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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