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206963 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 354917 Page 1 of 1 ONE CIVIC SQUARE BASTIN LOGAN WATER SERVICES INC f CARMEL, INDIANA 46032 237 WEST MONROE STREET CHECK AMOUNT: $10,780.00 P0 BOX 55 o CHECK NUMBER: 206963 FRANKLIN IN 46131 CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 12834 10,780.00 OTHER EXPENSES IN I ISTI N d WATER 237 W. MONROE STREET SERVICES P.O. BOX 55 FRANKLIN, INDIANA 46131 Inc. PHONE (317) 738 -4577 FAX (317) 738 -9295 Carmel Water Utility DATE: February 6, 2012 L 3450 W. 131 Street D Carmel, In 46074 INVOICE NO. 12834 Job #3474 -F T 1 0 YOUR P.O. NO. F Attn: Jerry Cloud H V i V P #3 Filter Media TERMS: NET 10 DAYS P 1 PER MONTH WILL BE ADDED AFTER 30 DAYS A.P.R. of 18% L O QUANTITY DESCRIPTION AMOUNT Carmel WTP #3 Filter Media Labor 2 man crew and equipment to travel to job, set up injector, pump off excess filter sand level filter sand, install anthracite filter media cap and chlorinate. WO Materials 1 Lot 1.0mm 1.1mm anthracite filter media O 1 Lot Chlorine Total Invoice Due $10,780.00 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 354917 BASTIN LOGAN WATER SERVICES, INC. Purchase Order No. 237 W. MONROE STREET Terms P.O. BOX 55 Due Date 3/5/2012 FRANKLIN, IN 46131 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/5/2012 12834 $10,780.00 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 Date Officer VOUCHER 113917 WARRANT ALLOWED 354917 IN SUM OF BASTIN LOGAN WATER SERVICES, II\ 237 W. MONROE STREET P.O. BOX 55 FRANKLIN, IN 46131 ,Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 12834 01- 6200 -04 $6,780.00 12834 01- 6360 -04 $4,000.00 Voucher Total $10,780.00 Cost distribution ledger classification if claim paid under vehicle highway fund