213930 10/23/2012 a CITY OF CARMEL, INDIANA VENDOR: 360946 Page 1 of 1
ONE CIVIC SQUARE GODWIN COMPANY INC
CARMEL INDIANA 46032 1175 W 16TH STREET CHECK AMOUNT: $50.00
,
`re INDIANAPOLIS IN 46202 CHECK NUMBER: 213930
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 22277 50 . 00 OTHER EXPENSES
Godwin Company, Inc.
1175W. 16th Street INVOICE
Indianapolis, IN 48202 Invoice Number: 22277
US Invoice Dab*: Oct 12, 2012
Page: 1
Voice: 317 637'3325
Fax: 317 263'9625
VVeboi0a:wvmwgodWnoompony.00m
CARMEL WASTEWATER UTILITIES CARMEL WASTEWATER UTILITIES
ATTN:ACCOUNTS PAYABLE 760 THIRD AVENUE SW
760 THIRD AVENUE SW, SUITE 110 SUITE 110
CARMEL, IN 46032 CARMEL, IN 46032
us us
ale
UPS Ground 10/22/12
1.00 9313 O/H KIT, FUEL PUMP (CLUB CAR) 50.00 50.00
Any parts returned must be returned within 5 Subtotal 50.00
days and be accompanied by the original
invoice.Returns subject to 25%handling fee. Sales Tax
Special Order Parts and Electrical Parts not Freight
returnable. Total Invoice Amount 50.001
1.5%FINANCE CHARGE per month on Past Due
.Accounts-over 30 days.A nual Percentage Rate Payment/Credit Applied
_
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Customer Signature
White-Customer Copy Yellow-Customer Packing Slip Pink-Service Copy Gold-Po/ml7*nta/uCopy
VOUCHER # 125956 WARRANT # ALLOWED
360946 IN SUM OF $
GODWIN COMPANY INC
1175 W 16TH STREET
INDIANAPOLIS, IN 46202
Caravel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
22277 01-7202-06 $50.00
Voucher Total $50.00
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
360946
GODWIN COMPANY INC Purchase Order No.
1175 W 16TH STREET Terms
INDIANAPOLIS, IN 46202 Due Date 10/18/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/18/201; 22277 $50.00
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
/011 Il y -� °rnti/Yi "',.-.
Date Officer