169516 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1
ONE CIVIC SQUARE LIVING WATERS CO.
CARMEL, INDIANA 46032 PO BOX 402
CHECK AMOUNT: $273.03
MONROVIA IN 46157
CHECK NUMBER: 169516
CHECK DATE: 31412009
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0071322 218.00 OTHER EXPENSES
601 5023990 00713.23 55.03 EXPENSES
x
1
Invoice Page:
Customer
Living Waters Company, Inc. Invoice Number: 0071323 -IN
P. O. Box 402 Invoice Date: 2112/2009
Monrovia, IN 46157
(317) 996 -2508 L
Order Number: 0003703
Order Date 2/11/2009
Salesperson: EGGE
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY CARMEL WATER UTILITY
ATTN: ACCOUNTS PAYABLE 3450 WEST 131ST STREET
3450 WEST 131ST STREET PLANT #4
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
VERBAL J ERRY C OUR TRUCK Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
SPTB1075 EACH 1.00 1.00 0.00 33.87 33.87
3/4" PVC TU BALL VALVE -V Whse: 002
/102 EACH 1.00 1.00 0.00 9.00 9.00
MISCELLANEOUS FITTINGS
SP839072 EACH 1.00 1.00 0.00 2.84 2.84
1/2 X 1/4 PVC 80 BUSH T X T Whse: 002
WTP39235 EACH 1.00 1.00 0.00 5.33 5.33
ELBOW Whse: 002
WTPXB39234 EACH 1.00 1.00 0.00 3.99 3.99
NUT Whse: 002 i
A finance charge of 1.5% (18% APR) Net Invoice: 55.03
ur Less Discount: 0.00
will be charged on all past due accounts. Freight: 0.00
Thank you for your business. Sales Tax: 0.00
Invoice Total: 55.03
IF
Li ing
c
i
Page: 1
Invoice
Customer
Living Waters Company, Inc. Invoice Number: 0071322 -IN
P. O. Box 402 Invoice Date: 2/12/2009
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0003702
Order Date 2/11/2009
Salesperson: EGGE
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY CARMEL WATER UTILITY
ATTN: ACCOUNTS PAYABLE 3450 WEST 131ST STREET
3450 WEST 131ST STREET PLANT #4
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
V ERBAL JERR C OU R TR Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
/LABOR -G 1.00 1.00 0.00 218.00 218.00
SERVICE TO FIX CRACKED FITTING ON VACUUM LINE
A finance charge of 1.5% (18% APR) I Net Invoice: 218.00
will be charged on all past due accounts. Less Discount: 0.00 Freight: 0.00
Thank you for your business. Sales Tax: 0.00
Invoice Total: 218.00
i
Living
1
I
c
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 I
184825 1
LIVING WATERS CO. Purchase Order No.
P.O. Box 402 Terms
MONROVIA, IN 46157 Due Date 2/19/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount.
2/19/2009 0071322 $218.00
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
A 5 i r�"_
Date Officer
0
VOUCHER 091171 WARRANT ALLOWED
184825 IN SUM OF
LIVING WATERS CO. N
R d) Box 402 z
MONROVIA, IN 46157 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0071322 01- 6360 -04 $218.00
I�7�0 t4
Voucher Total .9 73 OS P P M—
Cost distribution ledger classification if
claim paid under vehicle highway fund