215216 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 354691 Page 1 of 1
0 ONE CIVIC SQUARE VIATRAN CORP CHECK AMOUNT: $1,648.07
s i,a CARMEL, INDIANA 46032 PO BOX 934811
ATLANTA GA 31193-4811 CHECK NUMBER: 215216
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 394362 1, 648 . 07 OTHER EXPENSES
INVOICE 394362
SALES ORDER.NO CUSTOMER PURCHASE ORDER NO.
319419 W09742
atran PACKING SLIP NO. SHIP DATE INVOICE DATE
319419*1 11/14/12 11/14/12
i
SHIPPED VIA SALES REPRESENTATIVE REP
Viatran Phone: 716-629-3800 UPS GROUND Tech Sales I TA
38 Forge Parkway Fax: 716-693-9162 PAYMENTTERMS TAX TAX CODE SHIP METHOD
Franklin, MA 02038 www.viatran.com NET 30 PPD
BILL TO 01*CRU2 SHIP TO 01*CRU2
CITY OF CARMEL WATER UTILITIES CARMEL WATER TREATMENT
3450 WEST 131 ST STREET PLANT#1
ATTN: ACCOUNTS PAYABLE ATTN: KENR/W23/13
WESTFIELD, IN 46074 4915 EAST 106TH STREET
US CARMEL, IN 46033
US
- - item - Product/Description O dered Shipped BackOr'd Unit Price Total Price -. __ _
001 517AFGTL10OX1561 1 1 815.00 815.00
517X1561,0-30 PSIG,100FT
CABLE
** Serial Number(s) **
429266
002 517AHGTL100X1561 1 1 - - `"" " ' 815:00 - ° —=" 815:00
517X1561,0-50 PSIG,100FT
CABLE
** Serial Number(s) **
430641
Chg HAN SHIPPING & HANDLING 1 9.00
Chg V1 SHIPPING & HANDLING 1 9.07
VIATRAN
REMITTANCE ADDRESS SUBTOTAL 1,648.07
Viatran DISCOUNT 0.00
P.O. Box 934811 TAX 0.00
Atlanta GA 31193-4811 DEPOSIT 0.00
EMAIL:AR- dynisco.com -- Page 1 of 1 US DOLLARS 1,648.07
VOUCHER # 122824 WARRANT # ALLOWED
354691 IN SUM OF $
VIATRAN CORPORATION
PO BOX 934811
ATLANTA, GA 31193-4811
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
394362 02-2308-00 $1,630.00
Depreciation 7
394362 02-2308-00 $18.07
Depreciation i
Voucher Total $1,648.07
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
354691
VIATRAN CORPORATION Purchase Order No.
PO BOX 934811 Terms
ATLANTA, GA 31193-4811 Due Date 11/27/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/27/201', 394362 $1,648.07
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