209045 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00350779 Page 1 of 1
4 ONE CIVIC SQUARE B L ANDERSON CO.
CARMEL, INDIANA 46032 4801 TAZER DRIVE CHECK AMOUNT: $5,082.51
LAFAYETTEIN 47905
CHECK NUMBER: 209045
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 P4068 1,468.68 OTHER EXPENSES
651 5023990 P4072 3,613.83 OTHER EXPENSES
O
B L Anderson Co., Inc.
4801 Tazer Drive
Lafayette IN 47905
765- 463 -1518 phone
765- 446 -8390 fax
www.blanderson.com
93L ANDERSON
Date Invoice
5/15/2012 1
Bill To Ship To
CARMEL, WASTEWATER 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
S13080 Net 30 RWL 4/24/2012
Quantity Item Code Description Price Each Amount
1 Non Inventory Parts Pump 1 -lose Natural Rubber 1,135.00 1,135.00
1 Non Inventory Parts Hose Lube 5 gal can 300.00 300.00
1 Shipping and Handling Shipping and Handling 33.68 33.68
Overdue balance will
accrue interest at the rate of
1 -1 /2% per month
compounded plus legal and
collection fees.
Total $1,468.68
VOUCHER 117350 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
P4068 01- 7202 -06 $1,468.68
Voucher Total $1,468.68
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 I Due Date 5/16/2012
Invoice Invoice Description
Date Number_- (or-note- attached invoice(s)- or .bill(s))__ Amount
5/16/2012 P4068 $1,468.68
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
B L Anderson nc.
Invoice 4801 Tazer Drive Co.,
Lafayette IN 47905
765- 463 -1518 phone
765 -446 -8390 fax
www.blanderson.com
SL ANDERSON
Date Invoice
5/16/2012 P -4072
Bill To Ship To
CARMEL WASTEWATER CARMEL WASTEWATER
760 3RD AV E. SW 9609 HAZEL DELL PKWY
CARMEL, IN 46032 -2036 INDIANAPOLIS, IN 46280
P.O. Number Terms Rep Ship Date Project
S13044 Net 30 RAP 5/15/2012
Quantity Item Code Description Price Each Amount
1 Non Inventory Parts Moyno P/N 4251854102 Stator for G2 Pump 3,501.00 3,501.00
2J220G2M l OCDQ3AAA
1 Shipping and Handling Shipping and Handling Inbound 112.83 112.83
Overdue balance will
accrue interest at the rate or
1 -1/2% per month
compounded plus legal and
collection fees.
Total $3.613.83
VOUCHER 117361 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
P4072 01- 7202 -06 $3,613.83
i
Voucher Total $3,613.83
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 5/18/2012
Invoice Invoice Description
Date.. Number (or note attached invoice(s) or bill(s)) Amount
5/18/2012 P4072 $3,613.83
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
S/Z /1/ 0^�— al"
Date Officer