212769 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1
ONE CIVIC SQUARE SERVICE PIPE&SUPPLY INC
J CARMEL, INDIANA 46032 P.O.33805 CHECK AMOUNT: $32.80
INDIANAPOLIS IN 46203 CHECK NUMBER: 212769
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 561518 32 . 80 OTHER EXPENSES
SERVICE PIPE & SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203 ,
Phone: 317-639-9308
Fax: 317-639-1335 lVumtier: 561518
Date:_.;;;'! 08/28/12
Page:r-.j 1
Bill.To: CARAMEL WASTEWATER TREATNIENT Ship To: CARiINIEL WASTEWATER TREATNMENT
'CARWAS . <<> 0 .
760 3RD AVENUE S. V. 9609 HAZEL DELL PARKWAY
CARAMEL,IN 46032 INDIANAPOLIS,IN 46280
Customer PO# t Shipped;" Salesperson Terms Tax'Gode : : Doc# wn Freight Ship Via<e
JEFF 08/28/12 004 B.FENTON 2%n 10 DAPS N/30 NOTA\ 307299 1)1 P OUR TRUCK
Item Description _ Ordered Shipped Backordrd I um I —Price I um Extension
I II
. 999 #30 LINK-SEALS 8.1111 8.00 .00 EA 4.10 EA 32.80
PLEASE DEDUCT .66 ;'Merchandise lVlfsc Discour t :Taz'' `i reig/i
<
,rnr, r �Tafs1� u"e
IF PAID BY 09/07/12
32.80 .00 .00 AO 00 32.80
THANK YOU VERY MUCH FOR YOUR BUSINESS.
VOUCHER # 125629 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
561518 01-7202-06 $32.80
Voucher Total $32.80
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
281250
SERVICE PIPE & SUPPLY INC Purchase Order No.
P.O. 33805 Terms
INDIANAPOLIS, IN 46203 Due Date 9/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/5/2012 561518 $32.80
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