207743 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00350779 Page 1 of 1
I ONE CIVIC SQUARE B L ANDERSON CO. CHECK AMOUNT: $76.03
CARMEL, INDIANA 46032 4801 TAZER DRIVE
LAFAYETTE IN 47905 CHECK NUMBER: 207743
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 P3992 76.03 OTHER EXPENSES
B L Anderson Co., Inc.
Invoice
4801 Tazer Drive
Lafayette IN 47905
765- 463 -1518 phone
765- 446 -8390 fax
p pf I r g 'N C C 0P Y www.blanderson.com 13L AMDERSON Date Invoice
3/30/2012 P -3992
Bill To Ship To
CARMEL WASTEWA'T'ER CARMEL WASTEWATER
760 3RD AVE. SW 9609 HAZEL DELL PKWY
CARMEL, IN 46032 -2036 INDIANAPOLIS IN 46280
P.O. Number Terms Rep Ship Date Project
Jeff Cooper Net 30 RWL 3/28/2012
Quantity Item Code Description Price Each Amount
4 Non Inventory Parts Toric ring 16.00 64.00
4 Wemco 142047 GASKET 1.00 4.00
1 Shipping and Handling Shipping and Handling 8.03 8.03
Overdue balance will
accrue interest at the rate of
1 -1 /2% per month
compounded plus legal and
collection fees.
Total $76.03
i
VOUCHER 117100 WARRANT ALLOWED
555 IN SUM OF
B.L. ANDERSON COMPANY, INC.
4801 Tazer Drive
Lafayette, IN 47996
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P3992 01- 7202 -06 $76.03
Voucher Total $76.03
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
555
B.L. ANDERSON COMPANY, INC. Purchase Order No.
4801 Tazer Drive Terms
Lafayette, IN 47996 Due Date 4/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/4/2012 P3992 $76.03
I
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