177845 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362221 Page 1 of 1
ONE CIVIC SQUARE SILLWORKS CHECK AMOUNT: $249.20
CARMEL, INDIANA 46032 5 -155 TERENCE MATTHEWS CRESCENT
OTTAWA, ONTARIO K2M 2A8 CHECK NUMBER: 177845
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUN T DESC
651 5023990 04A43192 249.20 MATERIALS SUPPLIES
Sillworks its it t
5 -155 Terence Matthews Crescent
Ottawa., Ontario
K2M 248
Invoice: 04A -43192
Invoice: 04A-:43192.
Customers Info Delivery Info
Sold To: Carmel Wastewater Utilities Ship To: Carmel Wastewater Treatment Plan
Jeff Cooper Jeff Cooper
760 Third Avenue S.W. Suite 110 9609 Hazel Dell Parkway
Carmel, Indiana Indianapolis, Indiana
46032 46280
United States United States
Phone: 317- 571 -2634 ext 222
Mail: i coo oer@carmel.1n.gov
Payment Information
Payment Method: Net 30 Date Purchased:Thursday, 10th September, 2009
Remit to: Sillworks
5 -155 Terence Matthews Crescent
Ottawa, Ontario
K2M 2A8
Phone: 613.599.1287
Qty. Products Tax Total
1 365695 -001 CPQ 72.8 -GB U320 10K (2Pack) 0% $249.20
Sub Total: $249.20
Tax: $0.00
Total: $249.20
Commen
We pay off of purchase orders the purchase order S11842
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Monday, 14th September, 2009
Sillworks
5 -155 Terence Matthews Crescent
Ottawa, Ontario
K2M 2A8
(Tel) 613.599.1287 (Fax) 613.599.8120
www, sill works. com
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
362221
SILLWORKS Purchase Order No.
5 -155 TERENCE MATTHEWS CRESCENT Terms
OTTAWA, ONTARIO, K2M 2A8 Due Date 9/22/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/22/2009 04A43192 $249.20
hereby certify that the attached invoice(s), or bill(s) is (are) true and
,orrect and I have audited same in accordance with IC 5-11- 10 -1.6
Date Officer
VOUCHER 496460 WARRANT ALLOWED
362221 IN SUM OF
SILLWORKS
5 -155 TERENCE MATTHEWS CRESCE
OTTAWA, ONTARIO, K2M 2A8
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
OPO INV ACCT AMOUNT Audit Trail Code
04A43192 01- 7202 -05 $249.20
Voucher Total $249.20
Cost distribution ledger classification if
claim paid under vehicle highway fund