161915 07/23/2008 CITY OF CARNIEL, INDIANA VENDOR: 00351074 Page 1 of 1
ONE CIVIC SQUARE KIMBALL MIDWEST
CARMEL, INDIANA 46032
DEPT L -2780 CHECK AMOUNT: $103.57
s; COLUMBUS OH 43260 -2780 CHECK NUMBER: 161915
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES
601 5023990 715492 103.57 TRANSPORTATION EXPENS
i
LL INVOICE, INVOICE NO.
PLEASE PAY FROM..THIS`IN 715492
ID E T ORIGINAL ORDER NO.
Specialhi"S in Afaw ials,Alvnanemen! since 1 9y3 0 117 0 3 2 E
rr
REMIT TO: KIMBALL MIDWEST ACCOUNT NO.
DEPT..L -2780
COLUMBUS, OHIO' 43260 -2780 ,(614- 219 -6100) 65060
www.kimbaI1midwest.com
SOLD TO: SHIP TO:
CARMEL WATER UTILITIES CARMEL WATER UTILITIES
3450 WEST 131ST STREET 3450 WEST 131ST STREET
ATTN: JIM HAGUE
WESTFIELD IN 46074 CARMEL IN 46032
JIM
DATE ISALES REPRESENTATIVE1 PURCHASE ORDER NO. M SHIPPED ViA& DATE
07/09/08 I COHEN., ROBER k im U UPS GROUND 0 7/09/08
ORDERED SHIPPED BA DESCRIPTION A UNIT PRICE AMOUNT
2 2 80473 CLEANER, 8.49 16.98
2 2.. 80.4'I74. :BATT:`SPRAY..... 9: 69::< 1!9 38
1 1 80112 ANTI SEIZE 15.28 15.28
1. 1 8 0 7 >2:4 CLEANER: l p 3 7 10 .3 7.
3 3 80509 CLEANER 5.8.5 17.55
l;i 1. 801:2.15. CLEANER.:::' 5.11 5.11'
1 1 80769 TOOL OIL 10.12 10.12
1. i 1 0 741 GREASE
8 7 8
To help us correctly process your payment please
�nelude< invoice :inurnber on your ems ttiance. advice
hank
yp for y, r :bus�h�ss I Payment s :due 0$ /0 /08..
leash rrt �1 'by. 08/01/08
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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 /b /a 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 CLAIMS FOR LOSS
OR DAMAGE IN TRANSIT MUST BE FILED BY
WIMIM
.&2m
CUSTOMER.
GOODS RETURNED WITHOUT -OUR CONSENT
WILL POSITIVELY NOT BE ACCEPTED. 103 .5 7 1
DEBTOR IS LIABLE FOR USUAL AND CUSTOM-
ARY COLLECTION CHARGES.
ALL CHECKS MUST BE MADE PAYABLE ONLY
TO "KIMBALL MIDWEST' W Y our Appreciate our Buss ]ess PLEASE REMIT THIS AMOUNT
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
3551074
KIMBALL MIDWEST Purchase Order No.
Dept L -2780 Terms
Columbus, OH 43260 -2780 Due Date 7/15/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/2008 715492 $103.57
{31
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 082291 WARRANT ALLOWED
3.551074 IN SUM OF
KIMBALL MIDWEST 4
Dept L -2780 0
Columbus, OH 43260 -2780 �`�zms�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
715492 01- 6500 -04 $103.57
Voucher Total $103.57
Cost distribution ledger classification if
claim paid under vehicle highway fund