207065 03/13/2012 *f CITY OF CARMEL, INDIANA VENDOR: 360946 Page 1 of 1
ONE CIVIC SQUARE GODWIN COMPANY INC
CARMEL, INDIANA 46032 1175 W 16TH STREET CHECK AMOUNT: $58.80
INDIANAPOLIS IN 46202 CHECK NUMBER: 207065
ICON 0
CHECK DATE: 3/1312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 21680 58.80 OTHER EXPENSES
Godwin Company, Inc. ONVO
1175W. 16th Street
Indianapolis, IN 46202 Invoice Number: 21680
US Invoice Date: Feb 27, 2012
Page: 1
Voice: 317 637 -3325
Fax: 317 263 -9625
Website: www.godWncompany.com
CARMEL WASTEWATER UTILITIES CARMEL WASTEWATER UTILITIES
ATTN: ACCOUNTS PAYABLE 760 THIRD AVENUE SW
760 THIRD AVENUE SW, SUITE 110 SUITE 110
CARMEL, IN 46032 CARMEL, IN 46032
US US
4# F Customer 1Dt °Custorrier PO l Payment Terms l
nik ,d a.
3097 JEFF COOPER Net 10 Days
z
k' pID ``=�a "a Shlpping:Method.` ''Ship Date v D'ue Date'
UPS Ground 3 0/ 12
:Qu`antity -:Item x <L Descriptlori` Un`itPrice ",y f Amount
2.00 GAS CAP #102751601 18.00 36.00
1.00 FREIGHT INCOMING FREIGHT ON NON -STOCK 12.90 12.90
PARTS
Any parts returned must be returned within 5 Subtotal 48.90
days and be accompanied by the original Sales Tax
invoice. Returns subject to 25% handling fee.
Special Order Parts and Electrical Parts not Freight 9.90
returnable.
1.5% FINANCE CHARGE per month on Past Due Total Invoice Amount 58.80
Accounts over 30 days. Annual Percentage Rate Payment /Credit Applied
is 18
TOTAL x, T r
VQ.
Customer Signature
White -Customer Copy Yellow -Customer Packing Slip Pink- Service Copy Gold- Parts/Rentals Copy
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
360946
GODWIN COMPANY INC Purchase Order No.
1175 W 16TH STREET Terms
INDIANAPOLIS, IN 46202 Due Date 3/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2012 21680 $58.80
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 116938 WARRANT ALLOWED
360946 IN SUM OF
GODWIN COMPANY INC
1175 W 16TH STREET
INDIANAPOLIS, IN 46202
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
21680 01- 7202 -06 $58.80
Voucher Total $58.80
Cost distribution ledger classification if
claim paid under vehicle highway fund