209249 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00352321 Page 1 of 1
Q� ONE CIVIC SQUARE M S C INDUSTRIAL SUPPLY CO INC CHECK AMOUNT: $129.36
CARMEL, INDIANA 46032 DEPT CH 0075
PALATINE IL 60055 -0075 CHECK NUMBER: 209249
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 14547962 129.36 MATERIALS SUPPLIES
INVOICE
A69W Invoice Number Purchase Order No.
28551 LAURA COURT 14547962 JEFF COOPER
ELKHART IN 46517 -1179
Ordered by: JEFF COOPER
Sub-Total: 118:38
Shipping, Handling
Customer Number: 00800886 Surcharge 10.98
Sales Tax: .0.00
01487 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Total: $129.36
ORIGINAL PACKING SLIP 1454796
Bill To: CITY OF CARMEL Ship To: CARMEL UTILITIES
760 3RD AVE SW STE 110 9609 HAZELDELL PKWY
CARMEL IN 46032 -2070 INDIANAPOLIS IN 46280
Page 1 of 1
Any questions or concerns? Please call your local branch or 1- 800 645 -7270 between 7:OOAM and 11:00PM EST.
Packing `Order Invoice
Ship ia Merchandise Tota
p
Slip No: Date• Date
1454796 05/14/12 05/14/12 UPS GROUND 118.38
Quantity Quantity Unit of. MSC Item Extended
Unit Price
Taz
Ordered Shipped ;M easure Description Manufacturer Item Your ltem Price
08551368 555502 118.38 118.38 N
upc code: 010121106376
360 1.6AMP IN -LINE UTILITY PUMP
THANK YOU FOR YOUR ORDER
A fuel surcharge has been included due to recent escalations in fuel prices.
MSC products and services are subject to U.S. export control laws and regulations. Diversion contrary to U.S. law is prohibited.
See MSC's standard terms and conditions of sale for further information.
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
352321
MSC INDUSTRIAL SUPPLY CO., INC. Purchase Order No.
Dept. CH 0075 Terms
Palatine, IL 60055 Due Date 5/18/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2012 14547962 $129.36
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
VOUCHER 117360 WARRANT ALLOWED
352321 IN SUM OF
MSC INDUSTRIAL SUPPLY CO., INC.
Dept. CH 0075
Palatine, IL 60055
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
14547962 01- 7202 -06 $129.36
Voucher Total $129.36
Cost distribution ledger classification if
claim paid under vehicle highway fund