you by Kimball Midwest herein Is confidential and is the property of Midwest
Motor Supply Co., Inc. d /bla Kimball Midwest. You further agree that this information is for your internal use only and will not be copied, reproduced, distributed
or disclosed by you and/or your organization without the prior written consent from Kimball Midwest.
CARRIERS RECEIPT IN GOOD ORDER CON- ORDERED TAX TAX AMT. SHIPPING INVOICE TOTAL
STITUTES DELIVERY AND CLAMS FOR LOSS
OR DAMAGE IN TRANSIT MUST BE FILED BY
W IMBA
IDWES
CUSTOMER.
GOODS RETURNED WITHOUT OUR CONSENT
WILL POSITIVELY NOT BE ACCEPTED 1 .8 1 92.8 0
DEBTOR IS LIABLE FOR USUAL AND CUSTOM-
ARY COLLECTION CHARGES,
ALL CHECKS MUST BE MADE PAYABLE ONLY
TO "KIMBALL MIDWEST' W e A Y our our Business PLEASE REMITTHISAMOUNT
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
351074
Kimball Midwest Purchase Order No.
DEPT L -2780 Terms
COLUMBUS, OH 43260 -2780 Due Date 8/26/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/2008 767180 $192.80
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
Q� c 4
�f 7 2 y
Date Officer
VOUCHER 086189 WARRANT ALLOWED
351074 IN SUM OF
Unball Midwest
DEPT L -2780
COLUMBUS, OH 43260 -2780
Carmel Wastewater Utility
ly
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
767180 01- 7200 -02 $192.80
Voucher Total $192.80
Cost distribution ledger classification if
oJaim paid under vehicle highway fund