178169 10/14/2009 .a- CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
CHECK AMOUNT: $149.76
CARMEL, INDIANA 46032 P 0 Box 91036
CHICAGO IL 60693
CHECK NUMBER: 178169
CHECK DATE: 10/14/2009
DEPARTMENT AC COUNT P N UMBER INVOICE NUMBE A MOUNT DESCRIPTION
651 5023990 9583542 149.76 MATERIALS SUPPLIES
r:
Keturn I op t-omon vvnn vayment t-or raster t�reart tnanK You t-or ►ne upportunrty to serve You.
j We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
9/24/09 9/25/09 SEE BELOW MARKING PAINT OUR TRUCK 9583542
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
CUSTOMER PO VERBAL PAUL ARONE
96PAINT17G 17 OZ GREEN MARKING PAINT 48 48 3.12000 EA 149.76
1242
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:// waterworks.hdsupply.com/'randC NET 30 149.76
Freight Delivery Handling Restock Misc. Tax
$149.76
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT 9583542
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
o00i:000� Page 1 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
86201
HD SUPPLY WATERWORKS LTD (NATIONAL Purchase Order No.
P.O. Box 91036 Terms
CHICAGO, IL 60693 Due Date 10/5/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2009 9583542 $149.76
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
L. /-1
Date Officer
VDUCHER 096509 WARRANT ALLOWED
8-6201 IN SUM OF
HD SUPPLY WATERWORKS LTD (NA1
P.O. Box 91036
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9583542 01- 7200 -02 $149.76
Voucher Total $149.76
Cost distribution ledger classification if
claim paid under vehicle highway fund