209399 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 362301 Page 1 of 1
ONE CIVIC SQUARE WIESE PLANNING ENG INC CHECK AMOUNT: $167.39
CARMEL, INDIANA 46032 PO BOX 60106
ST LOUIS MO 63160 CHECK NUMBER: 209399
CHECK DATE: 5122/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 60176177 167.39 OTHER EXPENSES
WAREHOUSE
MANAGEMENT SOLUTIONS
Account# Work Ord Br Sls W 0 R K O R D E R Date Invoice Page
5712648 30471 060 E01 I N V O I C E 05 -11 -12 60176177 1
Sold To: Ship To:
CITY OF CARMEL CITY OF CARMEL
WATER DISTRIBUTION WATER DISTRIBUTION
760 3RD AVE SOUTHWEST 130 1ST AVE SOUTHWEST
CARMEL IN 46032 CARMEL IN 46032
Ship Via:
Purchase order Date Job Number Job Contact
WILLIAM KELLAM 03 -22 -12 WILLIAM.KELLAM 571
THANK YOU FOR YOUR BUSINESS
Seg# 000 Mfr:MIT Model:FG25N S /N:AF17D00368 Meter: 98
Cust ID: 0301H Equip ID:0301H
PLANNED MAINTENANCE (PM)
THANK YOU
SERVICE LABOR 79.00
1 91H2O11870 FILTER,OIL 7.83 7.83
4 A000009513 15W40 1 QUAR 5.80 23.20
Total for segment 110.03
001 Mfr:MIT Model:FG25N S /N:AF17D00368 Meter: 98
Cust ID: 0301H Equip ID:0301H
4 91H2O12860 PLUG,SPARK Rp 14.34 57.36
Total for segment 57.36
Seg# 098 Mfr:MIT Model:FG25N S /N:AF17D00368 Meter: 98
Cust ID: 0301H Equip ID:0301H
TRAVEL CHARGE
Total Labor 0.00
Total for segment 0.00
REMIT TO: WIESE USA
P:0. BOX 60106 Continued
ST. LOUIS, MISSOURI 63160
(317) 241 -8600
For all ®f your Material Handling needs
A finance charge of 1.5% per month will be added to past due accounts.
Parts returned must be accompanied by original invoice and are subject to a restocking fee. Claims for shortages must be made within ten days.
i
WAREHOUSE
MANAGEMENT SOLUTIONS
Account# Work Ord Br Sls W O R K O R D E R Date Invoice Page
5712648 30471 060 E01 I N V O I C E 05 -11 -12 60176177 2
Sold To: Ship To:
CITY OF CARMEL CITY OF CARMEL
WATER DISTRIBUTION WATER DISTRIBUTION
760 3RD AVE SOUTHWEST 130 1ST AVE SOUTHWEST
CARMEL IN 46032 CARMEL IN 46032
Ship Via:
Purchase order Date Job Number Job Contact
WILLIAM KELLAM 03 -22 -12 WILLIAM KELLAM 571
THANK YOU FOR YOUR BUSINESS
Total parts 88.39 Total labor 79.00 Total misc 0.00
46241 IN SALES TAX 6.19
REMIT TO: WIESE USA Amount Due
P.O. BOX 60106 Due By: 173.58
ST. LOUIS, MISSOURI 63160 06/10/12
(317) 241 -8600
For all ®f your Material Handling weeds
A finance charge of 1.5% per month will be added to past due accounts.
Parts returned must be accompanied by original invoice and are subject to a restocking fee. Claims for shortages must be made within ten days.
VOUCHER 117337 WARRANT ALLOWED
T1058 IN SUM OF
WIESE PLANNING ENG
PO BOX 60106
ST LOUS, MO 63160
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
60176177 01- 736H -08 $167.39
Voucher Total $167.39
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
T1058
WIESE PLANNING ENG Purchase Order No.
PO BOX 60106 Terms
ST LOUS, MO 63160 Due Date 5/16/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/16/2012 60176177 $167.39
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