175940 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00352777 Page 1 of 1
0 tj ONE CIVIC SQUARE USA BLUE BOOK
CARMEL, INDIANA 46032 PO BOX 9004 CHECK AMOUNT: $160.94
4;oh,iu GURNEE IL 60031 -9004 CHECK NUMBER: 175940
CHECK DATE: 8/6/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 864229 160.94 OTHER EXPENSES
1, 3 lum °OQ�� tNV ®ICE
TEL: (847) 689 -9781 864229 1 of 1
Remit 10: FAX: (847) 689 -3001
P.O. Box 9004 TOLL FREE: 1 -800- 493 -9876
Gurnee, IL 60031 -9004 F.E.I.N.: 36- 3645787 936803 07/27/09
BILL TO: SHIP TO:
936803 1
CARMEL UTILITIES CARMEL UTILITIES
760 3RD AVE SW STE 110 9609 HAZEL DELL PWKY
CARMEL, IN 46032 INDIANAPOLIS IN 46280
ATTN JEFF COOPER
•.:SALES
CUSTOMER P.O. NO: SHIPD4TE
SLIP TERMS TAX CODEoROE>a ruo. WIH FREIGHTz_ :SHIP VIA
511796 07/27/09 SBA NET 30 INEXEMPT 654277 01 PREPAID UPS
BACK.
USA STOCK NO. DESCRIPTION ORDERED SHIPPED 'ORDER, .0 /M' PRICE PER EXTENSION
71476 CorePRO Sr. 5' Middle Section 4 4 0 EA 37.30 EA 149.20
THANK YOU for your business!
r DISCOUNT
1.5% MONTHLY FINANCE CHARGE
ON AMOUNTS 30 DAYS PAST DUE 149 .20 .00 00 00 11.74 160.
Discounts Apply to Merchandise Only
Should it become necessary to refer your unpaid balance to a collection agency, a collection fee, not to exceed 25% of the
balance referred; plus reasonable attorney's fees; and court costs when necessary, will be added to the balance due.
Prescribed by State board of Hccounts uny ruiiii imu. Lv1 knvv eoau)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i,
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
352777 i)
USA BLUE BOOK Purchase Order No. p
P.O. Box 9004 Terms v
Gurnee, IL 60031 Due Date 7/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/2009 864229 $160.94
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
/3//o5 Date Officer Officer
VOUCHER 096140 WARRANT ALLOWED
35L777 IN SUM OF
USA BLUE BOOK
P.O. Box 9004
Gurnee, IL 60031
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
864229 01- 7202 -06 $160.94
r
Voucher Total $160.94
Cost distribution ledger classification if
claim paid under vehicle highway fund