179681 11/24/2009 a CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
CHECK AMOUNT: $379.05
CARMEL, INDIANA 46032 P O BOX 91036
CHICAGO IL 60693 CHECK NUMBER: 179681
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 975031 129.05 OTHER EXPENSES
601 5023990 9786358 250.00 OTHER EXPENSES
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
11/02/09 11/04/09 SEE BELOW ORANGE FLAGS I UPS 9757031
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
CUSTOMER PO VERBAL JACK SPEAR
HD SUPPLY WATERWORKS PO 4457707
/00008213397 4 "X5" ORANGE FLAG WITH NORMAL 1000 1000 .12000 EA 120.00
CARMEL WATER SCREENING #4471
WITH 18" PLASTIC STAFF.
EXACT SAME AS USUALLY ORDERED
BUT WITH ORANGE FLAG
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 NET 30 120.00
http:// waterworks.hdsupply.com/TandC
Frei ht Delivery Handlinq Restock Misc. Tax
9.05 $129.05
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT
9757031
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
000:0001 Page 1 of 1
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
11/09/09 11/11/09 VERBAL GREG K11 PARTS OUR TRUCK 9786358
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
61KEK1130D K1130 DRAIN VALVE 2 2 125.00000 EA 250.00
BOUGHT PREVIOUSLY IN 2008
WHICH INCLUDED A K11.29 FACING
2
G
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 NET 30 250.00
http:// waterworks.hdsupply.com /TandC
,freight DeliverV Handling Restock Misc. Tax
1 256.29
HDSWW INDIANAPOLIS IN -E THANK YOU FOR YOUR ORDER
Branch 509 VISIT
0 9786358
7281 East 30th St WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46219 FOR OTHER SERVICES OFFERED
0001:0001 Pagel of 1
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 11/16/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/16/2005 975031 $129.05
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
I
Date Officer
VOUCHE=R 093593 WARRANT ALLOWED
350591 IN SUM OF
Hb SUPPLY WATERWORKS
PO BCXC 91036
CHICAGO, IL 60693 -1036
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO I NV ACCT AMOUNT Audit Trail Code
975031 01- 6200 -06 $129.05
i
Voucher Total bt�
Cost distribution ledger classification if
claim paid under vehicle highway fund