177220 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
0 ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: $149.76
P 0 BOX 91036 CARMEL, INDIANA 46032
CHICAGO IL 60693 CHECK NUMBER: 177220
CHECK DATE: 9/15/2009
DEPART ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
601 5023990 9442185 149.76 MATERIALS SUPPLIES
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Keturn iop t -oruon witn vayment ror raster urean inanK You ror ine upporruniry io serve You.
We appreciate your prompt payment.
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gate Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
8/25/09 8/26/09 VERBAL JACK METER DEPT OUR TRUCK 9442185
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
96PAINT17B 17 OZ BLUE MARKING PAINT 48 48 3.12000 EA 149.76
1241
I
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 30 149.76
htt waterworks.hdsu
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Prescribed by State Board of Accounts City Form No. 201 (Rev 1945) Kl
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. Q
Payee
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 91036 Terms
CHICAGO, IL 60693 -1036 Due Date 9/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2009 9442185 $149.76
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 J�/
Date icer
\/GUCHE R 092922x,, WARRANT ALLOWED
;;50591 IN SUM OF
HD SUP* 'PLY WATERWORKS
PO BOX 91036 Ze
CHICAGO, IL 60693 -1036 0
Carmel Water Utility
ON ,k7— 'COUNT OF APPROPRIATION FOR
Board members
PO I NV ACCT AMOUNT Audit Trail Code
c'.
9442185 01- 6200 -06 $149.76
oucher Total $149.76
r— C o stdistrib ution ledger classification if
4 claim paid under vehicle highway fund