207074 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: $37.44
CARMEL, INDIANA 46032 P 0 Box 91036
CHICAGO IL 60693 CHECK NUMBER: 207074
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4456324 37.44 MATERIALS SUPPLIES
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
2/27/12 1 2/28/12 GREG MARKING PAINT OUR TRUCK 4456324
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
96PAINT17W 17 OZ WHITE MARKING PAINT 12 12 3.12000 EA 37.44
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions, which are incorporated herein by this reference and accepted.
To review these terms and conditions, please point your web browser to
http:// waterworks.hdsupply.comrrandC NET 30 37.44
Frei ht Delivery Handlinq Restock Misc. Tax
$37.44
HDSWW c INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT
4456324
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
000l:000l Page 1 of 1
VOUCHER 113928 WARRANT ALLOWED
350591 IN SUM OF
HD SUPPLY WATERWORKS
PO BOX 91036
CHICAGO, IL 60693 -1036
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4456324 01- 6200 -06 $37.44
I
i
o
Voucher Total $37.44
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 91036 Terms
CHICAGO, IL 60693 -1036 I Due Date 3/6/2012
1
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2012 4456324 $37.44
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