177680 09/29/2009 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
.onE� CHICAGO IL 60693 CHECK NUMBER: 177680
CHECK DATE: 9129/2009
DE PARTMENT ACCOUNT PO NUMBER INVOI NUM BER AMOU NT. DESC RIPTION
601 5023990 3496379 149.76 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
9/04/09 9/0609 SEE BELOW METER DEPT OUR TRUCK 9496379
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
CUSTOMER PO VERBAL JACK SPEAR
96PAINT17B 17 OZ BLUE MARKING PAINT 48 48 3.12000 EA 149.76
1241
PAINT FOR THE WATER DEPT
LOCATES
T his tra i s governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
herein -bv th referen and accepted.
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4
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 9/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2009 9496379 $149.76
I hereby certify that the attached invoice(s), or bill(s) is (are) true and tl
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 093019 WARRANT ALLOWED
35,0591 IN SUM OF
HD SURPLY WATERWORKS 41W
PO BOX 91036
CHICAGO, IL 60693 -1036 e(�
t •O AR
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9496379 01- 6200 -06 $149.76
Voucher Total $149.76
Cost distribution ledger classification if
claim paid under vehicle highway fund