180177 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1
ONE CIVIC SQUARE LIVING WATERS CO.
CHECK AMOUNT: $582.49
CARMEL, INDIANA 46032 Po aox aoz
MONROVIA IN 46157 CHECK NUMBER: 180177
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCR IPTION
601 5023990 0072564 582.49 OTHER EXPENSES
r"
r' Page: 1
Invoice
Customer
Living Waters Company Inc. Invoice Number: 0072564 -IN
P. O. Box 402 Invoice Date: 10/30/2009
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0004861
Order Date 10/29/2009
Salesperson: HOUS
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY n CARMEL WATER UTILITY
3450 WEST 131ST STREET �V�' 3450 WEST 131ST STREET
Westfield, IN 46074 Wb Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
WO9006 UPS Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
WTU617C EACH 2.00 2.00 0.00 285.00 570.00
1" NPT MAIN CONNECTOR Whse: 000
A finance charge of 1.5% (18% APR) Net Invoice: 570.00
Less Discount: 0.00
will be charged on all past due accounts. Freight: 12.49
Thank you for your business. Sales Tax: 0.00
Invoice Total: 582.49
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)x_
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, t
price per unit, etc.
Payee
184825
LIVING WATERS CO. Purchase Order No.
P.O. Box 402 Terms
MONROVIA, IN 46157 Due Date 12/1/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2009 0072564 $582.49
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 Officer
VG?UCHER 093740 WARRANT ALLOWED
1Fa325 r IN SUM OF
LIVING WATERS CO. z
P.O. Box 402
MONROVIA, IN 46157
s
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
t 0072564 01- 6200 -04 $570.00
0072564 01- 6200 -04 $12.49
Voucher Total $582.49
Gost distribution ledger classification if
claim paid under vehicle highway fund