202239 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 365006 Page 1 of 1
ONE CIVIC SQUARE NALCO CROSSBOW WATER
0
CARMEL, INDIANA 46032 NETWORK PLACE 24658 CHECK AMOUNT: $213.00
CHICAGO IL 60673 CHECK NUMBER: 202239
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2058554 190.00 OTHER EXPENSES
651 5023990 2058555 23.00 OTHER EXPENSES
CRQSSB <DWrt
Nalco Crossbow Water Invoice
Network Place 24658
Chicago, IL 60673
USA Invoice No., 2058555
Customer No 0310060A
B►IITo'` Ship To
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 317 -571- 2634 210 Telephone: 317 -571 -2634 210
Invoice Order,Date ,SO Numbe "r Ordered,.By Customer PO Number Payment,Metfiod
08/31/11 08/18/11 Net 30
Warehouse Shi V'►a F:O B.. Salesperson' Resale Number
INDY Crossbow Truck Chris Coppock
Order Sh►p" Tax 'Item Number /-De "scription Unit;` Extended
Quagt►fy..;Quantity Price Price
1 1 Y 81504 U of M: EACH 14.5000 14.50
CARBON CARTRIDGE, 10" FITS S1102 HOUSING
1 I Y R1009 U of M: EACH 8.5000 8.50
FILTER, 9 7/8 5 MICRON, W /SERVICE TO REPLACE
DOE, FITS STANDARD 51102 HOUSING
50 PER CASE
I
Pr►nt:Date 08/31/11 Due:Date 09/30/11 Subtotal: 23.00
`Pi►nt.Time' 11:21:22 AM Fre►ght. 0.00
Page No: 1
Printed By: Laura Robertson Total`Pa►d 0.00
;Balance
Due" 23.00 N Invo►ce Total 23.00
CRSSVV
Nalco Crossbow Water Invoice
Network Place 24658
Chicago, IL 60673
USA Anvoice No 2058554
Customer No. 0310060A
B�II To'' Ship To
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 317 -571 -2634 210 Telephone: 317-571-2634 210
invoice late! °Order: Date ':SO Number Ordered y Custo "mer,PO Nurr►ber Payment M,etl od
08/31/11 08/18/11 Net 30
Warehouse Sti Via F;b.B. Salesperson. Resal'e"Numter
INDY Crossbow Truck Chris Coppock
Order Ship' Unit Extended
Tax Item Number LDescr�ption y
Quaq`t�tyQuantrty Pace Price
2 2 Y DMD1 U ofM: EACH 95.0000 190.00
DI EXPRESS
IT SERVICE EXCHANGER
01 D80 FRP MIXBED
1?r►nt Dated 08/31/11 Due Dater', 09/30/11 Siititotal 190.00
Print T inie;= 11:21:22 AM Freight,: 0.00
Page
Printed By: Laura Robertson F Total Paid 0.00
Balanee Due 190.00 Invoke Total, 190.00
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
365006
NALCO CROSSBOW WATER Purchase Order No.
NETWORK PLACE 24658 Terms
CHICAGO, IL 60673 Due Date 9/19/2011
Invoice Invoice Description
Date Number:. (or note attached invoice(s) or bill(s)) Amount
9/19/2011 2058554 $190.00
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
I
VOUCHER 115843 WARRANT ALLOWED
365006 IN SUM OF
NALCO CROSSBOW WATER
NETWORK PLACE 24658
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2058554 01- 7202 -05 $190.00
2b 5 s s 5 2 3 00
D �2o2.os
Voucher Total 1D.90'
Cost distribution ledger classification if
claim paid under vehicle highway fund