212690 09/12/2012 a CITY OF CARMEL, INDIANA VENDOR: 353909 Page 1 of 1
ONE CIVIC SQUARE MCMASTER CARR SUPPLY CO
CARMEL, INDIANA 46032 P 0 Box 7690
CHECK AMOUNT: $72.36
CHICAGO IL 60680
CHECK NUMBER: 212690
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 34814331 72 . 36 OTHER EXPENSES
JMAASTER•CAR ® Invoice
630-600-3600
630-834-9427(fax)
chi.sales @mcmaster.com
Purchase Order JEFF COOPER
Tota 1 $72.36
Invoice 34814331
Billed to
CITY OFCARMEL Invoice Date 8/21/12
WASTE WATER TREATMENT PLANT Payment Terms 2% 10, Net 30
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280-2935 Deduct 51.36 on merchandise if paid by 8131/12.
Shipped to Mail Payment to McMaster-Carr
City of Carmel _ _ _ _PO_Box 7690
Waste Water Treatment Plant Chicago-11: =7a50
9609 Hazel Dell Pkwy Your Account 209661600
Indianapolis IN 46280-2935
Jeff placed this order.
Line Description Ordered Shipped Balance Unit Price Total
1 1697T32 Rotating-Shaft Counter,Adds Cw, Subtracts Ccw, 1 1 0 67.98 67.98
Knob Reset, Left-Hand Lever Each Each
Merchandise 67.98
Shipping 4.38
Total $72.36
Packing List Shipped Weight Carrier Tracking
8601471-01 8/21/12 1 lb UPS Ground 1Z6028360310763379
Federal ID 36-1458720 McMaster-Carr Supply Company Page 1 of 1
SP 9344
VOUCHER # 125608 WARRANT # ALLOWED
353909 IN SUM OF $
MCMASTER CARR SUPPLY CO
PO BOX 7690
CHICAGO, IL 60680
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
34814331 01-7202-06 $72.36
Voucher Total $72.36
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
353909
MCMASTER CARR SUPPLY CO Purchase Order No.
PO BOX 7690 Terms
CHICAGO, IL 60680 Due Date 8/31/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/31/2012 34814331 $72.36
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