179214 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 353520 Page 1 of 1
ONE CIVIC SQUARE GEORGE E BOOTH CO INC
1, CARMEL, INDIANA 46032 8202 W 10TH STREET CHECK AMOUNT: $792.20
INDIANAPOLIS IN 46214
CHECK NUMBER: 179214
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00156157 792.20 OTHER EXPENSES
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
__fir
�jl A ENTERING OFFICE 00156157
George E. Booth Co., Inc. INVOICE DATE
George E. Booth Co., Inc.
George E. Booth Co., Inc. 8202 West 10th Street 10/26/09
ATTN: Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1/1
Indianapolis IN 46214
USA
Cust N0. Date Ordered Date Shipped Written By Order Type Ship From Loc Selling Loc
C1191 10/26/09 10/26/09 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No. Mark Number
W09007
Tracking numbers: 1Z4418480370318461
QUANTITY€ a
LINE ITEiv� UOM UNIT PRICE EXTENDED
a THIS ww;`,�� 4
TOTAL BACK
NO F 3 a DESCRIPTION q DISCOUNT AMOUNT
,ORDERED,. ORDERED` SHIPMENT�
0010 4.00 0.00 4.00 8210G004,120/60 EA 192.2400 768.96
VALVE, SOLENOID,1 ",2W, NC, BR
REPAIR KIT FOR THIS VALVE 302280
Phone: 317- 247 -0100 AMOUNT 768.96
SO 00064818 FRGHT /INS /HNDL 23.24
PL 00066273 SALES TAX 0.00
AMOUNT 792 20x
e' CITY OF CARMEL WATER DEPT s' CITY OF CARMEL WATER DEPT
ATTN: KERRI LOVEALL H AT TN PO# W09007
WATER- WASTW
EATER UTILITIES P! WATER WATEWATER UTILITIES
3450 W. 131ST STREET 3450 W. 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 46074
0 0'
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,
c
price per unit, etc.
Payee
353520
GEORGE E. BOOTH COMPANY Purchase Order No.
8202 W. 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 11/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/2009 00156157 $792.20
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
a'
Date Officer
VOUCHER 093466 WARRANT ALLOWED
35 35201 IN SUM OF
GEORGE E. BOOTH COMPAN*''
82- W. 10TH STREET Orf\ C
INDIANAPOLIS, IN 46214 0 ®'e
N,
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
00156157 01- 6200 -04 $768.96
00156157 01- 6200 -04 $23.24
ryJ Voucher Total $792.20
Cost distribution ledger classification if
claim paid under vehicle highway fund