215212 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
0 ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $656.22
CARMEL, INDIANA 46032 6310 S HARDING ST
'u ray INDIANAPOLIS IN 46217 CHECK NUMBER: 215212
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1063231 118 . 89 OTHER EXPENSES
601 5023990 1080137 452 . 00 OTHER EXPENSES
601 5023990 1080474 85 .33 OTHER EXPENSES
3=
INVOICE
UTILITY SUPPLY COMPANY
Branch: 01 USC INDY INVOICE
6310 SOUTH HARDING STREET 1063231
INDIANAPOLIS, IN 46217 Invoice Date Page
' US
5/8/2012 15:33:02 1 1 of
ORDER NUMBER
317-783-4196 1064546
Bill To: Ship To:
CARMEL UTILITIES'CUSTOMER SERVICE CARMEL UTILITIES CUSTOMER SERVICE
760 3RD AVE SOUTHWEST 760 3RD AVE SOUTHWEST
CARMEL. IN 46032 . CARMEL, IN 46032
US US
Attn: SCOTT CAMPBELL Ordered By:JACK SPEARS
Customer ID: 100756
PO Number• Term Description Net Due Date . Disc Due Date Discount Amount
Net 30 DAYS 6/7/2012 6/7/2012 0.00
Order Date Pick Ticket No Printary Salesrep Name Taker
3/29/2012 09:32:25 1069467 DOUG KARST JCLARK
Quantities Pricing
Item ID UOM Unit F-rtended
Ordered Shipped Rentnit:i»g U0111 a Nett Description Price Price
Unit Size p Unit Size
Carrier: SALESMAN'S TRUCK Tracking#:
10.00 6.00 0.00 EA ..9400-600 EA 19.8154 118.89
1.0 CHAMBER COMPLETE 5/8 T 10 1.0000
Total Lines: I SUB-TOTAL: 118.89
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 118.89
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
* * *REPRINT * * *
INV®ICE
UTILITY SUPPLY COMPANY
I ;, Branch: 03 USC NW INDY
INVOICE
1080474
<_ 6310 SOUTH HARDING STREET
t ! INDIANAPOLIS,IN 46217 Invoice Date Page
US 11/16/2012 10:24:05 1 of 1
ORDER NUMBER
317-783-4196 1086219
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131 ST STREET 3450 WEST 131 ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:GREG HOLLANDER
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
GH-I 1/15/2012 08:48:31 Net 30 DAYS 12/16/2012 12/16/2012 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
11/15/2012 08:22:57 1088080 ANDY NUGENT RROPES
Quantities Pricing
Item ID UOM Unit Ertended
Ordered Shipped Remnining UOM cyti Item Description Price Price
Unit Size O Unit She
Carrier. CUSTOMER PICK UP Tracking#:
3.00 3.00 0.00 EA 3/49OBN EA 6.6640 19.99
1.0 3/4 BRASS 90 DEGREE ELBOW LLB 1.0000
2.00 2.00 0.00 EA 1/2XCLB EA 2.0720 4.14
1.0 1/2XCLOSE BRASS NIPPLE 1.0000
2.00 2.00 0.00 EA H15428-250 EA 15.3103 30.62
1.0 3/4 MUELLER CTS COMP MALE ADAPTER 1.0000
1.00 1.00 0.00 EA H15428-333 EA 15.8276 15.83
1.0 1 CTS COMP X 3/4 MIP ADAPTER 1.0000
1.00 1.00 0.00 EA I/2X3B EA 3.8960 3.90
1.0 1/2X3 BRASS NIPPLE 1.0000
3.00 3.00 0.00 EA 3/4XI/2BUSHBN EA 3.6160 10.85
1.0 3/4X1/2 BRASS HEX BUSHING LLB 1.0000
Total Lines: 6 SUB-TOTAL: 85.33
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 85.33
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
INV®ICE
„> UTILITY SUPPLY COMPANY
�,� Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1080137
INDIANAPOLIS, IN 46217 Invoice Date Page
US 11/13/2012 15:40:39 1 of 1
ORDER NUMBER
317-783-4196 1085927
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131 ST STREET 3450 WEST 131 ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:GREG HOLLANDER
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
GH111312 Net 30 DAYS 12/13/2012 12/13/2012 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
11/13/2012 08:31:08 1087802 ANDY NUGENT ADELONG
Quantities Pricing
Item ID UOA1 Unit Drtended
Ordered Sltipped Remaining UOM o Item Description Price Price
Unit Size p Unit Size
Carrier: CUSTOMER PICK UP Tracking#:
100.00 100.00 0.00 FT 3/4K100 FT 4.5200 452.00
1.0 3/4TYPE-K SOFT COPPER 100'COIL 1.0000
Total Lines: 1 SUB-TOTAL: 452.00
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 452.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
VOUCHER # 122841 WARRANT # ALLOWED
316200 IN SUM OF $
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1063231 01-6200-06 , $118.89
10 904 7q I r g5-33
Voucher Total 5 ZZ$ 9
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 11/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/201', 1063231 $118.89
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