168585 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1
ONE CIVIC SQUARE LIVING WATERS CO.
i t l'
CARMEL, INDIANA 46032 Po sox 402 CHECK AMOUNT: $3,222.11
MONROVIA IN 46157 CHECK NUMBER: 168585
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08583 71153 240.20 PARTS FOR INJECTOR
601 5023990 W08583 71154 443.42 PARTS FOR INJECTOR
601 5023990 W08583 71155 415.20 PARTS FOR INJECTOR
601 5023990 71156 2,123.29 OTHER EXPENSES
Page: 1
Invoice
Customer
Living Waters Company, Inc. Invoice Number: 0071156 -IN
P. O. Box 402 Invoice Date: 1/13/2009
Monrovia, IN 46157 L w
(317) 996 -2508
Order Number: 0003565
Order Date 1/12/2009
Salesperson: EGGE
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY CARMEL WATER UTILITY
ATTN: ACCOUNTS PAYABLE 3450 WEST 131 ST STREET
3450 WEST 131ST STREET PLANT #4
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
VERBAL JERRY OUR TRUCK Net 3 0 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
WTPXA26482 EACH 2.00 2.00 0.00 0.80 1.60
O -RING, 012, VITON Whse: 002
WTP48319 EACH 2.00 2.00 0.00 9.60 19.20
SEAT Whse: 002
WTP49021 EACH 2.00 2.00 0.00 26.47 52.94
DIAPHRAGM (BLACK) Whse: 002
WTP49022 EACH 2.00 2.00 0.00 42.18 84.36
DIAPHRAGM (CLEAR) Whse: 002
WTP16191 EACH 2.00 2.00 0.00 1.80 3.60
LEAD GASKET Whse: 002
WTP50557 EACH 2.00 2.00 0.00 2.72 5.44
GASKET Whse: 002
MK -V10K EACH 2.00 2.00 0.00 25.34 50.68
MAINTENANCE KIT FOR V10K Whse: 002
MK- U27136 EACH 1.00 1.00 0.00 31.56 31.56
MAINTENANCE KIT FOR U27136 INJ Whse: 002
W EACH 2.00 2.00 0.00 6.23 12.46
STOP Whse: 002
WTP48329 EACH 1.00 1.00 0.00 26.37 26.37
SPRING Whse: 002
WTP48330 EACH 2.00 2.00 0.00 2.97 5.94
SPRING Whse: 002
WTAAC7979 EACH 1.00 1.00 0.00 89.29 89.29
STEM (REPLACES U26205) Whse: 002
WTP53380 EACH 1.00 1.00 0.00 18.35 18.35
SCREW Whse: 002
WTP39233 EACH 5.00 5.00 0.00 7.92 39.60
UNION Whse: 002
Continued
W
Page: 2
Invoice
Customer
Living Waters Company, Inc. Invoice Number: 0071156 -IN
P. O. Box 402 a Invoice Date: 1/13/2009
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0003565
Order Date 1/12/2009
Salesperson: EGGE
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY CARMEL WATER UTILITY
ATTN: ACCOUNTS PAYABLE 3450 WEST 131ST STREET
3450 WEST 131 ST STREET PLANT #4
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
VER BAL JERRY OUR TRUCK Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
WTPXB39234 EACH 5.00 5.00 0.00 3.99 19.95
NUT Whse: 002
WTP48955 EACH 1.00 1.00 0.00 54.18 54.18
SCREW Whse: 002
WTP48964 EACH 1.00 1.00 0.00 1.15 1.15
18 -8 SS HEX HEAD CAP SCREW 1/4 Whse: 002
WTP56816 EACH 1.00 1.00 0.00 42.95 42.95
STEM, INJ. Whse: 002
WTP54669 EACH 1.00 1.00 0.00 130.87 130.87
UPPER BODY Whse: 002
WTU29323 EACH 1.00 1.00 0.00 1,031.82 1,031.82
MONITOR MODULE (CHLORINE) Whse: 002
V TPXA31702 EACH 3.00 3.00 0.00 1.75 5.25
O -RING, 110, VITON Whse: 002
W EACH 1.00 1.00 0.00 367.20 367.20
CL2 SENSOR ONLY (ACUTEC) Whse: 002
SP839072 EACH 4.00 4.00 0.00 2.84 11.36
112 X 114 PVC 80 BUSH T X T Whse: 002
SPQV1050T EACH 1.00 1.00 0.00 13.67 13.67
1/2" PVC COMPACT BALL VALVE -T Whse: 002
L W 1001 FOOT 14.00 14.00 0.00 0.25 3.50
3/8 OD LDPE TUBING /FT Whse: 002
A finance charge of 1.5% (18% APR) Net Invoice: 2,123.29
nt: O.OD
ou
will be charged on all past due accounts. Less Discount:
nt: 0.00
Thank you for your business. Sales Tax: 0.00
Invoice Total: 2,123.29
Page: 1
Invoice
Customer
Living Waters Company Inc. Invoice Number: 0071155 -IN
P. O. Box 402 a
Monrovia, IN 46157 L al' Invoice Date: 1!13/2009
(317) 996 -2508
Order Number: 0003564
Order Date 1/12/2009
Q 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 JERRY OUR TR Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
/LABOR -GA 1.00 1.00 0.00 415.20 415.20
SERVICED (2)10VKA,200C (1 TON),3 /4" OS INJ, ACUTEC 35
A finance charge of 1.5% (18% APR) Net Invoice: 415.20
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: 415.20
r n
Page: 1
invoice
Customer
Living Waters Company, Inc. Invoice Number: 0071153-IN
P. O. Box 402 Invoice Date: 1/13/2009
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0003562
Order Date 1/12/2009
Q Salesperson: EGGS
Customer Number: CARMWAT
Sold To: Ship To:
CARMEL WATER UTILITY CARMEL WATER UTILITY
ATTN: ACCOUNTS PAYABLE 3450 WEST 131ST STREET
3450 Wes WEST 131ST STREET GL� PLANT
Westfield, IN 46074 G Westfield,
IN 46074
Customer P.O. Ship VIA F.O.B. Terms
VERBAL JERRY OUR TRUCK Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
/LABOR -GA 1.00 1.00 0.00 240.20 240.20
SERVICED (2)V10KA,200C,3/4" OS INJECTORS
A finance charge of 1.5% (18% APR) Net Invoice: 240.20
Less Discount: D.DO
will be charged on all past due accounts. Freight: 0.00
Thank you for your business Sales Tax: 0.00
Invoice Total: 240.20
�f
Page: 1
Invoice
Customer
Living Waters Company Inc. Invoice Number: 0071154 -IN
P. O. Box 402 41 Invoice Date: 1/13/2009
Monrovia, IN 46157 L W
(317) 996 -2508
Order Number: 0003563
Order Date 1/12/2009
Salesperson: EGGE
Customer Number: CARMWAT
Sold To: 4 Ship To:
CARMEL WATER UTILITY J CARMEL WATER UTILITY
ATTN: ACCOUNTS PAYABLE 3450 WEST 131ST STREET
3450 WEST 131ST STREET PLANT #3
Westfield, IN 46074 Westfield, IN 46074
Customer P.O. Ship VIA F.O.B. Terms
VERBAL JERRY_ OUR TRUCK Net 30 Days
Item Number Unit Ordered Shipped Back Ordered Price Amount
MK -V 10K EACH 2.00 2.00 0.00 25.34 50.68
MAINTENANCE KIT FOR V1 OK Whse: 002
MK- U27136 EACH 1.00 1.00 0.00 31.56 31.56
MAINTENANCE KIT FOR U27136 INJ Whse: 002
WTPXA26482 EACH 2.00 2.00 0.00 0.80 1.60
O -RING, 012, VITON Whse: 002
WTP48319 EACH 2.00 2.00 0.00 9.60 19.20
SEAT Whse: 002
WTP49021 EACH 2.00 2.00 0.00 26.47 52.94
DIAPHRAGM (BLACK) Whse: 002
WTP49022 EACH 2.00 2.00 0.00 42.18 84.36
DIAPHRAGM (CLEAR) Whse: 002
WTP50557 EACH 2.00 2.00 0.00 2.72 5.44
GASKET Whse: 002
WTP16191 EACH 2.00 2.00 0.00 1.80 3.60
LEAD GASKET Whse: 002
WTP41212 EACH 2.00 2.00 0.00 6.23 12.46
STOP Whse: 002
WTAAC7979 EACH 2.00 2.00 0.00 89.29 178.58
STEM (REPLACES U26205) Whse: 002
LW 1001 FOOT 12.00 12.00 0.00 0.25 3.00
3/8 OD LDPE TUBING /FT Whse: 002
A finance charge of 1.5% (18% APR) Net Invoice: 443.42
Discount: 0.00
will be charged on all past due accounts. Less D isciscoo nt: 0.00
Thank you for your business. Sales Tax: 0.00
n Invoice Total: 443.42
W
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
184825
LIVING WATERS CO. Purchase Order No.
P.O. Box 402 Terms
MONROVIA, IN 46157 Due Date 1/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2009 0071154 $443.42
pp�
1'
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 ff'
VOUCHER 084265 WARRANT ALLOWED
184825 IN SUM OF
LIVING WATERS CO.��
P.O. Box 402 4f CN
N MONROVIA, IN 46157 0 p
,1 GRINS'
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0071154 01- 6200 -04 $443.42
V do�t(5-3 t� aL46.zv
Voucher Total
��a� Il
Cost distribution ledger classification if
claim paid under vehicle highway fund