180261 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1
t ONE CIVIC SQUARE SERVICE PIPE SUPPLY INC
1 CARMEL, INDIANA 46032 P 0.33805
CHECK AMOUNT: $56.21
INDIANAPOLIS IN 46203
CHECK NUMBER: 180261
CHECK DATE: 12/812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 499871 56.21 OTHER EXPENSES
SERVICE PIPE SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203 Cust6me'r Co'p'y'
Phone: 317- 639 -9308
IVumbern 49
Fax: 317 -639 -1335 9871
Date 11124/09
two t'age 1
R a
8rN To CARMEL WASTEWATER TREATMENT Ship To CARMEL WASTEWATER TREATMENT
CARVYAS��p
Vf 760 3RD AVENUE S.W. �d A 9609 HAZEL DELL PARKWAY
CARMEL IN 46032 INDIANAPOLIS, IN 46280
-5z ry 0 q Ad
Customer Pd# Shrpped,�:' e Salesperson Terms Tax?�Code Doc wr, Freight Sh�p�Via
is 0
X,.• w z va,."e�.v a .,z rer?: .SAS a'"
JEFF COOPER 11 /24/09 004 B. FENTON 2% 10 DAYS N /30 NOTAX 251438 O1 PREPAID W/C
,h...Y,:�Pe a a �i ackordrd u
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Item, "ter Descnptran�� ;OrderedSlaippedB uat �w Ppee n� 1 xtenson
009250403 1/4X1/8 GALV Cl HEX BUSH 6 6 0 EA .35 EA 2.10
009250504 3/8X1/4 GALV Cl HEX BUSH 6 6 0 EA .44 EA 2.64
009250604 I /2XV4 GALV Cl HEX BUSH 6 6 0 EA .69 EA 4,14
009250605 1/2x3/8 GALV Cl HEX BUSH 6 6 0 EA .69 EA 4.14
009250705 3/4X3/8 GALV Cl HEX BUSH 6 6 0 EA 3.11 EA 18.66
009250706 3 /4X1 /2 GALV Cl HEX BUSH 6 6 0 EA 2. EA 14.28
014021202 21 /2XSHORT STD GALV NIPPL .1 1 0 EA 10.25 EA 10.25
999 GASKET FOR 6" DUCTILE IRON 12.00 .00 12.00 EA 5.53 EA .00
UNI- FLANGE
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0
It
PLEASE DEDUCT 1. 12 Merchandrse '�N!►�sc�Discounte x Tax ��refghlTot?I Due
IF PAID BY 12104/09
56.21 .00 .00 .00 .00 56.21
NO RETURNS FROM 1 1116 1 /06 /10 FOR INVENTORY
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
281250
SERVICE PIPE SUPPLY INC Purchase Order No.
P.O. 33805 Terms
INDIANAPOLIS, IN 46203 Due Date 12/1/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2009 499871 $53.21
!L.
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 096845 WARRANT ALLOWED
281250
IN SUM OF
SERVICE PIPE SUPPLY INC
P:O. 33805
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
499871 01- 7202 -06 1
s6.2(
Voucher Total 1
Cost distribution ledger classification if
claim paid under vehicle highway fund