212428 08/29/2012 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1
ONE CIVIC SQUARE SERVICE PIPE&SUPPLY INC CHECK AMOUNT: $110.58
s�:+ CARMEL, INDIANA 46032 P.O.33805
INDIANAPOLIS IN 46203 CHECK NUMBER: 212428
CHECK DATE: 8/2912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 560716 75 . 80 OTHER EXPENSES
651 5023990 560723 34 . 78 OTHER EXPENSES
SERVICE PIPE & SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203 . .
Phone: 317-639-9308
Fax: 317-639-1335 Nurn& j 560716
Date 1 08/15/12
p1.1 o10�.Db � Page � 1
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CARMEL WASTEWATER TREATMENT Ship To .�; < CARMEL WASTEWATER TREATMENT
760 3RD AVENUE S.W. 9609 HAZEL DELL PARKWAY
CARMEL,IN 46032 �� ` � � INDIANAPOLIS,IN 46280
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Customer PO#` Shipped Salesperson Te'ms Tax Code i,: Doc# wn Freight :- .` Ship Via
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JEFF COOPER 08/15/12 004 B.FENTON 2% 111 DAYS N/30 NOTAX 30511=4 01 PREPAID OUR TRUCK
Item Description OrderedI Shipped Backordrd um Price umI Extension
40092170 D2056 BLADE FOR 138 P CUTTER 2 2 O EA 37.90 EA I 75.80
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PLEASE DEDUCT 1.52 "�i Merchantl�sef M�sc5 Disc unt 'Tax "" Frerg t Total Due
dii r .7
IF PAID BY OS/2>/12 z=
75.80 .00 1111 .00 .00 75.80
THANK YOU VERY MUCH FOR YOUR BUSINESS.
SERVICE PIPE & SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203 Customer COPY1
Phone: 317-639-9308
Fax: 317-639-1335 Number: 560723
Date I 08/15/12
Ul.I a aa•O b Page ;I 1
Bill To., CARiNIEL N1'ASTEWATER TREATIMENT .Ship To: CARMEL WASTEWATER TREATMENT
CARAVAS.
760 3RD AVENUE SAKI. 9609 HAZEL DELL PARKWAY
CARMEL,IN 46032 INDIANAPOLIS,IN 46280
Customer PO# �° Shipped Salesperson Terms Tax Code i Doc# wn�'.-Freight, I 'Ship Via
I
JEFF COOPER 08/15/12 004 B. FENTON 2% 10 DAYS N/30 NOTAY 306582 M PREPAID WILL CALL
Item I Description Ordered Shipped I Backordrd!um I Price I um I Extension
._. _�..__.�.�-
- -
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109801338 3X2 PVCW SOC.TEE 2 2 1► EA 9.68 EA 19.36
109829030 3 PVC80 SOC.COUPLING 2 2 l► EA 7.71 EA 15.42
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PLEASE DEDUCT .70 Merchandise. " f, Misc ;,Discount , ;,Tax Freight ., Total Due
IF PAID BY 03/2 /12
34.78 .00 .01► .00 of) 34.78
THANK YOU VERY MUCH FOR YOUR BUSINESS.
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARIMEL
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
281250
SERVICE PIPE & SUPPLY INC Purchase Order No.
P.O. 33805 Terms
INDIANAPOLIS, IN 46203 Due Date 8/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 560716 $75.80
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 # 125513 WARRANT # ALLOWED
281250 IN SUM OF $
SERVICE PIPE & SUPPLY INC
P.O. 33805
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
560716 01-7202-06 $75.80
56D 7a 3 3q,-79
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund