174740 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00350779 Page 1 of 1
ONE CIVIC SQUARE B L ANDERSON CO.
0 CHECK AMOUNT: $800.00
CARMEL, INDIANA 46032 4801 TAZER DRIVE
LAFAYETTE IN 47905 CHECK NUMBER: 174740
CHECK DATE: 7/2212009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DES CRIPTION
"601 5023990 J 13366 800.00 OTHER EXPENSES
a
k l
Invoice
B C., Anderson Co., .tne.
4801 Tazer Drive
Lafayette IN 47905
76.5-463 -1518 phone
765- 446 -8390 fax
www.bl�derson.com
Date I Invoice
7/6/2009 V -13366
Bill To /f Ship To
CARMEL WATER �Q Cannel Water .Department
760 3rd Ave. SW 5484 Fast 126th StTeet
Carmel, IN 46074 Carmel, IN 46032
Atin: Rob Lovell.
P.O- Number Terms Ren I Shin Ontp. Project
060209 Rob Lovell Net 30 71612009
Quantity item Code Description Price Each Amount
I Non Inventory Valve Adapter Bracket and Coupling A(hapter for use with DeZinik 300.00 300.00
Style BOS buttertly valve and existing Rotortti IQ MOW earlxxx..
1 NTM, invray1my Valve AcljAzr T—ImA ;t w d Coupling Atlapa t7 Cor ut %vAh I P," DeZU rk 3(1f7.(7U 300.01;7
Style 13OS butterfly valve and existing Rotork I:QT electric actuator.
1 Mon Inventory Valve Rotaie and Remove shaft :Cron existing gearbox, turn to 0.75 200.00 200.(X)
diameter, rnak L special key couple(-, re-&11 existing adapter bracket
to match Bitlfl electric actuator.
Overdue balance will
accrue interest at the rage of
1 -i/2% per month
compounded plus legal and
collection fees.
T
X800 -00
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER 4
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
350779
BL ANDERSON Purchase Order No.
4801 Tazer Drive Terms
LAFAYETTE, IN 47905 Due Date 7/13/2009
e
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/13/2009 13366 $800.00
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
X -21
Date Officer
VOUCHER 092277 WARRANT ALLOWED
350779 IN SUM OF
BL ANDERSON
4 Tazer Drive
LAFAYETTE, IN 47905
I
Y
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
13366 01- 6200 -03 $800.04
Voucher Total $800.00
Cost distribution ledger classification if
claim paid under vehicle highway fund