168848 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00353246 Page 1 of 1
b ONE CIVIC SQUARE AR YOUNG CO INC
CARMEL, INDIANA 46032 PO BOX 11135 CHECK AMOUNT: $771.78
INDIANAPOLIS IN 46201 CHECK NUMBER: 168848
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBE IN VOICE NUMBER A MOUNT DESCRIPTION
651 5023990 20825 771.78 OTHER EXPENSES
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INVOICE PAGE: 1
A. R. YOUNG CO., INC. INVOICE NUMBER: 20825
P.O. BOX 11135 INVOICE DATE: 01/31/09
Indianapolis, IN 46201
317 -263 -3800 FAX- 317 263 -3806 SALESPERSON: 02
ORDER NUMBER: 18235
ORDER DATE: 01/13/09
CARMEL UTILITIES CARMEL UTILITIES
760 3RD AVENUE SW WATER WASTEWATER TREATMENT
SUITE 110 9609 HAZEL DELL PARKWAY
CARMEL, IN 46032 INDIANAPOLIS, IN 46280
CUST P O NUMBER PAYMENT TERMS SHIP VIA F.O.B.
CARMEL S11 _net30 UPS SH1P 1NG POINT
QTY ORD QTY SHP QTY BKO DESCRIPTION
PART NUMBER NET PRICE EA. EXT. PRICE
1.0 1.0 NH 78 SHEAR PIN SPKT 11 TOOTH
NH78 SPS EA 756.75 756.75
NH78 SHEAR PIN SPROCKET, 11
TOOTH, 9.26" PITCH DIA.,
1.375" BORE W/ KW AND SET
SCREWS, UHMW SPROCKET WITH
CAST HUB, TRIP LEVER
TAXABLE SALES 756.75
SHIPPING HANDLING 15.03
BALANCE DUE 771.78
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
00353246
AR YOUNG Purchase Order No.
PO BOX 11135 Terms
Indianapolis, IN 46201 Due Date 2/9/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2009 20825 $771.78
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 095010 WARRANT ALLOWED
06353246 IN SUM OF
AR YOUNG
PO BOX 11135
Indianapolis, IN 46201
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Y
e7y
Board members
PO INV ACCT AMOUNT Audit Trail Code
20825 01- 7202 -06 $756.75
20825 01- 7202 -06 $15.03
Voucher Total $771.78
Cost distribution ledger classification if
claim paid under vehicle highway fund