HomeMy WebLinkAbout177456 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL, INDIANA 46032 CHECK AMOUNT: $15.00
305 SOUTH POST ROAD
INDIANAPOLIS IN 46219 -7900 CHECK NUMBER: 177456
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUM A DESCRIPTION
601 5023990 187382 15.00 OTHER EXPENSES
Invoice Date Invoice No.
08/27/2009 0187382
r
Terms
Net 30 Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARMEL
WATER WASTEWATER UTILITIES WATER WASTEWATER UTILITIES
760 3RD AVE SW 760 3RD AVE SW
CARMEL, IN 46032 CARMEL, IN 46032
I.IttI,II..II..,..II.„I,Illtt llt„Iltrtllt,,,l lrl SCOTT CAMPBEL
Sales Customer Job Ship Shipped
Person J _VVorrell' P.O. No. No. 6 -2 5887 Date 0812012009 via WORRELL TRUCK
Description_-
COC -EDG1 5 Envelope, #10 Double Window, Printed BOX .00
WC -EN09 5 Envelope, #9 Window Reply BOX .00
Freight: �.�15.00
Sales Tax: -.00 i
A FINANCE CHARGE of 2% per month (24% ANNUAL PERCENTAGE RATE) will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
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 CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 -7900 Due Date 9/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2009 187382 $15.00
n
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 Offi
VOUCHER 092973 WARRANT ALLOWED
301174 IN SUM OF
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219 -7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
187382 01- 6360 -07 $15.00
Voucher Total $15.00.
Cost distribution ledger classification if
claim paid under vehicle highway fund