210750 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350779 Page 1 of 1
ONE CIVIC SQUARE B L ANDERSON CO.
se ,4� CARMEL, INDIANA 46032 4801 TAZER DRIVE CHECK AMOUNT: $1,217.00
LAFAYETTE IN 47905 CHECK NUMBER: 210750
CHECK DATE: 7/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 P4142 1, 217 . 00 OTHER EXPENSES
Invoice B L Anderson Co., Inc.
4801 Tazer Drive
Lafayette IN 47905
765-463-151.8 phone
765-446-8390 fax
www.blanderson.com
OLL ARMPIEMSON
Date Invoice#
6/28/2012 P4142
Bill To Ship To
CARMEL WASTEWATER CARMEL WASTEWATER
760 3RD AVE. SW 9609 HAZEL,DELI,PKWY
CARMEL,IN 46032-2036 INDIANAPOLIS,IN 46280
P.O. Number Terms Rep Ship Date Project
S13109 Net 30 RWL 6/26/2012
Quantity Item Code Description Price Each Amount
1 Wemeo 62340-01 LOWER HEARING ASSEMBLY 1,177.00 1,177.00
1 Shipping and Handling Shipping and Handling 40.00 40.00
Overdue balance will
accrue interest at the rate of
1-1/2%per month
compounded plus legal and
collection fees.
Total $1,217.00
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
555
B.L. ANDERSON COMPANY, INC. Purchase Order No.
4801 Tazer Drive Terms
Lafayette, IN 47996 Due Date 7/9/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/2012 P4142 $1,217.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IBC 5-11-10-1.6
Date Officer
VOUCHER # 125253 WARRANT # ALLOWED
555 IN SUM OF $
B.L. ANDERSON COMPANY, INC.
4801 Tazer Drive
Lafayette, IN 47996
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
P4142 01-7202-06 $1,217.00
Voucher Total $1,217.00
Cost distribution ledger classification if
claim paid under vehicle highway fund