208014 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 355619 Page 1 of 1
t. ONE CIVIC SQUARE QUESTAR INC CHECK AMOUNT: $518.15
CARMEL, INDIANA 46032 6615 PROMWAY AVENUE NW
NORTH CANTON OH 44720 CHECK NUMBER: 208014
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5078260 518.15 MAT SUPP -HAZ MATERI
INVOICE
QUESTAR, INC.
INVOICE
Branch: 06 NORTH CANTON 5078260
7948 FREEDOM AVE., NW Invoice Date Page
NORTH CANTON, OH 44720 3/23/2012 1 of 1
UNITED STATES ORDER NUMBER
1079171
330- 966 -2070
Bill To: Ship To:
CARMEL HHW CARMEL HHW
760 3RD. AVE. S.W. 901 N. RANGELINE RD.
CARMEL, IN 46032 CARMEL, IN 46032
USA USA
Ordered By: BILL KELLAM
Customer ID: 111726
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
BILL Net 30 4/22/2012 4/22/2012 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
3/23/2012 07:32:29 3084731 CENTRAL REGION CPALMER
Quantities Pricing
Item ID UOM Unit E.rtended
Ordered Shipped Remaining UOM 4 Item Description Unit Size Price Price
Unit Size C
Currier: VITRAN Tracking #:00466019775
100.0000 100.0000 0.0000 EA EDF104NOUN EA 4.2000 420.00
1.0 BOX FIBER, NON UN RATED 1.0000
14x 12x48 FLUORO BULB RSC
NON UN RATED
HOLDS 72 BULBS 125 /PLT
Total Lines: I SUB- TOTAL: 420.00
Total Freight hr 0.00 Total Freight Out: 98.15 "TOTAL FREIGHT. 98.15
TAX. 0.00
AMOUNT DUE: 518.15
ORIGINAL
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
355619
QUESTAR INC Purchase Order No,
6615 PROMWAY AVENUE NW Terms
NORTH CANTON, OH 44720 Due Date 4/2/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2012 5078260 $518.15
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
VOUCHER 117056 WARRANT ALLOWED
355619 IN SUM OF
QUESTAR INC
W
NORTH CANTON, OH 44720
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5078260 01- 720H -08 $518.15
Voucher Total $518.15
Cost distribution ledger classification if
claim paid under vehicle highway fund