206761 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 365006 Page 1 of 1
ONE CIVIC SQUARE NALCO CROSSBOW WATER CHECK AMOUNT: $213.00
CARMEL, INDIANA 46032 NETWORK PLACE 24658
CHICAGO IL 60673 CHECK NUMBER: 206761
CHECK DATE: 2/2812012
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2071695 190.00 CONT SVS- OTHER
651 5023990 2071696 23.00 OTHER EXPENSES
CROSSBOW
W G E? r
Nalco Crossbow Water Invoice
Network Place 24658
Chicago, IL 60673
USA Invoice No. 2071696
Customer No. 0310060A
Bill To Ship To
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN' 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 317 -571 -2634 210 Telephone: 317 571• -2634 2.10
Invoice Date Order Date SO Number Ordered By Customer PO .Number Payment Method
02/10/12 02/02/12 Net 30
Warehouse Shi Via F.O.B. Salesperson" Resale Number
INDY Crossbow T. ruck Chris Coppock
Order Ship. Unit Extended
Tax Item.Number Description
Quantity' Quantity Price Price.
1 I Y R1504 U of M: EACH 14.5000 14.50
CARBON CARTRIDGE, 1.0" FITS S1 102 HOUSING
1 1 Y 81009 U of M: EACH 8.5000 8.50
FILTER, 9 7/8 5 MICRON, W /SERVICE TO REPLACE
DOE, FITS STANDARD S 1 102 HOUSING
50 PER CASE
Print Date 02/10/12 Due Date 03/11/12 Subtotal 23.00
Print Time 11:28:19 AM Freight 0.00
Page loo. 1
Printed By: Rachel Sissman Total Paid 0.00
Balance Due 23.00 Invoice Total 23.00
C)S
Invoice
Nalco Crossbow Water
Network Place 24658
Chicago, IL 60673
USA Invoice No. 2071695
Customer No. 0310060A
Bill To F Ship To
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 327 -571 263.4_210__ Telephone: 317-571-2634 2 10
Invoice Date Order Date SO Number Ordered By Customer'PO'Number Payment Method
02/10/12 02/02/12 Net 30
Warehouse Ship Via F.O.B. Salesperson' ResaleNumber
INDY Crossbow Truck Chris Coppock
Order.: Ship Unit 'Extended
Quantity ax Item Number Description
Y Q uantit Y Price Price
2 2 Y DMD I U of M: EACH 95.0000 190.00
DI EXPRESS
IT SERVICE EXCHANGER
01 D80 f RP MIXBED
Print`.Date 02/10/12 .Due'Date 03/11/12 Subtotal 190.00
Print Time 11:27:55 AM Freight 0.00
Page Ho. 1
Printed By: Rachel Sissman Total Paid 0.00
Balance Due 190.00 __.Inxoice „Total. 190.00
VOUCHER 116826 WARRANT ALLOWED
365006 IN SUM OF
NALCO CROSSBOW WATER
NETWORK PLACE 24658
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
2071696 01- 7202 -05 $23.00
1 30 -0
0�
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
365006
NALCO CROSSBOW WATER Purchase Order No.
NETWORK PLACE 24658 Terms
CHICAGO, IL 60673 Due Date 2/20/2012
Invoice Invoice Description
Date Dumber (or note attached invoice(s) or bill(s)) Amount
2/20/2012 2071696 $23.00
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 f O i r