204639 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1
ONE CIVIC SQUARE SERVICE PIPE SUPPLY INC CHECK AMOUNT: $514.74
CARMEL, INDIANA 46032 P.O. 33805
INDIANAPOLIS IN 46203 CHECK NUMBER: 204639
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 544600 514.74 OTHER EXPENSES
SERVICE PIPE SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203 Customer Copy
Phone: 317- 639 -9308
Fax: 317- 639 -1335 Number: 544600
Date: 12/05/11
Page: 1
Bill To: CARMEL WASTEWATER TREATMENT Ship To: CARMEL WASTEWATER TREATMENT
CARWAS 0
760 3RD AVENUE S.W. 9609 HAZEL DELL PARKWAY
CARMEL, IN 46032 INDIANAPOLIS, IN 46280
Customer PO# Shipped Salesperson Terms Tax Code Doc wh Freight Ship Via
JEFF COOPER 12/05111 004 B. FENTON 2% 10 DAYS N /30 NOTAX 292089 01 PREPAID WILL CALL
Item Description Ordered Shipped Backordrd um Price UM I Extension
077400019 6 #4000 CI FLGD BALL VALVE 1.00 1.00 .00 EA 514.74 EA 514.74
PLEASE DEDUCT 10.29 Merchandise Misc Discount "'Tax Freight Total Due
IF PAID BY 12/1/11
514.74 .00 .00 .00 00 514.74
WE APPRECIATE YOUR BUSINESS HAPPY HOLIDAY'S!
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
281250
SERVICE PIPE SUPPLY INC Purchase Order No.
P.O. 33805 Terms
INDIANAPOLIS, IN 46203 Due Date 12/7/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/7/2011 544600 $514.74
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
4 L l I l
Date Officer
VOUCHER 116396 WARRANT ALLOWED
281250 IN SUM OF
SERVICE PIPE SUPPLY INC
P.O. 33805
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
544600 01- 7202 -06 $514.74
Voucher Total $514.74
Cost distribution ledger classification if
claim paid under vehicle highway fund