210262 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 365558 Page 1 of 1
ONE CIVIC SQUARE B W ROGERS CO CHECK AMOUNT: $324.28
CARMEL, INDIANA 46032 PO Box 569
AKRON OH 443091030 CHECK NUMBER: 210262
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 237616001 80.88 OTHER EXPENSES
651 5023990 238533001 243.40 OTHER EXPENSES
06/07/12 08:26 PM EDT via VSI —FAX Page 1 of 1 #24105
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
�o o� o B W ROGERS CO CODE
238533 001 DI
HYDRA AIR, INC.DR7SION 8208 INDY LN INVOICE DATE PAGE
P.O. Box 569, Akron, Ohio 44309 INDIANAPOLIS IN 46214 06/07/12 1
For Terms and Conditions visit: www.bwrogers.com An different or additional teens that may be embodied in your purchase ord ei ate hereby objected to. If your order is not an
acceptance of our pro,msat, INs will operate as an acceptance of your order only in the evert you agree to the terms hereof.
The terms and conditions contained above and attached shall apply.
TI7Y:
CliiAN.......::::
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TICY TQTAt EkC. K..:::...,..._._...: I1tI :S::::::::::::::::1:........
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flE C tIP,. 71dM FHODUCT;:;:;:::;:::::::::::::::::;:;::;:
fJRDER €D ..:..ORREREI?.•.....:: SMiPMEN.F::
10 2 2 FAN000131 88.0794 176.16
YASFAN Y07D EA
20 2 2 FAN001047 21.6811 43.36
COOLING FAN Y07D EA
INBOUND FRT IS: .00
I
FOLD
CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE
AMOUNT 219.52
C4037 06/05/12 8C 25 S JSC 06/06/12 25
FRGHT /INS /HNDL 23.88
Cartier: FOB: SP,FNA,PREPAID ORIG FAX INVOICE
Tracking: SAL ES TAY. .00
Terms of Payment: NET 30 DAYS CUST FAX 317 571 -2462 INVOICE TOTAL 243.4
Please Pay This Amount
ORDER ISSUED IN: INDIANAPOLIS
PHONE: 317- 271 -9288
Customer PO No. LARRY Mark No. LARRY
s CITY OF CARMEL UTILITIES s CITY OF CARMEL UTILITIES
0 ATTN: A/P B WASTEWATER
D 760 THIRD AVE SW P 9609 HAZEL DELL PKWY
T CARMEL IN 46032 T INDIANAPOLIS IN 46280
0 0
08/04/12 09:55 PH ED T via V5I —FAX Page 1 of 1 #23295
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
CODE
2B rsCep B W ROGERS CO 237616-001 DI
W-V _j
IFYDRA INC. orns[ON 8208 INDY LN INVOICE DATE PAGE
P.O. Box 569, Akron, Ohio 44309 INDIANAPOLIS IN 46214 06/04/12 1
For Terms and Conditions visit: vNrw.bwrogers.com Any different o. additional terms that may be em bodie in your pwd.... order are herby objected to. If your order is not an
acceptance of our proposal, this will operate as an —aptance. of yrnn order only in the evert you agree to the terms hereof.
The teens and conditions curtained above and attached shall apply.
QUANTITY
AkCf ti:.
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NUN16�R: ilW. T. bfi1v1�ASUR�:::::>:iEN�YC:PRt�R:
d..:.::.: DE6C} 2► QTIfkM :::RFf4hl1CT:: Dt6C6111+IT: .....ARAfIifFfT
ARDfR &D: DjTRERED: SMaP11EN.F. ab
10 2 2 300 017 -268 30.0000 60.00
PART Y07D EA
INBOUND FRT IS: .00
FOLD
CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE
AMOUNT 60.00
C4037 06/01/12 8C 25 S JSC 1 06/01/12 25 FRGHT/INS /HNDL 20.88
Carrier: Fob: SP,FNA,PREPAID ORIG FAX INVOICE
SALES TAX 00
Tracking:
Teens of Payment: NET 30 DAYS CUST FAX 317 -571 -2462 INVOICE TOTAL 80.88
Please Pay This Amount
ORDER ISSUED IN: INDIANAPOLIS
PHONE: 317- 271 -9288
Customer PO No. KEVIN -LARRY SCHIMMEL Mark No. KEVIN -LARRY SCHIMMEL
s CITY OF CARMEL UTILITIES s CITY OF CARMEL UTILITIES
ATTN: A/P H 9609 HAZEL DELL
D 760 THIRD AVE SW P WWTP
T CARMEL IN 46032 T INDIANAPOLIS IN 46280
0 0
VOUCHER 125168 WARRANT ALLOWED
365558 IN SUM OF
B W ROGERS CO
PO BOX 569
AKRON, OH 44309
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
238533001 01- 7202 -06 $243.40
2 3
Voucher Total
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
365558
B W ROGERS CO Purchase Order No.
PO BOX 569 Terms
AKRON, OH 44309 Due Date 6/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/2012 238533001 $243.40
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
6/2,911
Date Officer