214953 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 00350779 Page 1 of 1
`• ONE CIVIC SQUARE B L ANDERSON CO.
` CARMEL, INDIANA 46032 CHECK AMOUNT: $3,534.29
4801 TAZER DRIVE
LAFAYETTE IN 47905 CHECK NUMBER: 214953
CHECK DATE: 12/412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 P4347 3 , 287 .43 OTHER EXPENSES
651 5023990 P4351 246 . 86 OTHER EXPENSES
B L Anderson Co., Inc.
Invoice 4801 Tazer Drive
Lafayette IN 47905
765-463-1518 phone
No
765-446-8390 fax
www.blanderson.com
SL ANDERSON
Date Invoice#
11/14/2012 11)
Bill To Ship To
CARMEL WASTEWATER CARMEL WASTEWATER
760 3RD AVE.SW 9609 HAZEL DELL PKWY
CARMEL,IN 46032-2072 INDIANAPOLIS,IN 46280
P.O. Number Terms Rep Ship Date Project
S13241 Net 30 RWL 9/14/2012
Quantity item Code Description Price Each Amount
1 Non Inventory Parts Mixing Chamber SS 6" 2,000.00 2,000.00
12 Non Inventory Parts Check Valve Kit 7 .00 900.00
1 Shipping and Handling Shipping and Handling-EXPEDITED 387.43 387.43
Overdue balance will
accrue interest at the rate of
1-1/2%per month
compounded plus legal and
collection fees.
Total $3,287.43
9 .P
Invoice -
B L Anderson Co., Inc.
4801 Tazer Drive
I Lafayette IN 47905
Aft
�•� 765-463-1518 phone
765-446-8390 fax
L ANDEJq.SCON www.blanderson.com
Date Invoice#
Bill To 11/19/2012 13-4351
1 4351
CARMEL WASTEWATER Ship To
760 3RD AVE. SW
CARMEL, IN 46032-2072 CARMEL WASTEWATER
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
P.O. Number
S13384 Terms Rep Ship Date
Project
Quantity Net 30 RWL
Item Code 11/14/2012
1 Fluid Dynamic 2120101 Description I
CF►ECK VALVE ASSEMBLY Price Each Amount
Shipping and Handling Shi
Aping and Handling 225.00
225.00
21.86 21.86
Overdue balance will
accrue interest at the rate of
1-1/2%per month
compounded plus legal and
collection fees.
Total $246.86
s
i
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
350779
BL ANDERSON COMPANY INC Purchase Order No.
2540 KENT AVENUE Terms
P.O. BOX 2237 Due Date 11/28/2012
WEST LAFAYETTE, IN 47996
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/28/201: P-4347 $3,287.43
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