215020 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 356599 Page 1 of 1
ONE CIVIC SQUARE FRY'S ELECTRONICS
CARMEL, INDIANA 46032 600 EAST BROKAW ROAD CHECK AMOUNT: $45.97
SAN JOSE CA 95112-1016 CHECK NUMBER: 215020
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4455155 45 . 97 OTHER EXPENSES
NEW PLEASE REMIT TO: Date : 11/02/12 Store# : 43
ELECTROnC5 600 East Brokaw Road
® San Jose, CA 95112 Invoice # : 4455155
(408) 487-4500
Amount Due : $45 . 97
PO INFORMATION
Number: 60412
Customer # : 66393 Terms : Net 30 days
ACCOUNTS PAYABLE Received By: KEVIN BUHMANN
CDL: 8943296807 20180705
CARMEL WASTE WATER TREAITMENT PLANT
760 THIRD AVE. SW, SUITE 110
CARMEL, IN 46032
PLU Short Description Qty T Unit Price Extended Price
45-29047 -EO7-110 16 ' ACTIVE EXT. 1 R 17 . 990 17 . 99
4529047 E07-110 16 ' ACTIVE EXT. 1 R 17 . 990 17 . 99
5776282 SIIG CB-AU0312-S1 1 R 9 . 990 9 . 99
SUBTOTAL: $45 . 97
TAX @0 . 0700 : $0 . 00
TOTAL: $45 . 97
Attention: Accounts Payable
In order to correctly process payments, please write your Fry's customer number and invoice number(s)
being paid on each check, and mail to the following address: Fry's Electronics, Inc.
Accounts Receivable
600 E. Brokaw Road
San Jose, CA 95112-1016
Thank you for your cooperation, Fry's Accounts Receivable Department
ATTN: ACCOUNTS PAYABLE DEPT . Please Pay by 12/02/12
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
356599
FRY'S ELECTRONICS Purchase Order No.
600 E BROKAW ROAD Terms
SAN JOSE, CA 95112-1016 Due Date 11/27/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/27/201: 4455155 $45.97
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
VOUCHER # 126198 WARRANT # ALLOWED
356599 IN SUM OF $
FRY'S ELECTRONICS
600 E BROKAW ROAD
SAN JOSE, CA 95112-1016
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4455155 01-7202-06 $45.97
Voucher Total $45.97
Cost distribution ledger classification if
claim paid under vehicle highway fund