205854 01/31/2012 `re CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
CARMEL, INDIANA 46032 P 0 BOX 91036 CHECK AMOUNT: $782.94
CHICAGO IL 60693
CHECK NUMBER: 205854
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4207037 782.94 MATERIALS SUPPLIES
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate y p payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
12/20/11 1 12/22/11 VERBAL JACK MARKING FLAGS UPS 4207037
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
HD SUPPLY WATERWORKS PO 5391817
96BLBP458BLUE BLKBRN P458 4X5 BLUE MARKING 6000 6000 .12000 EA 720.00
FLAG W/18" PLASTIC STAFF
WITH SCREENING #4471 WITH
18" PLASTIC STAFF
BELOW FREIGHT CHARGE FOR OUT-
BOUND UPS CHARGE FROM MANUFACT
URE APPROVED BY CUSTOMER
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions, which are incorporated herein by this reference and accepted.
To review these terms and conditions, please point your web browser to
http: llwaterworks .hdsupply.com/TandC NET 30 720.00
F_ rainh4_— Llnl i�nra-- LJ....dl:....-- o__�_.__- -��e__ •w_
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 91036 Terms
CHICAGO, IL 60693 -1036 Due Date 1/23/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2012 4207037 $782.94
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 113507 WARRANT ALLOWED
350591 IN SUM OF
HD SUPPLY WATERWORKS
PO BOX 91036 WATER
CHICAGO, IL 60693 -1036 ER ONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4207037 01- 6200 -06 $782.94
Voucher Total $782.94
Cost distribution ledger classification if
claim paid under vehicle highway fund