209557 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
1 P 0 BOX 91036 CHECK AMOUNT: $2,316.88
CARMEL, INDIANA 46032
a; off CHICAGO IL 60693 CHECK NUMBER: 209557
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4800394 74.88 OTHER EXPENSES
604 5023990 4801119 2,242.00 OTHER EXPENSES
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
5/11/12 1 5/23/12 W09702 EXP. CONN. OT 4801119
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
3910EC4 EC-41 EXPANSION CONNECTION 100 100 22.42000 EA 2,242.00
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions, which are incorporated herein by this reference and accepted.
To review these terms and conditions, please point your web browser to NET 30 2,242.00
http:// waterworks.hdsupply.com[TandC
Freight Delivery Handlinq Restock Misc. Tax
I $2,242.00
d�
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER 4801119
Branch 430 VISIT
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
000t:000t Page 1 of 1
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
5/11/12 5/11/12 JACK STOCK -PAINT WILL CALL 4800394
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
96PAINT170 17 OZ ORANGE MARKING PAINT 12 12 3.12000 EA 37.44
96PAINT17R 17 OZ RED MARKING PAINT 12 12 3.12000 EA 37.44
1240
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions, which are incorporated herein by this reference and accepted.
To review these terms and conditions, please point your web browser to
http: l/ waterworks.hdsupply.com/TandC NET 30 74.88
Frei ht Delivery Handlinq Restock Misc. Tax $74.88
HDSWW INDIANAPOLIS IN -W THANK YOU FOR YOUR ORDER
Branch 430 VISIT
4800394
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
0001:0001 Page 1 of 1
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 91036 Terms
CHICAGO, IL 60693 -1036 Due Date 5/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/2012 4801119 $2,242.00
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 121093 WARRANT ALLOWED
aTyaq 55VALO IN SUM OF
HD SUPPLY WATERWORKS
PO BOX 91036
CHICAGO, IL 60693 -1036
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4801119 02- 2308 -00 $2,242.00
Depreciation
q& b3`3 'A 01
Voucher Totala
Cost distribution ledger classification if
claim paid under vehicle highway fund