173396 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 139300 Page 1 of 1
ONE CIVIC SQUARE ITT WATER WASTEWATER INDIANA L�C
CARMEL, INDIANA 46032 7615 WEST NEW YORK STREET CHECK AMOUNT: $2,748.32
INDIANAPOLIS IN 46214
CHECK NUMBER: 173396
CHECK DATE: 6/10/2009
DE PARTMENT ACCOUNT PO NUMB INVOICE N UMBE R AMOUNT DESCRIPTION
652 5023990 S11717 13069001 2,748.32 CAPACITOR
Mi'MATER WASTEWATER INDIANA LLC
7615 WEST NEW YORK STREET I OC
INDIANAPOLIS, INDIANA 46214
PHONE: (317) 273 -4470 INVOICE NO. INVOICE DATE ORDER NO. AGE NO.
FAX: (317) 273 -4480 013069001 5/29/09
0301685 -001 6SSTOMER'N0 0RDER'DATE
H CITY OF CARMEL 53� TL 1T70�
P 9609 HAZELDELL PARKWAY
T INDIANAPOLIS
IN 46280 NET 30 —b`IS TERMS 7TERR./SLSMN
PLEASE PAY FROM INVOICE. A SERVICE CHARGE OF 1 1/2% PER MONTH
(ANNUAL RATE 18 WILL BE ADDED TO DELINQUENT ACCOUNTS.
B
0301685 -000
L CITY OF CARMEL
760 3RD AVE SOUTHWEST
T SUITE 110
CARMEL IN 46032
NO RETURNS WITHOUT AUTHORIZATION.
ITEM NUMBER /DESCRIPTION, a ORDER QTY. E3 ep .,e p;
/O QTY: SHIP QTY. PRICE U /M PRICE EXTENSION PaaMO
STOCK
SHIPPED FROM WHSE. INDY ON 5129 RE'F�0130690- 02UTA PICK —UP
MF3085- 230 -258 1 1 2350 it EACH 2350 11!
230V /iPH,2HP,i.5 ",258IMP
00308517207 ?5 i
SERIAL 0920025
G
1400000409035 2 2 85 :00 EACH 170.00
*RUN CAPACITOR, 55UF 3'70V
10000040905:3 2 2'111`80 EACH 222 00
CAPACITOR 330VAC/'72
FREIGHT' IN i 1 6 ;2,1 EACH 6.21
e
TOTAL `ZTH1S OR'DER 2748 32
3 I
PAYMt' T INFORMATION°'( A 00 DISC OUNf'
NET „PM NET DUE nATE GROSS AMT GROS& DUE DATE
2748.32 6/28/09 i,' 274`$ 1 32`, 6/28/0
e
x
r
a
Tz
`a
"'TOTAL_
X2'748.32
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 �f
ITT WATER WASTEWATER INDIANA LLC (Fi Purchase Order No. Q
7615 WEST NEW YORK STREET Terms
INDIANAPOLIS, IN 46214 Due Date 6/3/2009
Invoice Invoice Description
Date Number. (or note attached invoice(s) or bill(s)) Amount
6/3/2009 13069001 $2,748.32
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
Date Officer
VOUCHER 095777 WARRANT ALLOWED
139300 IN SUM OF
ITT WATER WASTEWATER INDIANA
7615 WEST NEW YORK STREET
INDIANAPOLIS, IN 46214
L Carmel Wastewater Utility
N ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
02.371 0.
13069001 02- 2308 -00 $2,742.11
Depreciation
13069001 02- 2308 -00 $6.21
Depreciation
U I
!l
Voucher Total $2,748.32
Cost distribution ledger classification if
claim paid under vehicle highway fund