HomeMy WebLinkAbout175960 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK AMOUNT: $45.00
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 175960
CHECK DATE: 8/6/2009
DE PARTMEN T A CCOU NT PO NU MBER INVOICE NUMBER AM DESCRIPTION
651 5023990 186327 15.00 OTHER EXPENSES
651 5023990 186468 15.00 OTHER EXPENSES
601 5023990 186486 15.00 OTHER EXPENSES
ss ]I ENVOI w Corr I ltor
Solutions at Work
PRINTING MARKETING OFFICE
Certified as a
Women Business Enterprise. p c
0723200 1 .8
by the state of Indiana and the
www.worrelid .coo Indianapoli WWBE Progroms
Terms
Net 1 Da ys
305'South.Post Road' •'Indianapolis, IN .46219, -7900 (317) 895 -9708 Fax (317) 9705
To
CITY OF
WATER-WASTEWATER UTILITIES 4000 PENDLETO
.0 3RD AVE SW INDIANAPO
CARMEL, IN 4.0
PRINT MAIL
Person J Worrell P.O. No. No. 625487 Dat'e 07/14/2009 v-- WORRELL TRUCK
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C OC-F01 8 Statements 11
e
Invoice Date Invoice No.
07/14/2009 0186327
Terms
Net 30.
Sold To Shipped To
0001
CITY OF CARMEL CITY OF CARMEL
WATER WASTEWATER UTILITIES WATER WASTEWATER UTILITIES
760 3RD AVE SW 4000 Pendleton Way
CARMEL, IN 46032 Indianapolis, IN 46226
IIrl�llr�ll��ll���llll���ll�r�llrtll����lrlrl SCOTT CAMPBELL
Sales Customer Job Ship upped'
Person J Worrell P.O. No No. .:,625475 Data 07/13/2009 via WORRELLTRUCK
COC -EDG1 3 Envelope, #10 Double Window, Printed BOX .00
WC -EN09 3 Envelope, #9 Window Reply BOX .00
i
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 7/28/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2009 186468 $15.00
f.
y
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
VQUCHER 096111 WARRANT ALLOWED
361174 IN SUM OF
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION. FOR
s.
Board members
PO INV ACCT AMOUNT Audit Trail Code
186468 01- 7360 -07 $15.00
01g632-7 01.7360.07 15.o0
30.oO
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund