HomeMy WebLinkAbout213199 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 365043 Page 1 of 1
ONE CIVIC SQUARE THE GROUNDWATER FOUNDATION CHECK AMOUNT: $320.02
� a CARMEL, INDIANA 46032 PO BOX 22558
LINCOLN NE 68542 CHECK NUMBER: 213199
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1062 320 . 02 OTHER EXPENSES
The Groundwater Foundation Invoice
PO Box 22558
S. _® Date Invoice#
Lincoln,NE 68542
9/5/2012 1062
Bill To Ship'To
Suzanne Maki Suzanne Maki
1300 Helrord Lane City of Carmel Utilities
Carmel, IN 46032 760 3rd Avenue SW
Carmel, IN 46032
USA
Purchase Order No. TGF Order No. Ship Date Terms Check#
W09729 5289 9/5/2012 Due Upon Receipt
Description Qty Rate Amount
Groundwater Basics Brochure 1,000 0.30 300.00
10%Discount -10.00% -30.00
Shipping&I landling Charges-standard rate 50.02 50.02
Subtotal $320.02
Thank you! Sales Tax (0.0%) $0.00
Total Invoice $320.02
Payments/Credits $0.00
Balance Due $320.02
A qualified charitable 501(c)(3)organization. FEIN#36-3413351
5561 So.48th Street Lincoln,NE 68516
Phone# 402-434-2740 Fax# 402-434-2742 www.groundwater.org
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
t 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
365043
THE GROUNDWATER FOUNDATION Purchase Order No.
PO BOX 22558 Terms
LINCOLN, NE 68542-2558 Due Date 9/18/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2012 1062 $320.02
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 # 122213 WARRANT # ALLOWED
365043 IN SUM OF $
THE GROUNDWATER FOUNDATION
PO BOX 22558
LINCOLN, NE 68542-2558
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1062 01-6750-08 $320.02
Voucher Total $320.02
Cost distribution ledger classification if
claim paid under vehicle highway fund