214553 11/19/2012 .f CITY OF CARMEL, INDIANA VENDOR: 364797 Page 1 of 1
0 ONE CIVIC SQUARE BAILEY TOOLS&SUPPLY CHECK AMOUNT: $260.00
to CARMEL, INDIANA 46032 PO BOX 17526
�y oN io. LOUISVILLE KY 40217 CHECK NUMBER: 214553
CHECK DATE: 11/19/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1183381 130 . 00 OTHER EXPENSES
601 5023990 1183382 130 . 00 OTHER EXPENSES
INVOICE
Bailey Tools & Supply, Inc. INVOICE
Branch: 04 Bailey Tools- Indianapolis 1183381
P.O. Box 17526 Invoice Date Page
Louisville, KY 40217 10/29/2012 16:18:13 1 of 1
USA ORDER NUMBER
1199579
502-635-6348
Bill To: Ship To:
City of Carmel City of Carmel
3450 W 131 st Street 5484 E 126th St
Carmel, IN 46074 Carmel, In 46033
Ordered By: Mr`. Jimbo .
Customer ID: 8001
PO Number Terms Description Net Due Date Disc Due Date Discount Antount
JAI02612A Net 30 11/28/12 11/28/12 0.00
Order Date Pick Ticket No Primaq Salesrep Nance Taker
10/26/2012 09:04:15 1184825 Keith Burgess N WORLEY
Quantities Pricing
Item ID UOtbt Unit Extended
Ordered .Shipped Reruaining U014 4 Item Description Unit Size Price Price
Unit Size O
Carrier: Tracking#:
100 100 0 EA DW3062 EA 1.300 130.00!
1.0 WHEEL 4-1/21NX.045 CUTTING 1
Total LiIWS:I SUB-TOTAL: 130.00'
TAX: 0.00
AMOUNT DUE: 130.00
!i
ORIGINAL
INVOICE
Bailey Tools & Supply, Inc. INVOICE
Branch: 04 Bailey Tools- Indianapolis
1183382
P.O. Box 17526 Invoice Date Page
Louisville, KY 40217 10/29/2012 16:18:31 1 of 1
USA ORDER NUMBER
1199581
502-635-6348
Bill To: Ship To:
City of Carmel City of Cannel
3450 W 131 st Street 5484 E 126th St
Cancel, IN 46074 Cannel, In 46033
Ordered By: Mr. Jimbo .
Customer ID: 8001
PO Number Terms Description Net Due Dt(te Disc Due Date Discount Amount
JAI02612B Net 30 11/28/12 11/28/12 0.00
Order Date Pick Ticket No Primaq Salesrep Name Taker
10/26/2012 09:17:34 1184826 Keith Burgess N_WORLEY
Qualntilies Pricing
hem ID UOM Unit Extender)
Ordered Shipped Remaining UItem Descri ption Price Price
l l g Unit Size
Carrier: Tracking#:
100 100 0 EA DW8062 EA 1.300 130.00
1.0 WHEEL 4-1/21Na.045 CUTTING 1
Tonal Lines:I SUB-TOTAL: 130.00
TAX: 0.00'
AMOUNT DUE: 130.00'
r
l
ORIGINAL
VOUCHER # 122715 WARRANT # ALLOWED
364797 IN SUM OF $
BAILEY TOOLS & SUPPLY
PO BOX 17526
LOUISVILLE, KY 40217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1183382 01-6200-06 $130.00
1�3g l 01..t,X0 bL( DO
Voucher Total o QOo $x=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
364797
BAILEY TOOLS & SUPPLY Purchase Order No.
PO BOX 17526 Terms
LOUISVILLE, KY 40217 Due Date 11/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/12/201: 1183382 $130.00
1 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