214036 10/23/2012 \�f CITY OF CARMEL, INDIANA VENDOR: 366612 Page 1 of 1
` ONE CIVIC SQUARE PENN VALLEY PUMP CO INC CHECK AMOUNT: $607.00
CARMEL, INDIANA 46032 998 EASTON ROAD
WARRINGTON PA 18976-1800 CHECK NUMBER: 214036
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7553 607 . 00 OTHER EXPENSES
Penn Valley Pump Co., Inc. Invoice
998 Easton Road Invoice Number:
— Warrington, PA 18976-1800
USA 7553
— =
° � a U LT Invoice Date:
DO PIG. L OCT 17 20112 Oct 15,2012
Page:
Voice: 215-343-8750 1
Fax: 215-343-8753
By SO#
Sold To: Ship to: 5/3120163
323
City of Carmel Utilities City of Carmel Utilities
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
6
Customer ID Customer PO Payment Terms
CARMEL-IN Trial Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
Z-H PT Y RC 3/16/12 11/14/12
Quantity Item Description Backorder Qty Unit Price Extension
1.00 Return freight charges for trial pump. Pump 607.00 607.00
did not work out in application and was
returned on RMA 12089
Subtotal 607.00
Freight
Total Invoice Amount 607.00
Total Account Balance $ 607.00 Pavment/Credit Applied
TOTAL $ 607.00
Overdue invoices are subject to late charges.
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
366612
PENN VALLEY PUMP CO., INC Purchase Order No.
998 EASTON ROAD Terms
WARRINGTON, PA 18976-1800 Due Date 10/17/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/201; 7553 $607.00
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 # 125948 WARRANT # ALLOWED
366612 IN SUM OF $
PENN VALLEY PUMP CO., INC
998 EASTON ROAD
WARRINGTON, PA 18976-1800
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7553 01-7202-06 $607.00
Voucher Total $607.00
Cost distribution ledger classification if
claim paid under vehicle highway fund