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204964 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1 ONE CIVIC SQUARE SERVICE PIPE SUPPLY INC CHECK AMOUNT: $248.70 CARMEL, INDIANA 46032 P.0, 33805 INDIANAPOLIS IN 46203 CHECK NUMBER: 204964 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 545249 248.70 OTHER EXPENSES SERVICE PIPE SUPPLY, INC. INVOICE P.O. BOX 33805 INDIANAPOLIS, IN 46203 Phone: 317- 639 -9308 Fax: 317- 639 -1335 Nu'mber j 545249 12/14/11 Bdl T CARMEL WASTEWATER TREATMENT Ship To CARMEL WASTEWATER TREATMENT CARWAS�j 0 fi 760 3RD AVENUE S.W. 9609 HAZEL DELL PARKWAY CARMEL, IN 46032 f INDIANAPOLIS, IN 46280 Customer P0# Shipped.` Salesperson Terms Tax Code Fre�ghtY Ship Via n f 12/14/11 004 B. FENTON 2% 10 DAYS N /30 NOTAX 292671 W PREPAID SAME Item Description Ordered Shipped Backordrd um Price Lunn I Exfen,icn J i 01402110/ 2XCLOSE STD GALV NIPPLE 2 2 0 EA 3.31 EA 6.62 014021102 2XSHORT STD GALV NIPPLE 2 2 0 EA 3.73 EA 7.46 014021113 2X3 STD GALV NIPPLE 2 2 0 EA 3.73 EA 7.46 014021114 2X31/2 STD GALV NIPPLE 2 2 0 EA 4.51 EA 9.02 014021115 2X4 STD GALV NIPPLE 2 0 2 EA 4.51 EA .00 0060311 2 GALV MI ST 90 2 0 2 EA 13.84 EA .00 0060811 2 GALV MI TEE 2 0 2 EA 14.67 EA 00 0062011 2 GALV MI CAP 2 2 0 EA 5.96 EA 11.92 077N110111 2 MILANO FP BALL VALVE 2 2 0 EA 36.71 EA� 73.42 I 0062411 2 GALV MI 150# UNION 4 4 0 EA 17.50 EA 70.00 i I 014020701 3 /4XCLOSE STD GALV NIPPLE 2 2 0 EA 1.09 EA l 2.18 014020702 3 /4XSHORT STD GALV NIPPLE 2 2 0 EA 1.18 EA 2.36 014020711 3/4X2 STD GALV NIPPLE 2 2 0 EA 1. EA 2.36 014020712 3/4x21/2 STD GALV NIPPLE 2 2 0 EA 1.31 EAI 2.62 014020713 3/4X3 STD GALV NIPPLE 2 2 0 EA 1.31 EA 2.62 014020714 3/4X31/2 STD GALV NIPPLE 2 2 0 EA 1.69 EA 3.38 014020715 3/4X4 STD GALV NIPPLE 2 2 0 EA 1.69 EA 3.38 014020601 1 /2XCLOSE STD GALV NIPPLE 2 2 0 EA .89 EA 1.78 014020602 1 1/2XSHORT STD GALV NIPPLE 2 2 0 EA .94 EA 1.88 014020611 1/2X2 STD GALV NIPPLE 2 2 0 EA .94 EA 1.88 014020612 1/2X21/2 STD GALV NIPPLE 2 2 0 EA 1.11 EA 2.22 014020613 1 /2X3 STD GALV NIPPLE 2 2 0 EA 1.11 EA 2.22 014020614 1/2X31/2 STD GALV NIPPLE 2 2 0 EA 1.37 EA 2.74 0140206/5 1/2X4 STD GALV NIPPLE 2 2 0 EA 1.37 EA 2.74 0061505 3/8 GALV STR TAP COUPLING 2 2 0 EA 1.62 EA1 3.24 077NI10104 1/4 MILANO FP BALL VALVE 21 2 0 EA 4.35 EAL: 8.70 1000207 3/4 PVC80 PLASTIC PIPE 10.00 10.00 .00 FT .51 FT 5.10 1000206 1/2 PVC80 PLASTIC PIPE 10.00 10.00 .00 FT 38 FT 3.80 1000268 1 PVC80 PLASTIC PIPE 10.00 10.00 .00 FT -.'.76 FT 4 7.60 I PLEASE DEDUCT 4.97 `Merchantlise Misc Discount Taz Fre�ghi Total Due, IF PAID BY 12/24/11 r, 248.70 .00 .00 .00 .00 248.70 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 12/16/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/16/201' 545249 $248.70 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 Date Officer VOUCHER 116462 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 545249 01- 7202 -06 $248.70 Voucher Total $248.70 Cost distribution ledger classification if claim paid under vehicle highway fund