209510 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1
ONE CIVIC SQUARE CARMEL WELDING SUPP INC CHECK AMOUNT: $111.04
p .a CARMEL, INDIANA 46032 550 S. RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 209510
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 333140 61.74 OTHER EXPENSES
651 5023990 333681 49.30 OTHER EXPENSES
DATE INVOICE
5/11Z12 333140
TIME CARMEL WELDING AND SUPPLY P/0 Nb
8:53:40 550 South Rangeline Road
SALES Carmel, Indiana 46032 WORK ORDER!
004 004 317- 846 -3493 www.CarmelWelding.com I
PAGE
I
1 1 of 1
Terminal 12
(317) 571-2443 7 7
BILL TO ACCOUNTe 3016 SHIP TO ACCOUNT: 3016
CARMEL SEWER DEPARTMENT CARMEL SEWER DEPARTMENT
760 3RD AVENUE SW 760 3RD AVENUE SW
CARMEL, INDIANA 46032 CARMEL, INDIANA 46032
Tax Exemption 4: 356000972001
WWW.CARMELWELDING.COM Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or special orders
ORD SHIP B O rNe PART NUMBER DESCRIPTION LIST NET AMOUNT
2 2 MIST FITTING 6.48 12.96
4 4 MISJ408 HYD. HOSE 5.13 20.52
1 1 L041 MAKE HOSE 8.50 8.50
1 1 CU2737 -3062 FLUID HYDR -TRANS G 19.76 19.76
I
SUB TOTAL 53.24
CHARGE SALE MISC. 0.00
LABOR 8.50
TAX 7.000 0.00
Signature INVOICE TOTAL 61.74
DATE INVOICE
5/21/12 333681
TIME CARMEL WELDING AND SUPPLY
13:10:13 550 South Rangeline Road
S ALESMAN Carmel, Indiana 46032 WORK ORDE
004/004 317- 846 -3493 www.CarmelWelding.com
STORE PAGE 1 i
1 1 of 1
Terminal 12
4 7 571-
BILL TO ACCOUNTo 3016 SHIP TO ACCOUNT* 3016
CARMEL SEWER DEPARTMENT CARMEL SEWER DEPARTMENT
760 3RD AVENUE SW 760 3RD AVENUE SW
CARMEL, INDIANA 46032 CARMEL, INDIANA 46032
Tax Exemption 4: 356000972001
WWW.CARMELWELDING.COM Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or special orders
ORD SHIP I B O INEJ PART NUMBER DESCRIPTION LIST NET AMOUNT
2 2 CUB1910917 BLADE 18.96 37.92
1 1 CU2921 -04041 ADAPTER NOZZLE 11.38 11.38
E 2012
SUB TOTAL 49.30
CHARGE SALE MISC. 0.00
LABOR 0.00
TAX 7.000 0.00
Signature INVOICE TOTAL 49.30
VOUCHER 125005 WARRANT ALLOWED
51000 IN SUM OF
CARMEL WELDING SUPP INC
550 S. RANGELINE RD
CARMEL, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
333140 01- 7500 -02 $61.74
3 3�(0 81 O I. 7 502_04
Voucher Total 7
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
51000
CARMEL WELDING SUPP INC Purchase Order No.
550 S. RANGELINE RD Terms
CARMEL, IN 46032 Due Date 5/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/21/2012 333140 $61.74
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