206484 02/14/2012 (9) CITY OF CARMEL, INDIANA VENDOR: 358086 Page 1 of 1
ONE CIVIC SQUARE VULCAN INDUSTRIES INC CHECK AMOUNT: $3,762.00
CARMEL, INDIANA 46032 PO BOX 390
212 S KIRLIN STREET CHECK NUMBER: 206484
MISSOURI VALLEY IA 51555
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1200811190 3,762.00 OTHER EXPENSES
VULCAN INDUSTRIES, INC. lnvo® 0 ce
212 S. KIRLIN P.O. BOX 390
MISSOURI VALLEY, IA 51555 Date Invoice
712- 642 -2755 1/30/2012 12008 -11190
712 642 -4256 fax
Bill To Ship To
Carmel Wastewater Utilities Carmel WWTP
760 Third Avenue SW 9609 Hazel Dell Parkway
Suite 110 Indianapolis, IN 46280
Carmel, IN 46032 Attn: Joe
Customer Phone Customer Fax
317 571 -2634 317 -571 -2636
P.O. Number Project Name Date Shipped Shipped Via F.O.B. Terms Rep
S12938 Carmel, IN 1/30/2012 UPS PPA Net 30
Quantity Description Price Each Amount
1 Lot Spare Parts per Order 3,693.00 3,693.00
Freight Out 69.00 69.00
ORDER COMPLETE
*NTA:
NO TAX ADDED. ANY APPLICABLE TAX IS TO BE PAID BY
CUSTOMER DIRECT TO THE STATE OF INDIANA.
We accept Visa, Discover and Mastercard.
Total $3,762.00
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
358086
VULCAN INDUSTRIES INC Purchase Order No.
PO BOX 390 Terms
212 S KIRLIN STREET Due Date 2/6/2012
MISSOURI VALLEY, IA 51555
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/6/2012 1200811190 $3,762.00
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
VOUCHER 116730 WARRANT ALLOWED
358086 IN SUM OF
VULCAN INDUSTRIES INC
PO BOX 390
212 S KIRLIN STREET
MISSOURI VALLEY, IA 51555
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1200811190 01- 7202 -06 $3,762.00
Voucher Total $3,762.00
Cost distribution ledger classification if
claim paid under vehicle highway fund