175819 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00350730 Page 1 of 1
ONE CIVIC SQUARE NASCO
0
CARMEL, INDIANA 46032 901 JANESVILLE AVE CHECK AMOUNT: $56.28
FORT ATKINSON WI 53538 -0901 CHECK NUMBER: 175819
CHECK DATE: 8/6/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4462838 153171 56.28 STORM WATER PHASE II
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,'IVW Date Amount Due Page
(d�tYVV Fort Atkinson 7/20/09 $5fi 28
901 JANESVILLE AVENUE FORTATKINSON, Na 53538 -0901 1 of 1
{920)563 -2566 FAX IM
NASC3 -8296 Order No. Contract P.O. Number
TOLL FREE (8001556 -9595 www.eNASGO.com
18- 3048 -0
Account Invoice No. Sis Code WS Id
539- 750 -00 153171 21 AUTO
Special Information Cash with Order
317/5712314
d MCMULLEN, SARA 1151 Shipping Instructions Requested Date
CITY OF CARMEL ENGINEERING DPT
1 CIVIC SQ POSTAGE: 6.33 QUOTED
CARMEL IN 46032 -2584
Itlltltllt11111tttlllrtltlttlfllltltlttlltlttlllfttttllllltltl Remit to:
Nasco
IIII ii II II!! II II ((II II ll P.O. Box 901
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For proper. credit. to "tiraCCOunt plp.ase return thIS portion with.your. remittRnce and -rite your. customer numberfinvoic" on your.check.—
Account: 539 750.00 P.O. Number: Order No.: 18- 3048 -0 Invoice No.: 153171 Date: 7/20/09
Ordered Shipped B ckardee, xU/M Catalog e Desc�tpt�on Fnce Extended
21 AUTO 317/5712314
CONTACT NAME MCMULLEN, SARA
1 1 EA SB43521M TURBIDITY TUBE 49.95 49.95
*YOUR ORDER IS COMPLETE*
*WITH THIS INVOICE
Sold To: MCMULLEN, SARA Ship To: MCMULLEN, SARA NET TOTAL 49.95
CITY OF CARMEL- ENGINEERING DPT CITY OF CARMEL ENGINEERING DPT SHIPPINGANSURANCEIHANDLING 6.33
1 CIVIC SID 1 CIVIC so
CARMEL IN 46032 -2584 ORIGINAL INVOICE CARMEL IN 46032 SUB TOTAL: 56.28
TERMS: NET 30 DAYS
,,����as TOTAL DUE: E `56:28
..-I d CO Fort Atkinson
901JA14EWLLEAVENUE FORT ATPUNSON,N9'53538 -0901 THANK YOU
'.(9201563.2446 FAX(920)563-8296 FED.I.D.NO. 06- 1165854
TOLL FREE (800) 5589595 wvnM.eNASCO.c For Your Order
For proper credit to your account, please return top portion of this document with your remittance and write your account number /invoice# on your check. All claims for damages and/or shortages MUST be reported
WITHIN 10 DAYS after receipt of merchandise. MERCHANDISE MAY NOT BE RETURNED WITHOUT AUTHORIZATION.
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Nasco Fort Atkinson
Purchase Order No.
901 Janesville Avenue
Terms
Fort Atkinson, WI 53538 -0901
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/20/09 153171 Turbidity Tube J�
acnt 539 -7504 0 Illicit Discharge Testing Project
Total
1 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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
O
ALLOWED 20
Nesee FeFt Atkens IN SUM OF
901 Janesville Avenue
Fort Atkinson, WI 53538 -0901
$56.28
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 153171 206- 4462838 $56.28 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sig ature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund