211635 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 022251 Page 1 of 1
ONE CIVIC SQUARE BARCO MUNICIPAL PRODS INC
CARMEL, INDIANA 46032 PO BOX 45507 CHECK AMOUNT: $586.02
OMAHA NE 68145-0507 CHECK NUMBER: 211635
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 IN-202150 586 . 02 MATERIALS & SUPPLIES
Barco Municipal Products Inc Invoice Date Page
Jul 20, 2012 1
PO Box 45507
Omaha, NE, 68145-0507 Invoice Number
Phone: 1-800-228-2703 IN-202150
Fax: (402) 334-8002
Sold To: Ship To:
CITY OF CARMEL CITY OF CARMEL
9609 HAZEL DELL PARKWAY WASTEWATER TREATMENT
INDIANAPOLIS, IN 46280 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
Order No. Salesperson Order Date Customer No. PO Number Ship Via Terms
LP2966 L Jul 19, 2012 IN6286 JEFF UPS _N30_
_Qty. Qty.—Qty
Item Number Description Unit Price UOM Extended Price
Ord. Shp. B/o
3 3 0 DW-PRO 12.5" H.D. HANDYWHEEL 190.000 EA 570.00
FRT SHIPPING 16.02
Due Date Amount Due
Aug 19, 2012 586.02
Comments: Tax summary: Merch Subtotal 570.00
INDIANA Stai 0.00 Misc Chrg Subtotal 16.02
Total sales tax 0.00
Total amount 586.02
Less payment 0.00
Amount due 586.02
VOUCHER # 125474 WARRANT # ALLOWED
22251 IN SUM OF $
BARCO MUNICIPAL PRODS INC
PO BOX 45507
OMAHA, NE 68145-0507
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
IN-202150 01-7200-01 $586.02
Voucher Total $586.02
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
22251
BARCO MUNICIPAL PRODS INC Purchase Order No.
PO BOX 45507 Terms
OMAHA, NE 68145-0507 Due Date 8/7/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/7/2012 IN-202150 $586.02
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