176126 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 358201 Page 1 of 1
0 ONE CIVIC SQUARE ASHBROOK SIMON HARTLEY CHECK AMOUNT: $512.15
CARMEL, INDIANA 46032 PO BOX 974343
DALLAS TX 75397 -4343 CHECK NUMBER: 176126
CHECK DATE: 8/19/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 106972 512.15 OTHER EXPENSES
x
Ashbrook Simon Hartley Operations, LP y. Phone: 800 362 -9041
11bOb East Hardy Road iab g Fax: 281 449 -1324
Houston Texas 77093 Shylon-New r1ey
USA
Invoice: 106972 iINVOICE 'E Page: 1 of 1
Date: 7/29/2009
Sold To: Ship To:
CITY OF CARMEL CARMEL WWTP SEWER DEPARTMENT
UTILITIES 9609 HAZELDELL PARKWAY
760 3RD AVE SW SUITE 110 INDIANAPOLIS IN 46280
CARMEL IN 46032 USA
USA
SO 66081
PO Number: S11795 Terms: NET 30 DAYS F.O.B: ORIGIN
Sales Rep: JOYCE MULFORD Ordered: 7/29/2009 Ship Via: BESTWAY
Packing Slip: 6890 Ship Date: 7/29/2009
THANK YOU FOR YOUR ORDER. ANY QUESTIONS, CONTACT JOYCE MULFORD AT 1- 800 547 -7273 X
4428
BUYER: E. CARTER
TELE: 317 -571 -2634
ALL AMOUNTS SHOWN IN U.S. DOLLARS
�-UF i �R„ `ni�'T
1 4.00 033058 125.00 EA 500.00
PROX SWITCH N.O.(GAVAZZI) CARLO GAVAZZI
NORMALLY OPEN PROXIMITY SWITCH MDL# El 1805
TBOPL -71M PLASTIC BODY NEMA 4X M18 X 1 THREAD
LONG BARREL 50MM. INDUCTIVE PROXIMITY
SENSOR, SENSING DISTANCE 5MM. SHIELDED FOR
MOUNTING IN METAL BRACKET 20 -250 VAC POWER
SUPPLY RANGE OVER VOLTAGE PROTECTION. 360
DEGREE RING LED FOR OUTPUT ON INDICATION. 24'
CABLE LENGTH 2- CONDUCTOR. NOT UV RESISTANT.
Warehouse Code: WH
Line (1) Miscellaneous Charqes
i
Description Amount j
1.) F O UT 12 .15
4. rem"`. a' a 5 �.1y-'�'S'
PaymentSchedule Total: 512.15 USD
1 8/28/2009 512.15 Remit To:
Total 512.15 Ashbrook Simon Hartley
P.O. Box 974343
Dallas, TX 75397 -4343
ARForm:001:00
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
14275
ASHBROOK CORP Purchase Order No.
P.O. Box 538175 Terms
Atlanta, GA 30353 -8175 Due Date 8/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/10/2009 106972 $512.15
b
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
1 31, SJv l V Cy�ic
Date Officer
VOUCHER 096180 WARRANT ALLOWED
11275 IN SUM OF
ASHBROOK- S: a- Vin. }(ey
40 gox 9-7`(1q3
a
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
t
PO INV ACCT AMOUNT Audit Trail Code
106972 01- 7202 -06 $500.00
0�
106972 01- 7202 -91� $12.15
J) X
E
F
4
Voucher Total $512.15
Cost distribution ledger classification if
claim paid under vehicle highway fund
lam: