214301 11/07/2012 "e•, 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: $72.00
INDIANAPOLIS IN 46202 CHECK NUMBER: 214301
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 22288 72 . 00 TRANSPORTATION EXPENS
Godwin Company, Inc. H
1175W. 16th Street
Indianapolis, IN 46202 Invoice Number: 22288
US Invoice Date: Oct 19, 2012
Page: 1
Voice: 317 637-3325
Fax: 317 263-9625
Website:www.godWncompany.com
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CARMEL WASTEWATER UTILITIES CARMEL WASTEWATER UTILITIES
ATTN:ACCOUNTS PAYABLE 9609 HAZEL DELL PKWY
760 THIRD AVENUE SW, SUITE 110 INDIANAPOLIS, IN 46280
CARMEL, IN 46032 US
US
FAF Customer, '4 aCustom erPO ,s ;, rya °li ¢ry �"Payment Termst ; rat y
_ 3097 VERBAL-JEFF COOPER Net 10 Days
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Sh .''�"'�s ; .sr°g�,�-�^�—;t•w—�D�7a rMpn,��c ._
t� 'i,SalesRep ID ; f °Shipping�Method� i pDates ue Date,,.
UPS Ground 10/29/12
Qua`ntlty f,,N "Item' , :` ,i. :,Description ,, Unit Price f Amount;
2.00 FUEL TUBE W/SHUTOFF VALVE -#6725 27.00 54.00
1.00 FREIGHT INCOMING FREIGHT ON NON-STOCK 12.00 12.00
PARTS
Any parts returned must be returned within 5 Subtotal 66.00
days and be accompanied by the original Sales Tax
invoice.Returns subject to 25%handling fee.
Special Order Parts and Electrical Parts not Freight 6.00
returnable.
1.5% FINANCE CHARGE per month on Past Due Total Invoke Amount 72.00
Accounts over 30 days.Annual Percentage Rate Payment/Credit Applied
is 18° .
'TOTAL °"
r:
Customer Signature
White-Customer Copy Yellow-Customer Packing Slip Pink-Service Copy Gold-Parts/Rentals Copy
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 10/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/30/201: 22288 $72.00
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 # 126016 WARRANT # ALLOWED
360946 IN SUM OF $
GODWIN COMPANY INC
1175 W 16TH STREET
INDIANAPOLIS, IN 46202
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
22288 01-7502-06 $72.00
Voucher Total $72.00
Cost distribution ledger classification if
claim paid under vehicle highway fund