206458 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 362878 Page 1 of 1
ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $489.00
CARMEL, INDIANA 46032 2425 E 30TH ST
s� �p INDIANAPOLIS IN 46218 CHECK NUMBER: 206458
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01K12320 489.00 OTHER EXPENSES
TBA Warehouse Invoice
2425 E 30th Street No. 01 K12320
Indianapolis, IN 46218
317 923 -2222 FAX: 317 923 -2233
46i Page 1
13:26:33 Jan 26 2012
CUSTOM BER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 01KI2320 01/26/12 01RU1169001 NET 10TH 010
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
3450 W. 131ST ST. 3450 W. 131ST ST
CARMEL, IN 46074 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact: /317- 733 -2853 Route: CARMEL/WESTFIELD Direction:
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
01/26/12, 13:26:32 400003 JIM RATLIFF 3 CARMEL/WESTFIELD A 403
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
*Ship in morning
O 5W3055GALSYN SYNTHETIC BLEND NONE EA 1 0 1 1122.62 0.00 489.00 0.00 489.00
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
489.00 1122.62 X89.00 0.00 0.00 0.00 489.00 0.00 499:00'
2.08 service charge on past due accounts(25 per annum).
Core returns must be in original box. All new returns must
be resaleable. No return after 30 days without invoice.
6D L9
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
354275
TBA WAREHOUSE -INDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 2/3/2012
Invoice Invoice Description
Date Number (or note attached inVoice(s) or bill(s)) Amount
202012 01 K12320 $489.00
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 113651 WARRANT ALLOWED
354275 IN SUM OF
TBA WAREHOUSE -INDY WATER
2425 E 30TH STREET OPERATIONS
INDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
01K12320 01- 6500 -04 $244.50
01K12320 01- 6500 -05 $244.50
Voucher Total $489.00
Cost distribution ledger classification if
claim paid under vehicle highway fund