209620 06/05/2012 *f CITY OF CARMEL, INDIANA VENDOR: 365006 Page 1 of 1
ONE CIVIC SQUARE NALCO CROSSBOW WATER
CARMEL, INDIANA 46032 NETWORK PLACE 24656 CHECK AMOUNT: $190.00
CHICAGO IL 60673
CHECK NUMBER: 209620
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2079868 190.00 MATERIALS SUPPLIES
C
W" t r Invoice
Nalco Crossbow Water
Network Place 24658
Chicago, IL 60673
USA Invoice No. 2079868
Customer No. 0310060A
Bill To Ship To
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 317-571-2634210 Telephone: 317 -571 -2634 210
Invoice Date Order Date SO Number Ordered By Customer PO Number Payment Method
05/22/12 05/15/12 1 Net 30
Warehouse Ship Via F.O.B. Salesperson Resale Number
INDY Crossbow Truck Chris Coppock
Order Ship Unit Extended
Quantity Quantity Tax It Number /Description Price Price
2 2 Y DMD1 U of M: EACH 95.0000 190.00
DI EXPRESS
IT SERVICE EXCHANGER
01 D80 FRP MIXBED
Print. Date 05/23/12 Due Date 06/21/12 Subtotal 190.00
Print Time 07:50:41 AM Freight 0.00
Page. No. 1
Printed By: Jessica OBradovich Total Paid 0.00
Balance Due 190.00 Invoice Total 190.00
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
365006
NALCO CROSSBOW WATER Purchase Order No.
NETWORK PLACE 24658 Terms
CHICAGO, IL 60673 Due Date 6/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2012 2079868 $190.00
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
4
Date Officer
VOUCHER 125046 WARRANT ALLOWED
365006 IN SUM OF
NALCO CROSSBOW WATER
NETWORK PLACE 24658
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2079868 01- 7202 -05 $190.00
Voucher Total $190.00
Cost distribution ledger classification if
claim paid under vehicle highway fund