205241 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 365006 Page 1 of 1
ONE CIVIC SQUARE NALCO CROSSBOW WATER
I NETWORK PLACE 24658 CHECK AMOUNT: $190.00
CARMEL, INDIANA 46032
v CHICAGO IL 60673 CHECK NUMBER: 205241
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2067669 190.00 OTHER EXPENSES
Invoice
Nalco Crossbow Water
Network Place 24658
Chicago, IL 60673
USA Invoice No: 2067669
Customer No 0310060A
Shi"T
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone:_317 -57 -2634 210 }Telephone: 317-571-
Invoice.Dati Qrder,bate; SO;Number; Ordered, By, Customer PO Number Payment Method
12/21/11 1 12/08/11 Net 30
Warehouse (9.B Salesperson,: ResaLe,NumfZer,
INDY Crossbow Truck Chris Coppock
Order Ship, Unit Extended
s Tax Item Number Descrit�on v
(�gantlty QUantlty yak, s Price yam y hrlCe
2 2 Y DMDI U ofM: EACH 95.0000 190.00
DI EXPRESS
IT SERVICE EXCHANGER
01 D80 PRP MIXBED
Print Date; 12/21/11 Due Date; 01/20/12 Subtotals 190.00
Print T,ime`` Freight,. 0.00
PagehNo
s° Total 0.00
x t ,Balance Du'e 190.00 190.00
VOUCHER 116498 WARRANT ALLOWED
365006 IN SUM OF
NALCO CROSSBOW WATER
NETWORK PLACE 24658
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO INV ACCT AMOUNT Audit Trail Code
2067669 01- 7362 -06 $190.00
v'
Voucher Total $190.00
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
365006
NALCO CROSSBOW WATER Purchase Order No.
NETWORK PLACE 24658 Terms
CHICAGO, IL 60673 Due Date 12/28/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/28/201' 2067669 $190.00
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