214747 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00353063 Page 1 of 1
ONE CIVIC SQUARE MILLER PIPE LINE CORP
€ r, CHECK AMOUNT: $2,987.45
CARMEL, INDIANA 46032 1863 RELIABLE PARKWAY
CHICAGO IL 60686 CHECK NUMBER: 214747
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 336212 2 , 987 .45 CONT SVS-OTHER
- ORIGINAL INVOICE
Eller Pipeline Corp.
2086 REMIT TO:
BILL TO: CARMEL WASTEWATER 1853 RELIABLE PARKWAY
9609 HAZEL DEL ROAD CHICAGO, IL 60686
PHONE 317-293-0278
INDIANAPOLIS IN 46280
JOB SITE: CARMEL WASTEWATER
9609 HAZEL DEL ROAD
INDIANAPOLIS IN 46280 PAGE: 1
208 660 -80
MIN 10/29/12 1 01 I IN 1 55 NET 30 DAYS' 336212
LOCATION: WASTE WATER PLANT
FOREMAN: BRIAN FLAJS
BILLING PERIOD: 10/13/12
PRODUCT UNITS RATE EXTENSION
CUT 1-4" STL VALVE AND 1-2" STL VALVE
AT METER SET, CUT AND CAPPED 1-2" PL
LINES WHERE BUILDING WAS REMOVED.
----------------------------------------
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MATERIAL 1. 00 1136.91 1136.91
HANDLING FEE .15 1136.91 170.54
WELDER & LABOR W/TOOLS AND RIG 1.00 1680 .00 1680.00
SUB TOTAL: 2987.45
INVOICE GROSS: 2987.45
INVOICE NET: 2987.45
VOUCHER # 126141 WARRANT # ALLOWED
00353063 IN SUM OF $
MILLER PIPE LINE CORP
P.O. BOX 3913
Indianapolis, IN 46255
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
336212 01-7362-05 $2,987.45
Voucher Total $2,987.45
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
00353063
MILLER PIPE LINE CORP Purchase Order No.
P.O. BOX 3913 Terms
Indianapolis, IN 46255 Due Date 11/14/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201; 336212 $2,987.45
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance�with pIC 5-11-10-1.6
Date Officer