HomeMy WebLinkAbout205311 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
s f ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $15.00
o CARMEL, INDIANA 46032 305 SOUTH POST ROAD
c, off INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 205311
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 219554 15.00 OTHER EXPENSES
o worrellicor
Solutions of Work
f►t�`it.1(n3GlUl'� Certified as G Invoice Date Inyotce No,
UJom en Business Enterprise 12/15/2011 1 0219554
www. w orrellcorp.co m by tho Stato of Indiana and th.
City 0 Indianapolis MUM 1
Terms
Uflt t o _t o t ICI MAM 0 dwnMam o I Net 30 Days
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
111111, Ilttl11511t SCOTT CAMPBELL
Sates Customer Job Ship Shipoed
person J Worrell P,0.No MA ILI NG RELEASE No. 266765 Date 12/12/2011 Ivi- WORRELL TRUCK
Descrip
COC -EDG1 10! Envelope, #10- Double_ \A /inriow, Printed BOX- -.On
COC -F01 101 Statements i BOX .00
WC -EN09 10' Envelope, #9 Window Reply BOX .00
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Freight: 15.00
i Sales Tax: .00
A FINARME CHARGE of 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.
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 12/27/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/27/201' 219554 $15.00
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
VOUCHER 116474 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
219554 01- 7360 -07 $15.00
Voucher Total $15.00
Cost distribution ledger classification if
claim paid under vehicle highway fund