209546 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 353520 Page 1 of 1
ONE CIVIC SQUARE GEORGE E BOOTH CO INC
CARMEL, INDIANA 46032 8202 W 10TH STREET CHECK AMOUNT: $2,600.11
INDIANAPOLIS IN 46214 CHECK NUMBER: 209546
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00202310 2,600.11 OTHER EXPENSES
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
00202310
George E. Booth Co., Inc. ENTERING OFFICE INVOICE DATE
George E. Booth Co., Inc.
George E. Booth Co., Inc. 8202 West 10th Street 05/11/12
ATTN: Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1/1
Indianapolis IN 46214
USA
Cust NO. Date Ordered Date Shipped Written By Order Type Ship From Loc Selling Loc
C1191 05/03/12 05/11/12 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No. Mark Number
W09700
Tracking numbers: 1Z4418480341805828
LINE QUANTITY ITEM UOM UNIT PRICE EXTENDED
NO. TOTAL BACK THIS DESCRIPTION DISCOUNT AMOUNT
ORDERED ORDERED SHIPMENT
0010 2.00 0.00 2.00 314496MO EA 232.2900 464.58
KIT,REPAIR,SOLENOID,ASCO
REPAIR KIT
0020 2.00 0.00 2.00 8316G026MO,120/60 EA 425.0000 850.00
VALVE, SOLENOID, 1 /2 ",3W, NO, BR,MAN OP
VALVE, SOLENOID, 1/2 BRASS, 3 -WAY, NO,
MANUAL OPERATOR, 120 VAC
FINISHED GOODS NO. 20617
KIT FOR THIS VALVE 314496 -MO
0030 2.00 0.00 2.00 8344G070MO,120/60 EA 497.2500 994.50
VALVE, SOLENOID,1 /4 ",4W, BR, MAN OP
1/4" BRASS 4 -WAY SOLENOID
MANUAL OVERRIDE
120VAC
0040 1.00 0.00 1.00 306191 -MS EA 250.0900 250.09
KIT, REPAIR,SOLENOID,ASCO
REPAIR KIT,VALVE,ASCO
Phone: 317-247-0100 AMOUNT 2,559.17
SO 00097123 FRGHT /INS /HNDL 40.94
PL 00098588 SALES TAX 0.00
AMOUNT DUE 2,600.11
B CITY OF CARMEL WATER DEPT. s CITY OF CARMEL WATER DEPT
1 WATER WASTEWATER UTILITIES H ATTN: PO# W09700
L 3450 W. 131 ST STREET a WATER.WATEWATER UTILITIES
WESTFIELD !N 46074 3450 W. 131 ST STREET
T T WESTFIELD IN 46074
0 0
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
353520
GEORGE E. BOOTH COMPANY Purchase Order No.
8202 W. 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 5/29/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/29/2012 00202310 $2,600.11
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
6111 6�
Date Officer
VOUCHER 121036 WARRANT ALLOWED
353520 IN SUM OF
GEORGE E. BOOTH COMPANY
8202 W. 10TH STREET
INDIANAPOLIS, IN 46214
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1
00202310 01- 6200 -04 $2,559.17
00202310 01- 6200 -04 $40.94
Voucher Total $2,600.11
Cost distribution ledger classification if
claim paid under vehicle highway fund