180114 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 363327 Page 1 of 1
0 ONE CIVIC SQUARE HILTI INC CHECK AMOUNT: $451.35
CARMEL, INDIANA 46032 PO BOX 382002
«o PITTSBURGH PA 15250 CHECK NUMBER: 180114
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09054 1606751997 451.35 DRILL KIT
c-
Page 1(1)
ORIGINAL INVOICE
INVOICE NUMBER: 1606751997
INVOICE DATE: 08/03/2009
CUSTOMER P.O. NUMBER:
DUNS: 0
073009P1 -BT FEDERAL ID: 06-0732334
CUSTOMER ACCT: 13328080
BILL TO: SHIP TO:
CARMEL CITY OF CARMEL* CITY OF
UTILITIESMATER UTILITY l� UTILITIES/WATER UTILITY
3450 W 131ST ST 3450 W 131 ST ST
WESTFIELD IN 46074 -8267 WESTFIELD IN 46074 -8267
ATTN: BRIAN TOLAN
317 417 -5063
HILTI SALES REP: RAY PHILLIPS, TUS0530712 ORDER NUMBER: 512998874
PAYMENT TERMS: 30 DAYS NET LOCATION ID: 13328080
INVOICE DUE DATE: 09/02/2009
SHIPMENT NUMBER APPEARS ON PACKING SLIP(S). USE TO MATCH ALL DOCUMENTS AND CONFIRM RECEIPT.
We want your feedback! Please visit us at www.us.hiltl.com /feedback to record your comments, compliments, or complaints.
,Matenel a Ma!efla! Qescrlptlan Qlr"attlty Quaritity3hlpped Sell Price Amount Due
:Number,,
invoiced
3451270 SFH 1 &A KIT WITH GEAR 1 EA 1 EA 439.00 439.00 A
290271 SFH 18-A CPC CORDLESS DRILUDRIVER 1 EA
290271 SFH IS-A CPC CORDLESS DRILUDRIVER i EA
360384 BATTERY PACK 18 VOLT 2.6AH LI -ION CPC 1 EA
360384 BATTERY PACK 18 VOLT 2.6 AH LI -ION CPC 1 EA
272939 C 4136 LI -CPC BATTERY CHARGER 1 EA
305112 HJLTI SOFT BAG SMALL 1 EA
305112 HILT€ SOFT BAG SMALL 1 EA
FREIGHT 10.00
FREIGHT FUEL SURCHARGE 2.35
Taxes, State- IN 700% 1 31.59 County 0.00% 1 0,00 City. 0.00% 1 0.00
t A Taxable B Non-Taxable C- Url Shell Life D Non Domestic Sel E Non -Domestic Source NATO Fxceplion
8U6 TOTAL :.1 OTAL ;TOTAL AMOUNT USD
$451.35 59 4
Product Sales 800-87 &8000 Hilh Credit Dept 800-950 -6196 Mail all written inquiries to Hilli Htlh ww
Delivery Policy w.us hilti.comllransportation Fax certititate to Tax Dept or mail
Websi[e, www- us.hilli.tom KID Credit Fax 91 &252 -3810 PO Boa21la8 Tulsa, 03<74121-1148 Hilt Tax Fax: 800- 950 -6605 with payment to remit to addre5s
Cl35TOhR 1h1U01C tNUOIC'DATE PREPAYMENT AMOUNT DIJE SUS�7 a PA`1M�11
ACCOUNT ENCLOSI =I
13328080 1606751997 08/03/2009 1 $482.94
BILL TO: CARMEL CITY OF SHIP TO: CARMEL CITY OF
UTILITIES[WATER UTILITY UTILITIES/WATER UTILITY
'3450 W 131 ST ST 3450 W 131 ST ST
WESTFIELD IN 46074 -8267 WESTFIELD IN 46074 -8267
ATTN: BRIAN TOLAN
Please make checks pay to Hilt. HILT] INC
Reference account number on your check and q
R E MIT TO,
return with this portion in the enclosed envelope. PO BOX 382002
25.00 fee assessed far return checks. PITTSBURGH PA 15250 -8002
Standard Hird terms and conditions printed on the
the reverse side of this invoice apply.
Please remit in USD, k
I111IIII V III 11 11 IIII V III II IIII II III 11 111 1111 1111
1 13328080 1606751997 08032009 0000048294
Prescribed by State Board of Accounts City Form No. 201 (Rev 1990
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
363327
HILTI INC Purchase Order No.
PO BOX 382002 Terms
PITTSBURGH, PA 15250 -8002 Due Date 11/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/30/20M 1606751997 $451.35
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with
IIC 5- 11- 10 -1.6
Date Officer
VOUCHER 093709 WARRANT ALLOWED
Nato
363327 IN SUM OF
HILTI INC 0
PO BOX 382002`
PITTSBURGH, PA 15250 -8002
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
bV 1606751997 01- 6200 -04 $451.35
Voucher Total $451.35
Cost distribution ledger classification if
claim paid under vehicle highway fund