176934 09/02/2009 CITY OF CARMEL, INDIANA VENDOR 362221 Page 1 of 1
ONE CIVIC SQUARE SILLWORKS CHECK AMOUNT: $249.20
o CARMEL, INDIANA 46032 5 -155 TERENCE MATTHEWS CRESCENT
a� OTTAWA, ONTARIO K2M 2A8 CHECK NUMBER: 176934
CHECK DATE: 9/2/2009
DEPAR TMENT ACC OUNT PO NUMBER INV OICE NUMB AMOUNT DESCRIPTION
T 651 5023990 OA42267 249.20 MATERIALS SUPPLIES
,i7
Sillworks PartsDirectm
5 -155 Terence Manht:,ws Crescent
Ottawa, Ontario
K2M 2A8
Invoice: 04A -42287
Invoice: 04A -42287
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
E -Mail: jcooper @carmel.in.goy_
Payment Information
Payment Method: Net 30 Date Purchased: Tuesday, 4th August, 2009
Remit to: Sillworks
5 -155 Terence Matthews Crescent
Ottawa, Ontario
K2M 2A8
Phone: 613.599.1287
Qty. Products Tax Total
1 360205 -012 CPQ 72.8 -GB U320 10K (2Pack) 0% $249.20
Sub- Total: $249.20
Tax: $0.00
Total: $249.20
Comm
P0# S11803,
Monday, 10th August, 2009
Sillworks
5 -15S Terence Matthews Crescent
Ottawa, Ontario
K2M 2A8
(Tel) 613.599.1287 (Fax) 613.599.8120
www.sillworks.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 8/25/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2009 04A42287 $24920
'tv
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
A V6ZA'--
Date Officer
VOUCHER 096296 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
PO INV ACCT AMOUNT Audit Trail Code
04A42287 01- 7202 -06 $249.20
3
J
Voucher Total $249.20
Cost distribution ledger classification if
claim paid under vehicle highway fund