212918 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350779 Page 1 of 1
ONE CIVIC SQUARE B L ANDERSON CO. CHECK AMOUNT: $718.97
CARMEL, INDIANA 46032 4801 TAZER DRIVE
LAFAYETTE IN 47905 CHECK NUMBER: 212918
CHECK DATE: 9125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 P-4262 718 . 97 OTHER EXPENSES
��� �� B L Anderson Co., Inc.
4801 Tazer Drive
Lafayette IN 47905
765-463-1518 phone
765-446-8390 fax
www.blanderson.com
RL ANDERSON
Date Invoice#
9/11/2012 1:1-4262
Bill To Ship To
CARMEL WASTEWATER UTILITIES CARMEL WASTEWATER TREATMENT PLANT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
1NDPLS IN 46280 INDIANAPOLIS; IN 46280
P.O. Number Terms Rep Ship Date Project
S13229 Net 30 RWL 9/10/2012
Quantity Item Code Description Price Each Amount
1 Non Inventory Parts Packing Set(6)"J" PTPE 708.00 708.00
1 Shipping and Handling Shipping and Handling 10.97 10.97
Overdue balance will
accrue interest at the rate of
1-1/2%per month
compounded plus legal and
collection fees.
Total $718.97
VOUCHER # 125735 WARRANT # ALLOWED
350779 IN SUM OF $
BL ANDERSON COMPANY INC
JWE-S= LAFAYETTE, IN 47905
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
P-4262 01-7202-06 $718.97
Voucher Total $718.97
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
350779
BL ANDERSON COMPANY INC Purchase Order No.
2540 KENT AVENUE Terms
P.O. BOX 2237 Due Date 9/20/2012
WEST LAFAYETTE, IN 47996
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/20/2012 P-4262 $718.97
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
All
Date Officer