205017 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK AMOUNT: $16,133.42
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 205017
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0219463 10,083.39 OTHER EXPENSES
651 5023990 0219463 6,050.03 OTHER EXPENSES
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Solutions at Work
a Invoice Date Invoice No.
Certified as a 12/13/2011 0219463
Women Business Enterprise
www w o r r e ll" ll e o r p. c o m by the stove of lndrono and the
City of Indianapolis AAMBE "roms
Terms
P
Net 30 Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CAR'?EL
WATER WASTEWATER UTILITIES SCOTT CAMPBELL
760 3RD AVE SW WATER WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
I.{ �III�{ Ifl{ IIIIII� {I... {Ifeflll CARMEL, IN 46032 SCOTT CAMPBELL
Person J, Worrell Q Scotf.Carnpbell jJrb 080995 11/30/2011 r��a��ed U S Mail
9S Camp
N COC PROC 1 City of Carmel Utility Mailings 53+7 63 ;EACH i 5,347.63
COC -POST 1 City of Carmel Postage for Mailings 10610.79 :EACH 10,610.79
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Novemb6r..2011
x,
Freight: 175:00
Sales Tax' i .00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 16,133.42
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.
Please detach this receipt along perforation and enclose with remittance. AL
Mw orr e ll co r p
r� Solutions at Work
i� printing marketing office products
lnvofce N umber 0219463
126952
CITY OF CARMEL In olce�Datex 12/13/2011
WATER WASTEWATER UTILITIES'
16,133.42
760 3RD AVE SW Amount Due
CARMEL, IN 46032
ILI
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0111 e
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 12/15/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/15/201' 0219463 $6,050.03
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
Date Officer
VOUCHER 116451 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
0219463 01- 7360 -07 .$6,050.03
Voucher Total $6,050.03
Cost distribution ledger classification if
claim paid under vehicle highway fund
AM o Mworrellcor
o Solutions of Work
C
Wral Invoice Date b Invoice No.
Certified as o 12/13/2011 0219463
Women Business Enterprise
www.worrelicorp.com �"n�o'^
P Ckq of Indianapolis NVWBE Progr
f Teens
•i.l o 0 @WVD:Wis a [tom;, Net 30 Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARR3EL
WATER WASTEWATER UTILITIES SCOTT CAMPBELL
760 3RD AVE SW WATER WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
II�IIlllt�llllll�ll���ll„II���III CARMEL, IN 46032 SCOTT CAMPBELL
Sales Custoer Job Ship pped
Person J V`rorrell: I T
eo.No. Scot Campbell No 080995 (Date 11/30/201. -1 I SM
�la U.S. Mail
Description—
COC -PROC 1 City of Larmei Utiiity Mailings i 53147.63 EACH 1 5
COC -POST 1 City of Carmel Postage for Mailings 10610.79 EACH 10,610.79
1 I
Novern6 r,.2011
'_i OIUCIOilS Ci i•�pi�
Freight. 175.00
Saes Tax
.00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DU 1 6 ,133.42
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.
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 CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 -7900 Due Date 12/15/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/15/201' 0219463 $10,083.39
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
Date Officer
VOUCHER 113330 WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219 -7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0219463 01- 6360 -07 $10,083.39
t�
S�
Voucher Total $10,083.39
Cost distribution ledger classification if
claim paid under vehicle highway fund