211119 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366390 Page 1 of 1
ONE CIVIC SQUARE JENFITCH LLC
CARMEL, INDIANA 46032 712 BANCROFT RD STE 805 CHECK AMOUNT: $4,749.84
WALNUT CREEK CA 94598
CHECK NUMBER: 211119
CHECK DATE: 7/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 8756 4, 749 . 84 CHEMICALS
JENFITCH, LLC �v Invoice
712 BANCROFT ROAD SUITE 805 I,��j}�
Date Invoice#
WALNUT CREEK, CA 94598
7/2/2012 8756
Bill To Ship To
City of Carmel WWTP City of Carmel WWTP
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis,IN 46280 Indianapolis,IN 46280
Phone:317-571-2634 ext 226
Contact:Joseph Faucett
P.O. Number Terms Rep Ship Via F.O.B. Project
813143 Net 30 7/2/2012 DI.S
Quantity Item Code Description Price Each Amount
2,600 JS 9325 JS 9325 Struvite Dissolver 1.60 4,160.00
1 Freight-S Freight-ROADRUNNER#244594016 589.84 589.84
Sales Tax 0.00% 0.00
Total i $4,749.84
VOUCHER # 125301 WARRANT # ALLOWED
366390 IN SUM OF $
JENFITCH LLC
712 BANCROFT ROAD STE 805
WALNUT CREEK, CA 94598
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
8756 01-7182-05 $4,749.84
i
I '
I
i
Voucher Total $4,749.84
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
366390
JENFITCH LLC Purchase Order No.
712 BANCROFT ROAD STE 805 Terms
WALNUT CREEK, CA 94598 Due Date 7/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2012 8756 $4,749.84
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