HomeMy WebLinkAbout215225 12/04/2012 emu. CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
' CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK AMOUNT: $16,272.51
INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 215225
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0232071 15 . 00 CONT SERVICES OTHER
601 5023990 0232122 10, 160 . 94 OTHER EXPENSES
651 5023990 0232122 6, 096 . 57 OTHER EXPENSES
Invoice Date Invoice No.
305 south post Rood 11/15/2012 0232071
Indianapolis, IN 46219-7900 Certified as a
Women Business Enterprise
(317)895-9708 by the state of Indiono and the �' Terms
Gty of Indionopo,,NJWBE P'og—,
www.worrelicorp.com Net 30 Days
Sold To Shipped To
0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
760 3RD AVE SW WATER - WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
Itltl�ll��ll�tt��ll��il�lll�ttllt�tllll����l�ltl CARMEL, IN 46032 SCOTT CAMPBELL
Sales Customer Job Ship Shipped
Person ,� Worrell PO.No.SCOTT CAMPBELL IN.. 267929 Data 11/14/2012 pia WORRELLTRUCK
••- �- • • e
COC-F01 4, Statements t BOX ou
WC-EN09 .!. EnvelcNe, #9 Window Reply BOX .00
COG-EDG1 4 E,ivelcpe, #10 Double Window, Printed BOX .00
Freight: 15.00
SaleCs Tux: .00
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER # 122910 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0232071 01-6360-07 $15.00
Voucher Total $15.00
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 11/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/201; 0232071 $15.00
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
Invoice Date w Invoice No.
305 south Post Rood 11/16/2012 0232122
Indianapolis, IN 46219-7900 Certified as a
Women Business Enterprise
(317)895-9708 bV the S..of i idiono and the
o y of ind�on,p i,,WWBE Pr groms Terms
www.worrelicorp.corn Net 30 Days
Sold To Shipped To
0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
760 3RD AVE SW WATER -WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
Irlrrltllrrllt���rllrrrlrlll� rllrrrllrr�ll����lrlrl CARMEL, IN 46032 SCOTT CAMPBELL
Sales Customer Job Ship Shipped
Person J Worrell Po'N� Scott Campbell "� 085081 Date __1_
0/31/2012 via U.S. Mail
••- i- ption. •
COC-FROC 1 City o? - Utility Mailings 5365.96 'EACH 5,3(55:96
(."'C)C-POST 1 of Carmel - P ostage {or Mailings 10986.55 EACH 10,986.55
For October 2012
0� Y}
V
Freight: 175.00
C.±I_r Thy• nn
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 16,527.51
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER # 126239 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
i Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0232122 01-7360-07 $6,197.82
i
I
Voucher Total , 7.82
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 11/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/201, 0232122 $6,197.82
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 Of Qe r
Invoice Date Invoice No.,,.-4' -
305 South(post Road `� � _ � 11/16/2012 02321''22
_
Indianapolis, IN 46219-7900 Certified as o +�
Women Business Enterprise
` •x
(317) 895-9708 by the state d Indio orb the �L "" Terms
Gty of hdi .poi,,MORE ft g.— � �
www.worrellcorp.com Net 30 Days
Sold To Shipped To
0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
760 3RD AVE SW WATER -WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
Illlllllllllnllllllllllllll:IIIIIIIIIIIIIIrIrIII CARMEL, IN 46032 SCOTT CAMPBELL
i Cu tourer � Job` - Shi' Shi"ed�
P.'
P. :No
ee .' Nor-
Date.= Via'1' -
P rsori O
e
,Scottf.Campbehl;: 085081`- °10%3"1/2012°
al .
r�
Q.-
COC-FROG { 1 ( City o. .,ari vial - 1-,hlity Mailings 5365.96 -ACH 5365.06
CGS-POST { 1 ' of Carmel - Nostace for Mailings 1 10986.55 EACH 10,9806.55
i`
k
For October 2012 j
I f
I Freight: i 175.00 `_
t.+i.Af J' .wX.
I i i I I
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 16,527.51
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
® Please`detach this receipt along perforation and endlose.With:remittance.., ®;
orry is r
solutions at work ..._
printing mpriietingr'office products;
X Invoice Number 0232122
1269-jr-
CITY OF CARMEL Invoice:Date.- - ti 11/16/2012
WATER-WASTEWATER UTILITIES
760 3RD AVE SW Amount'.Due .� 16,527.51
CARMEL, IN 46032 s F.
14571:
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
19
Signature Title
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.
19 — . I"
Vicer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
Favor Of
Wow
Total Amount of Voucher $
Deductions
02 3 1
ai.G36 .a
Amount of Warrant $
Month of 19
Acct.
VOUCHER RECORD No.
Source of Supply j
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
O eration-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325