215025 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 353520 Page 1 of 1
` ONE CIVIC SQUARE GEORGE E BOOTH CO INC
CARMEL, INDIANA 46032 8202 W 10TH STREET CHECK AMOUNT: $5,269.33
"+ INDIANAPOLIS IN 46214
CHECK NUMBER: 215025
CHECK DATE: 121412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00211111 5, 269 . 33 OTHER EXPENSES
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MAIL REMITT -- ----------------------------------- -
----
ANCE T0: -
Geor
9e E. Booth Co., Inc. iNVoiCE ---
i George E.Booth C
ATTN:Acco °, Inc. ENTERING OFFICE
8202 unts Receivable George E. Booth NVOI
West 10th Street 8202 West 10th Co C0' Inc. CE NUMB
Indianapolis I Street 00211111
USA N 46214 Indianapolis IN 4Stre
USA INVOICE DATE
11/06/12
Cust No. PAGE
01191 Date Ordered 1/1
10129112 Date ShiPPed
Ship Method 11106112 Written By
UPS Ground RON FRATZKE Order Type
Terms Of Pa STAND
Ship From Loc
Customer P Net Thirty Setting O NO hirf D 1 9 Loc
J6(Agyt-l Y Days FO 01
B
Shipping point
Trackin Mark Number
g numbers: 124418480341 869788
LINE
NO. TOTAL QUANTITY
0010 ORDERED ORDERED THIS ITEM
2.00 0.00 SHIPMENT DESCRIPTION 2.00 8210G034,120/60 UOM UNIT PRICE
VALVE,SOLENOID,112"2W DISCOUNT EXTENDED
0020 VALVE,SOLENOID'THIS'1/2�. ,NO,BR EA AMOUNT
2.00 REPAIR KIT FOR N0,2 WqY BRASS 202.0300
0.00 VALVE 404.06
2.00 82108057 302334
VALVE, '120/60 -
VALVE,SOLENOID�1 'No 2-WAR
0030 EA
2.00 REPAIR KIT F 1 N0,2-WAY,BRASS 588.7200
0.00 OR THIS VALVE- 1,177.44
0040 2.00 8210GO18,120/60 302337
2.00
0.00 VALVE,SOLENOID,1 114"
2.00 8344G027 2W.NO,BRZ EA
M0,120/60 334.6400
ASCO 669.28
)050 VALVE,SOLENOID,112" EA
2.00 OVERRIDE 4'WAY 727.1300
0.00 BRASS MANUAL 1,454.26
2.00 302337
KIT,REPAIR,SOLENOID,ASCO
060 KIT EA 314.1700
2'00
0.00 628.34
2.00 302712-MO
ASCO EA
170 REPAIR KIT,ASCO 278.5700 557.14
2.00 0.00 2.00 302338
KIT,REPAIR,SOLENOID,ASCO EA
REPAIR KIT,VALVE,ASCO 144.1800 288.36
AMOUNT 5,178.88
FRGHT/INS/HNDL 90.45
>hone.. 247.p1OO Y SALES TAX 0.00
311'
# oD1032b 3 AMOUNT DUE 5,269.33
30 � J
p�#.00104124
s CITY OF CARMEL
ROEPT H ATTN: PO# W09573
P �S0 t P WATER WASTEWATER UTILITIES
4915 E.106TH STREET
CARMEL IN 46033 _
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
353520
GEORGE E. BOOTH COMPANY Purchase Order No.
8202 W. 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 11/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/201', 00211111 $5,269.33
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
1�1C'z-
Date Officer 7]�A
VOUCHER# 122846 WARRANT # ALLOWED
353520 IN SUM OF $
GEORGE E. BOOTH COMPANY
8202 W. 10TH STREET
INDIANAPOLIS, IN 46214
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
00211111 01-6200-04 $5,178.88
00211111 01-6200-04 $90.45
Voucher Total $5,269.33
-�" 'tribution ledger classification if
(id under vehicle highway fund