177749 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1
is ONE CIVIC SQUARE LIVING WATERS CO. CHECK AMOUNT: $719.58
ro CARMEL, INDIANA 46032 PO BOX 402
MONROVIA IN 46157 CHECK NUMBER: 177749
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMB AMOU DESCRIPTI
601 5023990 W08955 0072398 719.58 PUMP
Page: 1
Invoice
Customer
Living Waters Company, Inc. Invoice Number:
0072398 -IN
P. O. Box 402
Invoice Date: 9/1712009
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0004720
Order Date 9/17/2009
a Salesperson: HOUS
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY CARMEL WATER UTILITY
3450 WEST 131 ST STREET ATTN: ROB LOVELL
Westfield, IN 46074 3450 WEST 131ST STREET
Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
W UP N 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
JZH41012T EACH 1.00 1.00 0.00 700.00 700.00
1 H 3PH 208- 230/460V PUMP Whse: 000
EXCHANGE
A finance charge of 1.5% (18% APR) Net Invoice: 700.00
Less Discount: 0.00
will be charged on all past due accounts. Freight: 19.58
Thank you for your business. Sales Tax: 0.00.
Invoice Total: 719.58
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, C'
price per unit, etc.
Payee
184825
LIVING WATERS CO. Purchase Order No.
P.O. Box 402 Terms
MONROVIA, IN 46157 Due Date 9/22/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/22/2009 0072398 $719.58
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance w ith IC 5- 11- 10 -1.6
Date Officer
VOUCHER 093030 WARRANT ALLOWED
X34825 IN SUM OF
LIVING WATERS CO.
K 0. Box 402 I����` co
MONROVIA, IN 46157
�FlNIX
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0072398 01- 6200 -04 $700.00
0072398 01- 6200 -04 $19.58
Voucher Total $719.58
Cost distribution ledger classification if
claim paid under vehicle highway fund