176244 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 353520 Page 1 of 1
ONE CIVIC SQUARE GEORGE E BOOTH CO INC
CARMEL, INDIANA 46032 8202 W 10TH STREET CHECK AMOUNT: $1,835.12
INDIANAPOLIS IN 46214
CHECK NUMBER: 176244
CHECK DATE: 8/1912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00151162 1,452.78 OTHER EXPENSES
601 5023990 00151444 382.34 OTHER EXPENSES
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
00151162
Ij ENTERING OFFICE
p4�_ George E. Booth Co., Inc. INVOICE DATE
George E. Booth Co., Inc.
George E. Booth Co., Inc. 8202 West 10th Street 07/06/09
ATTN: Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1/1
Indianapolis IN 46214
USA
Cust NO. Date Ordered Date Shipped Written By Order Type Ship From Loc Selling Loc
C1191 06/22/09 07/06/09 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No Mark Number
W08791
Tracking numbers: 1Z4418480372345295
LINE QUANTITY `ITEM UOM UNIT PRICE EXTENDED
TOTAL BACK THIS d DISCOUNT PMOUNT-
N,0 P DESCRIPTION k
ORDERED' ORDERED SHIPMENT_-
0010 2.00 0.00 2.00 FBX8210001305959,120i6O EA 714.0000 1,428.00
VALVE, SOLE NO I D, 3/4", VALVE UNIT,SPECIAL
ASCO 3/4" TWO WAY SOLENOID VALVE, SPECIAL
STRONGER SPRING AND COIL FOR HIGHER
RATING M -12 REVERSING COIL SOLENOID
I
Phone: 317-247-0100 AMOUNT 1,428.00
SO 00060764 FRGHT /INS /HNDL 24.78
PL 00062749 SALES TAX 0.00
AMOUNT DUE x,452 783
e. CITY OF CARMEL WATER DEPT s CITY OF CARMEL WATER DEPT
ATTN: KERRI LOVEALL H ATTN: DANIEL JENKINS PO# W08791
WATER WASTEWATER UTILITIES 'P 3450 W. 131ST STREET
3450 W. 131ST STREET WESTFIELD IN 46074
T WESTFIELD IN 46074 T�.
0 0
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
00151444
George E. Booth Co., Inc. ENTERING OFFICE INVOICE DATE
Nk
George E. Booth Co., Inc. 07/13/09
George E. Booth Co., Inc. 8202 West 10th Street
ATTN: Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1/1
Indianapolis IN 46214
USA
Cust NO. Date Ordered Date Shipped Written By Order Type Ship From Loc Selling Loc
C1191 06/22/09 07/13/09 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No. Mark Number
W08791
Tracking numbers: 1Z4418480370025009
LINE ITEM UOM UNIT PRICE EXTENDED
QUANTITY
TOTAL BACK�F THIS
DISCOUNT AMOUNT
NO.. m DESCRIPTION
ORDERED ORDERED SHIPMENTS.
0010 2.00 0.00 2.00 304454 EA 183.0000 366.00
REPAIR KIT, ASCO
ASCO REPAIR KIT
Phone: 317- 247 -0100 AMOUNT 366.00
SO 00060764 FRGHT /INS /HNDL 16.34
PL 00062931 SALES TAX 0.00
AMOUNT DUE 382.34
B CITY OF CARMEL WATER DEPT s CITY OF CARMEL WATER DEPT
t ATTN: KERRI LOVEALL H ATTN: DANIEL JENKINS PO# W08791
WATER- WASTEWATER UTILITIES p 3450 W. 131ST STREET
3450 W. 131ST STREET WESTFIELD IN 46074
T, WESTFIELD IN 46074 T
6 0
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL l
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
353520
GEORGE E. BOOTH COMPANY Purchase Order No.
8202 W. 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 8/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/10/2009 00151162 $1,452.78
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 092587,, ..,WARRANT ALLOWED
353520 IN SUM OF
GEORGE E. BOOTH COMPAN�i�(
8202 W. 10TH STREET�C`
INDIANAPOLIS, IN 46214
0 4 r
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
00151162 01- 6200 -04 $1,428.00
1 1 00151162 01- 6200 -04 $24.78
tO I S t 44q
Voucher Total iQ? 1
Cist distribution ledger classification if
claim paid under vehicle highway fund