169908 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 362587 Page 1 of 1
i ONE CIVIC SQUARE GARRATT CALLAHAN CHECK AMOUNT: $875.00
CARMEL, INDIANA 46032 50INGOLD ROAD
➢u� -o. BURLINGAME CA 94010 CHECK NUMBER: 169908
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
651 5023990 S11518 410422 875.00 FORMULAT 5860
Gard INV ®ICE
CALLAHAN
WATER TREATMENT PRODUCTS SERVICES SINCE 1904
340 S. La Londe Ave. Addison, IL 60101 PAGE DATE INVOICE NO
Phone: 630-543-4411 Fax: 630 -543 -8382 1 3/03/09 410422
WWW.G -C.COM
B CARMEL WASTEWATER UTILITIES S CARMEL WWTP
L 760 THIRD AVE S.W. STE 110 1 9609 HAZEL DELL PARKWAY
L CARMEL, IN 46032 P INDIANAPOLIS, IN 46280
T U.S.A. T U.S.A.
O O
Customer 5712634 Ship To 1
P.Q. N0.? TERMS. SALESMAN 1'304 SHIP DATE SHIP VIA ORDER:.#
S11518 NET 30 Tyler Morton 2/20/09 Common Carrier 422140 -000
QTY ORD QTY SHIP ITEM DESCRIPTION NET WT /LB UNIT PRICE U/M DIS% VET AMOUNT
1 1 0586005 Formula 5860 (5 GAL) 35 25.00 875.00 EA 875.00
JEFF COOPER 317.571.2634
i
rr�
SUB' -TOTAL SHIPPING MISC TAX SUB -TOTAL DEPOSIT BALANCE DUE
875.00 .00 .00 875.00 .00 875.00
Remit To: Garratt Callahan Co. 50 Ingold Road Burlingame, CA 94010
Amex, Visa, Mastercard Accepted
Customer Feedback: feedback @g -c.com
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER Wi
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
362587
GARRATT CALLAHAN Purchase Order No. 1
340 S LA LONDE AVENUE Terms
ADDISON, IL 60101 Due Date 3/9/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2009 410422 $875.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095212 WARRANT ALLOWED
h
X62587 IN SUM OF
GARRATT CALLAHAN
340 "LA LONDE AV�EN E
ADQI I' 6'0"1'0'1
Carmel Wastewater Utility
zON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
410422 01- 7182 -05 $875.00
1 4
I,
i
Voucher Total $875.00
Cost distribution ledger classification if
claim paid under vehicle highway fund