HomeMy WebLinkAbout204443 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
ii CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 305 SOUTH POST ROAD
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 204443
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 218529 15.00 CONT SVS -OTHER
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Certified as o Invoice Crate Invoice No.
UJomen easiness Enterprise 11/17/2011 0218529
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Sold To Shipped To WCO
CITY OF CARMEL WORRELL CORPORATION
WATER WASTEWATER UTILITIES MAILING RELEASE
760 3RD AVE SW 305 S POST RD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
11111111111111111 SCOTT CAMPBELL
Sates customer Job Ship Shipped
Persan J Worrell P.0 No. mailing release Nn. 266662 Date 11/10/2011 'V� WORR ELL TRUCK
COC-EDG1 15 Envelope, #10 Double Window, Printed BOX 0U
WC -EN09 101 Envelope, #9 Window Reply BOX 00
COC -F01 5� Statements BOX 00
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Freight: 15.00
Sales Tax: 00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER 116291 WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
218529 01- 7360 -07 $15.00
Voucher Total $15.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 11/28/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/281201 218529 $15.00
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