212224 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
Q � ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
®�o CARMEL, INDIANA 46032 P 0 BOX 91036 CHECK AMOUNT: $2,550.88
CHICAGO IL 60693 CHECK NUMBER: 212224
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 5193641 2, 242 . 00 OTHER EXPENSES
601 5023990 5213607 74 . 88 OTHER EXPENSES
651 5023990 5225784 234 . 00 MATERIALS & SUPPLIES
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
7/30/12 8/01/12 W09725 EXPAN. CONNECT DIRECT 5193641
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
HD SUPPLY WATERWORKS PO#-5667966
3910EC4 EC-41 EXPANSION CONNECTION 100 100 22.42000 EA 2,242.00
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions,which are incorporated herein by this reference and accepted.
To review these terms and conditions,please point your web browser to NET 30 2,242.00
http://waterworks.hdsupply.com/'randC/.
Freight Delivery Handlinq Restock Misc. Tax •
• $2,242.00
HDSWW-INDIANAPOLIS IN-W THANK YOU FOR YOUR ORDER
Branch-430 VISIT
• 5193641
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED
000l:000z Page 1 of 1
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date-Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
8/01/12 8/03/12 JACK MARKING PAINT I OUR TRUCK 5213607
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
96PAINT17W 17 OZ WHITE MARKING PAINT 24 24 3.12000 EA 74.88
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms SubTotal
and conditions,which are incorporated herein by this reference and accepted.
To review these terms and conditions,please point your web browser to NET 30 74.88
http://waterworks.hdsupply.com/TandC/.
Freight Delivery Handlinq Restock Misc. Tax °
$74.88
HDSWW-INDIANAPOLIS IN-W THANK YOU FOR YOUR ORDER
Branch-430 VISIT
• 5213607
1680 Expo Lane WATERWORKS.HDSUPPLY.COM
Indianapolis IN 46214 FOR OTHER SERVICES OFFERED Pa e 1 of 1 ,
0002:0002 9
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 91036 Terms
CHICAGO, IL 60693-1036 Due Date 8/22/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/22/2012 5193641 $2,242.00
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
Date Officer
VOUCHER # 121908 WARRANT # ALLOWED
350591 IN SUM OF $
HD SUPPLY WATERWORKS
PO BOX 91036
CHICAGO, IL 60693-1036
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
5193641 02-2308-00 $2,242.00
Depreciation
a aua.ao
-7 Dt.IaZL`C�°�� -74 .ckz>
i
Voucher Total
Cost distribution ledger classifica ion if
claim paid under vehicle highway fund
F INVOICE INVOICE# 5225784
®
BRANCH ADDRESS INVOICE DATE 8/07/12
HDSWW-INDIANAPOLIS IN-W ACCOUNT# 081252
Branch-430 SALESPERSON LARRY SHIREMAN
Local Service, Nationwide 1680 Expo Lane
P.O. Box 1419 Indianapolis IN 46214 BRANCH# 430
Thomasville, GA 31799-1419 317/271-1463
$234.00
Remit To:
HD SUPPLY WATERWORKS, LTD.
PO BOX 91036
CHICAGO, IL 60693-1036
620 1 MB 0.404 E0143X 10216 D526478719 PI 146932 0001:0001
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CARMEL WATER DISTRIBUTION& SEWER COLLECTION
SEWER COLLECTION
3450 W 131 ST ST ST 131 ST
CARMEL IN 46074-8267 WESTFIEL ,
-------------------------------------------------------------- -----------------------------
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date Ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
8/03/12 8/06/12 S13189 S13189 OT 5225784
F Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
96PAINT17G 17 GREEN ARKING PAINT 75 75 3.12000 EA 234.00
1242
BID SEQ# 0
s
rte ;`
This transaction is governed by and subject to HD Su
and conditions,which are incorporated herein b
To review these terms and conditions, pe Waterworks standard terms
http://waterworks.hdsu Please Point Your brow ea accepted.
PPly.com/TandC/. Terms
SubTotal
Frei ht
Delive Handlin Restock NET 30
Misc. Tax 234.00
HDSwW-INDIANAPOLIS IN-W
B
TO
ranch-430 THANK TO
1680 Expo Lane YOU FOR YOUR ORDER
0001:0001 Indianapolis IN 46214 $234.00
VISIT
FOR OTHER yCON/
OTHER SERVICES OFFEREF
�� page I of
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
86201
HD SUPPLY WATERWORKS LTD (NATIONAL\ Purchase Order No.
P.O. Box 91036 Terms
CHICAGO, IL 60693 Due Date 8/21/2012
Invoice Invoice Description
Date ' Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 5225784 $234.00
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
Date Officer
VOUCHER # 125517 WARRANT# ALLOWED
86201 IN SUM OF $
HD SUPPLY WATERWORKS LTD (NAT
P.O. Box 91036
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5225784 01-7200-02 $234.00
Voucher Total $234.00
Cost distribution ledger classification if
claim paid under vehicle highway fund