169449 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: $774.66
CARMEL, INDIANA 46032 P O BOX 91036
o� Via CHICAGO IL 60693 CHECK NUMBER: 169449
CHECK DATE: 314/2009
-i
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8530287 774.66 OTHER EXPENSES
Return Tap Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
4 s We appreciate your prompt payment.
Date Ordered Date Shil3pad Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
1/28/09 1/29/09 SEE BELOW METER DEPT UPS 8530287
Product Code Description Quantity Quantity Back- price Per Amount
Ordered Shipped Ordered
CUSTOMER PO#- VERBAL JACK SPEAR
HD SUPPLY WATERWORKS PO#- 4102141
96BLBP458BLUE BLKBRN P458 4X5 BLUE MARKING 6000 6000 .12000 EA 720.00
FLAG W/18" PLASTIC STAFF
FLAG WITH REVISED SCREENING
#4471(PHONE NUMBER TO READ
773 -2850)
4X5 W/18" PLASTIC STAFF
BELOW FREIGHT CHARGE FOR OUT-
BOUND UPS CHARGE FROM MANUFACT
URE APPROVED BY CUSTOMER
This tran saction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
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 2/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/18/2009 8530287 $774.66
y
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
Date Officer
VOUCHER 091164 WARRANT ALLOWED
350591 IN SUM OF
HD SUPPLY WATERWORKS.*
PO BOX 91036
CHICAGO, IL 60693 -1036 0 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
000� 8530287 01- 6200 -06 $774.66
Voucher Total $774.66
Cost distribution ledger classification if
claim paid under vehicle highway fund