209668 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1
ONE CIVIC SQUARE SERVICE PIPE SUPPLY INC CHECK AMOUNT: $163.88
s` r� CARMEL, INDIANA 46032 P.O. 33805
INDIANAPOLIS IN 46203 CHECK NUMBER: 209668
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 555224 163.88 MATERIALS SUPPLIES
SERVICE PIPE SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203
Phone: 317- 639 -9308
Fax: 317- 639- 1335 4 Nuntier 555224
�r Date 05/18/12
f
8�ll�To CARMEL FVASTENVATER TREATMENT Slop To CARMEL WASTEWATER TREATMENT
760 3RD AVENUE S.W. 9609 HAZEL DELL PARKIVAY
CARMEL, IN 46032 y INDIANAPOLIS, IN 46280
Customer PO# `Shipped `Salesp rere sori g "Terms Tax�(;We Doc wh I Freight Ship Vial
a, z .e, to d e a z
JEFF COOPER I 05/18/12 004 B. FENTON 2% 10 DAYS N /30 NOTAX 301685 Ill PREPAID, SAME
i
Item Description, Ordered Shipped Backordrd l um Pnce l uM Extension
11198361115 11/2 PVC80 MALE ADAPTER 6 6 0 EA 4.17 EA� 25.02
118010801 1 XCLOSE PVC80 NIPPLE 6.00 6.00 .00 EA .81) EA 4.80
0771\110106 112 MILANO FP BALL VALVE 4 4 0 EA I 4.35 EA j 17.40
077NI10107 1 /4 MILANO FP BALL VALVE 21 2 0 EA I 6.12 E A! 12.24
I
077NI10108 1 MILANO FP BALL VALVE 2 2 01EA 9.49 EA 18.98
I I
014020601 I /2XCLOSE STD GALV NIPPLE 61 61 O EA .89 EA 5.34
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i
0062406 1/2 GALV MI 150# UNION 6 6 11 EA 6.05 j EA 36.30
I
0060307 3/4 GALV MI ST 90 4 41 11 EA 3.05 EA 12.20
0062408 1 GALV MI 150# UNION 2 2 0 EA 9.11 E 18.22
i
0062008 1 GALV M1 CAP 21 2 0 EAI 2.64' 1 EA i 5.28
i
0061509 11/4 GALV STR TAP COUPLING 2 2 0 EA 4.05 SEA 8.10
I
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P �%ef�
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Frerght' FOtalDue
PLEASE DEDUCT 3.38 rse Isc
IF PAID BY 05 /28/12
163.88 .00 110 .00 .00 163.88
THANK YOU VERY MUCH FOR YOUR BUSINESS.
VOUCHER 125030 WARRANT ALLOWED
281250 IN SUM OF
SERVICE PIPE SUPPLY INC
P.O. 33805
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
555224 01- 7202 -06 $163.88
Voucher Total $163.88
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"
281250
SERVICE PIPE SUPPLY INC Purchase Order No.
P.O. 33805 Terms
INDIANAPOLIS, IN 46203 Due Date 5/23/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/23/2012 555224 $163.88
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
Date Officer