174954 07/22/2009 CITY OF CARM EL, INDIANA VENDOR: 139300 Page 1 of 1
ONE CIVIC SQUARE ITT WATER WASTEWATER INDIANA LLC
CARMEL, INDIANA 46032 7615 WEST NEW YORK STREET CHECK AMOUNT: $1,647.11
INDIANAPOLIS IN 46214 CHECK NUMBER: 174954
CHECK DATE: 7/22/2009
DEPARTMENT ACCO UNT PO NUMBER INVO NU MBER J AM OUNT DESCRIPTION
652 5023990 S11766 013128301 1,647.11 PUMP
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ITT WATER WASTEWATER INDIANA LLC�
7615 WEST NEW YORK STREET
INDIANAPOLIS, INDIANA 46214
PHONE: (317) 273 -4470 INVOICE NO INVOICE DATE ORDER NO. AGE NO.
FAX: (317) 273 -4480
0301685 -001
CUSTOMER 'NO ORDER`'DATE
H CITY OF CARMEL WWTP s r I
1 9609 HAZELDELL PARKWAY
P
e u EiRJS Foe°
LSMN
�e.. 'TERMS
T .1'NDI ANAPOL I S IN 462803
0 PLEASE PAY FROM INVOICE. A SERVICE CHARGE OF 1 1/2% PER MONTH
(ANNUAL RATE 18 WILL BE ADDED TO DELINQUENT ACCOUNTS.
1 0301685 -000
L CITY OF CARMEL
L 760 3RD AVE SOUTHWEST
T SUITE 11.0
CARMEL IN 46032
NO RETURNS WITHOUT AUTHORIZATION.
ITEM NUMBER %DESCRIPTION ORDER`QTY. B/O QTY. SHIP QTY. PRICE U/M PRICE ovr EXTENSION PPOMO OF
STOCK
MP3068 -23U -218 1 1 15.85 00 EACH X1585.00
0030681700039
SERIAL 094'0318
TOTAL THIS O,RDER 1585.00
1
SH'IFPING /.HA'NDLING� 62.11
PAYMENT I N1.0RMAT10 W "C 00% 'DI SCOUNT)
NET °PMT b NET DUE DATE GLOSS AMTS} GRDSS DUE DATE
164 7 11 1" 8/0 ?/09`
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TOTAL
$1647.11
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
139300
ITT WATER WASTEWATER INDIANA LLC (F1 Purchase Order No.
7615 WEST NEW YORK STREET Terms
INDIANAPOLIS, IN 46214 Due Date 7/13/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/13/2009 013128301 $1,647.11
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
74'/4 ev, Date Officer Officer
VOUCHER 095998 WARRANT ALLOWED
139300 IN SUM OF
ITT WATER WASTEWATER INDIANF
7615 WEST NEW YORK STREET
INDIANAPOLIS, IN 46214
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
02-'i710
013128301 02- 2308 -00 $1,585.00
Depreciation
013128301 02- 2308 -00 $62.11
Depreciation
col
Voucher Total $1,647.11
Cost distribution ledger classification if
claim paid under vehicle highway fund