206500 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL INDIANA 46032 305 SOUTH POST ROAD CHECK AMOUNT: $30.00
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 206500
CHECK DATE: 2/1412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 221081 15.00 OTHER EXPENSES
601 5023990 221376 15.00 OTHER EXPENSES
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Certified as o 01/3 0221376
Women Business Enterprise.'
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CITY OF CARMEL WORRELL CORPORATION
WATER WASTEWATER UTILITIES carmel mailing release
760 3RD AVE SW 305 S POST RD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
SCOTT CAMPBELL
Sates Customer .lob Ship S
parson J Worrell Pa No. carmel release No. 266897 sate 01/25/2012 1 ,7 1 0 ORRELL TRUCK
Description.
_COC_EDG1 15 Envelope,_ #10.Double Window, Printed —J -Box 00-
COC i 10( Statements BOX I .00
WC -EN09 61 Envelope, #9 Window Reply BOX .00
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Freight: 15.00
Sales Tax: 00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 -7900 Due Date 2/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/6/2012 0221376 $15.00
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 113640 WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219 -7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0221376 01- 6360 -07 $15.00
Voucher Total $15.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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CITY OF CARMEL CITY OF CARMEL
WATER WASTEWATER UTILITIES SCOTT CAMPBELL
760 3RD AVE SW WATER WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
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Sales Customer Job Ship ShiPW
Person Worrell P.O. No. Scott Campbell I N o. 266875 I Date 01/17/2012 Ilia ORRELL TRUCK
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COC EDG1 I _3- Erwelope, #1-0 Double 1Nindow, Printed I BOX
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Freight: 15.00
Sales Tax: .00
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 -7900 Due Date 2/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/2012 221081 $15.00
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
Date Officer
i
VOUCHER 113747 WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219 -7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
221081 01- 6360 -07 $15.00
Voucher Total $15.00
Cost distribution ledger classification if
claim paid under vehicle highway fund