The URL can be used to link to this page

Home My WebLink About215292 12/11/2012 °M f CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1 ONE CIVIC SQUARE CARMEL WELDING&SUPP INC CARMEL, INDIANA 46032 550 S.RANGELINE RD CHECK AMOUNT: $1,495.62 CARMEL IN 46032 CHECK NUMBER: 215292 CHECK DATE: 12/11/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 339469 1, 329 . 79 REPAIR PARTS 2201 4237000 339692 5 .28 REPAIR PARTS 2201 4237000 33974 84 . 08 REPAIR PARTS 2201 4237000 340138 4 . 48 REPAIR PARTS 651 5023990 340162 56 . 00 CONT SVS-OTHER-S PLAN 601 5023990 340257 15 . 99 OTHER EXPENSES , CARMEL WELDING AND SUPPLY 550 South Rangeline Road ^. Carmel, Indiana 46032 317-846-3493 www. CarmelWelding. com CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET CARMEL, INDIANA 46074 DATE ACCT PG 11/36/12 : 3017 1 TERMS: NET DUE 10TH OF MONTH FOLLOWING INV. DATE A SERVICE CHARGE OF 1 3/4% PER MONTH TO BE ADDED TO ACCOUNTS PAST DUE. TOTAL DUE LAST STATEM[NT 182.43 THIS STATEMENT TS AND CHARGES 1/09/12 339692 P'URCHASE 5.28 5.28 .1/13/12 i339784 PURCHASE 84.08 84.08 1/20/12 339951 PURCHASE 1/23/12 102352 PAYMM 214258 182.43CR 1/28/12 340138 PURCHASE 4.48 4.48 N ACCOUNTI FUTURE I CURRE�T I PAST 30+ 1 PAST 60+ PAST 90+ TOTALS BALANCE DUE 1423.63 PAY THIS AMOUNT | / | | / _ YJqqU2 ONr-"I 8N11 OJ jW JAMRAJ ,` NOTICE bF�nR ep spna'2 d.1uo2 i'�!-EL', sC084 snazbnI ,l m�s3 m o p.r ibl W c.i m,ia`1 �P4C-84�-T1� :1RORSOR INQUIRES ABOUT YOUR STATEMENT, ith-innLending Act n*quinso prompt correction of billing mistakes.to preserve your rights under the Act here's wha �� J 3 �W �� you need more information about an item on ^ ' }C �C 4T084 ANAJO MRA� write on the statement. On usepa�te sheet of paper vvnks (you may telephone,:: but doing so will not preserve your rights under this |avv\1befollowing: � ir name, and account number (it any). ' jeaohptiun of the error and an explanation (to the extent;you can explain) whyyou ' .� ieve it is an error. It you only need more information, explain the item you are not sure . wish,)ut. and if you as a.copy of thecharge slip. not s*m m yvv/ �x�v� ' -� �y�� p'3�U� ':2Hq3T )y for your records. ,l�KOA 28 HTNOM 1 qO ]8RAH3 �]IV8�� A » dollar amount of the suspended error. .�UO T2'Vi c! other information (such en your address) vvhk:h you think will help us to identify you -.he reason for your complaint or inquiry. ��.S8 i 7N]M2ITW3 78PJ 3UN JUOUT tour | address on your statement which is listed after the�vv0h]n: . tan��' '��s^ydx��Vi�+��»�q �u bu� inunyoao�eady / n 'ug| 't � ` — =` ~' enough. 32 � �8�P�l GO days after the statement was u. creditor must acknowledge in wrihQ,9.eU |etteru, poinhnql&t possible errn ��m 38T9[[ oip\, unless we are able Vm correct your statement during that 30days. VVithLqT;9,QA��y8��[� ing your letter, we must either correct the error orexp|005MrS,Wrihng S/`��\1/ waa correct. Once we have exp|oi4bfthe statement, vv6�h^vo no further n;4g`9,tKUh" iough you ad|| believe there inanerror, except asprovided in paragraph 5bo|ow. ava been notiUod, neither we nor an attorney nor collection agency may send you *tiers or take other collection action with the respect to the amount in dispute; but /&*men(s may be sent Vuyou, and the disputed amount can be applied against your You cannot be threatened with damage to your credit rating or sued for the amount in or can the disputed amount be reported to a credit bureau or to other creditors as until we have answered your inquiry. Howuver, you remain obligated to pay the parts :enoent not in dispute. mined-that we have made a mistake on your statement and if-it is our policy-to-assess . �irgeo for (a10 payments, you will not have to pay finance charges on any disputed t turns out that we have not made an error, you may have to pay such finance charges unt in dispute, and you will have to make up any missed minimum or required payments utedemounL Unless you have agreed that your statement was correct, we must send 3n notification of what you owe; and if it in determined that we did make a mistake in 1iopuh»damount. you must begiven the time tn pay which you normally are given to ited amounts before any more finance charges or late payment charges can becharged nation does not satisfy you and you notify us in writing within 10 days after you receive ,iahon that you still refuse to pay the disputed amount, we may report you to the credit A other creditors and may pursue regular collection procedures. But we must tell them / not think you nvve the mnnoy, and we must let you know to whom such reports were wtho matter has been settled between you and oume|vee, we must notify those ho � eported you aa delinquent of the subsequent resolution. /t follow these ru|ea, we are not allowed to on||e(t the first $50 of a disputed amoun1, atat6�hont tur"!Nbt10 bA rnact. X11 02 12 339469 TIME CARMEL WELDING AND SUPPLY P/0 NUM ER 9 : 24 : 01 550 South Rangeline Road SALESMAN Carmel , Indiana 46032 WORK ORDER 007/003 317-846-3493 www. CarmelWelding. com 89363 STORE PAGE 1 1 of 1 Terminal 16 (317) 733-2001 (317) 733-2001 BILL TO ACCOUNT* 3017 SHIP TO ACCOUNT: 3017 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL, INDIANA 46074 CARMEL, INDIANA 46074 Tax-Exemption.4-: - 0-03120155002 WWW.CARMELWELDING.COM-----P1ese keep receipt 0089363-113 for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O kINEI PART NUMBER DESCRIPTION LIST NET AMOUNT DIXIE CHOPPER-ZERO TURN TRACTOR 2 2 L031 ADJUSTED VALVES 75. 00 150 . 00 2 2 DIXOG25650SRV RING SET 21. 82 43 .64 1 1 DIXOC2977 GASKET CRANKCASE GE 3 . 02 3 .02 1 1 DIX005943 SEAL OIL PASSAGE GE 0 . 97 0 . 97 2 2 DIXOC2978 GASKET HEAD GENERAC 5 .53 11.06 2 _ DIXOC4138 GASKET EXHAUST GENE 1. 39 2 . 78 1 1 DIXOC2979 GASKET VALVE COVER 3 . 02 3 .02 1 1 DIXOE9842A SHAFT SEAL 15.36 15. 36 2 DIX078672 VALVE SEAL 2 .23 4 .46 1 1 DIX090072 0 RING 3 . 56 3 . 56 1 1 DIXOC3043 GASKET 1. 57 1. 57 2 2 CHARC12YC SPARK PLUG 4 .45 8 . 90 3 3 MIS129 OIL ENGINE 4 .29 12 .87 1 1 BR270185GS OIL FILTER GENERAC 8 . 68 8 . 68 1 1 MISMIS ENVIRONMENTAL FEE 9. 90 9. 90 1 1 L031 REBUILD ENGINE 1050 . 00 1050. 00 SUB TOTAL - - - - > 129 . 79 CHARGE SALE MISC . -- - - - - - -> 0 . 00 LABOR - - - - - - - - > 1200 . 00 - �y� TAX 7 . 000 - - -> 0 . 00 Signature INVOICE TOTAL- > 1329 . 79 .11'/09/12 339692 TIME CARMEL WELDING AND SUPPLY P/0 NUMBER 14 : 52 : 00 550 South Rangeline Road SALESMAN Carmel, Indiana 46032 WORK ORDER 004/004 317-846-3493 www. CarmelWelding. com STORE PAGE 1 1 of 1 Terminal 12 BILL TO ACCOUNTo 3017 SHIP TO ACCOUNT: 3017 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL, INDIANA 46074 CARMEL, INDIANA 46074 Tax Exemption # : 003120155002 WWW.CARMELWELDING.COM-----Plese keep receipt for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O INE PART NUMBER DESCRIPTION LIST NET AMOUNT 4 4 GRH257037 STEP BUSYING 1.32 5 .28 SUB TOTAL - - - -> 5 . 28 CHARGE SAL MISC. - - - - - - - - > 0 . 00 LABOR - - - - - - - - > 0 . 00 TAX 7 . 000 - - -> 0 . 00 Signature , INVOICE TOTAL-> 5 . 28 DATE INV 11/13 12 339784 — TIME CARMEL WELDING AND SUPPLY P/0 NUMBER 15 : 58 : 11 550 South Rangeline Road SALESMAN Carmel , Indiana 46032 WORK ORDER 004/004 317-846-3493 www. CarmelWelding . com STORE PAGE 1 1 of 1 Terminal 12 7 - BILL TO ACCOUNTo 3017 SHIP TO ACCOUNT* 3017 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL, INDIANA 46074 CARMEL, INDIANA 46074 Tax Exemption 4 : 003120155002 WWW.CARMELWELDING.COM Plese keep receipt for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O INE PART NUMBER DESCRIPTION LIST NET AMOUNT 8 8 SM R2-14 1 1-4 IN. C.R. ROUND 9.01 72 . 08 1 1 L081 CUTTING 12 .00 12 .00 SUB TOTAL - - - - > 72 . 08 CHARGE SALE MISC . - - - - - - - - > 0 . 00 LABOR - - - - - - - - > 12 . 00 TAX 7 . 000 - - -> 0 . 00 Signature INVOICE TOTAL-> 84 . 08 I DATE INVOICE 11 28 12 340138 TIME CARMEL WELDING AND SUPPLY P/0 NUMBER 16 : 14 : 10 550 South Rangeline Road SALESMAN Carmel' ;' Indiana' 46032 WORK ORDERI 007/007 317-846-3493 www. CarmelWelding. com STO 1 1 of 1 Terminal 16 BILL TO ACCOUNTe 3017 SHIP TO ACCOUNTe 3017 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL, INDIANA 46074 CARMEL, INDIANA 46074 Tax Exemption #: 0031201550.02 WWW.CARMELWELDING.COM-----Plese keep receipt for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O kINEI PART NUMBER DESCRIPTION LIST NET AMOUNT 2 2 GRH282575 BUSHING DECK MOUNT 2 .24 4 .48 SUB TOTAL - - - -> 4 . 48 CHARGE SALE MISC . - - - = - - -- > 0 . 00 LABOR - - - - - - - - > 0 . 00 TAX 7 . 000 - - -> 0 . 00 Signature INVOICE TOTAL-> 4 . 48 REMITTANCE ADDRESS CARMEL WELDING AND SUPPLY CARL WELDING AND Sl RY 550 South Range 1 ine Road MS South Rangeline Road Carmel, Indiana 46032 Car®el, Indiana 468K 317-846-3493 www. CarmelWelding. com '317-846-3493 wo.CareelWeldin CARMEL STREET DEPARTMENT ;CARL STREET DEPARTHM 3400 WEST 131ST ' STREET ,3400 WEST 131ST STREET CARMEL, I ND I ANA 46074 CAM,INDIAN 46®74 DATE ACCT PG DATE ACCT PG 11/30/12 F 3017 1 11/30/12 : 3817 ' 1 TERMS: NET DUE 10TH OF MONTH FOLLOWING INV. D A SERVICE CHARGE OF 1 3/4% PER MONTH TO RE ADDED TO ACCOUNTS PAST DUE. DETACH AND RETURN i THIS STUB TOTAL Dill LAST STATE)W 182.43 AIVIOIAITS TO PAY THIS STATEMENT REFLECTS CREDITS AND CHARGES MADE THRQUGM40E UAT40EM INDICATE (6� BEING PAID DATE INV DESCRIPTION AMOUNT FUTURE CURRENT DATE INV AMOUNT j I 1/09/12 339692 PURCHASE 5.28 .t 5.28 } 11/09/12 .339692 1 5.28✓ 1/13/12 .339784 PURR j 84.88 84.08 11/13/12 339784 84.®8 1/28/12 1339951 PURCHII.4E 1/23/12 1032352 RAYENT 214258 182.43CR 7 1/28/12 ;340138 PURCHASE_ 4.48 4.48 1/28/12 13481381 4.48 I I + s ti ON ACCOUNTI FUTURE I CURRENT I PAST 30+ JTAST 60+ PAST 90+ TOTALS 3. ®� ®� ®� TOTAL 1 ' BALANCE DUE 1423.63 PAY THIS AMOUNT BALANCE DUE 1423.63 DATE INVOICE 1 11/28/12 340138 TIME CARMEL WELDING AND SUPPLY I 16 : 14 : 10 550 South Rangeline Road SALESMAN Carmel , Indiana 46032 WORK ORDE 1 007 007 317-846-3493 www. CarmelWelding. com STORE E I 1 1 of 1 I Terminal 16 733-2001 7 - BILL TO ACCOUNT: 3017 SHIP TO ACCOUNT: 3017 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL, INDIANA 46074 CARMEL, INDIANA 46074 Tax Exemption # : 003120155002 WWW.CARMELWELDING.COM-----Plese keep receipt for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O i,,Ej PART NUMBER I DESCRIPTION LIST NET AMOUNT 2 2 GRH282575 BUSHING DECK MOUNT 2 .24 4 .48 SUB TOTAL - - - -> 4 . 48 CHARGE SALE MISC . - - - - - - - - > 0 . 00 LABOR - - - - - - - - > 0 . 00 TAX 7 . 000 - - - > 0 . 00 Signature INVOICE TOTAL- > 4 . 48 D 11/13/12 339784 TIME CARMEL WELDING AND SUPPLY I 15 : 58 : 11 550 South Rangeline Road SALESMAN Carmel , Indiana 46032 WORK ORDER I 004/004 317-846-3493 www. CarmelWelding . com j STORE PAGE 1 1 1 of 1 Terminal 12 733 -2001 7 'RIT-L TO ACCOUNT: 3017 SHIP TO ACCOUNTP 3017 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL, INDIANA 46074 CARMEL, INDIANA 46074 Tat: Exemption 4 : 003120155002 WWW.CARMELWELDING.COM Plese keep receipt for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O LINE1 PART NUMBER DESCRIPTION LIST NET AMOUNT 8 8 SM R2-14 1 1-4 IN. C.R. ROUND 9.01 72 .08 1 1 L081 CUTTING 12 . 00 12 . 00 SUB TOTAL - - - - > 72 . 08 CHARGE SALE MISC . - - - - - - - -> 0 . 00 LABOR .- - - - - - - - > 12 . 00 TAX 7 . 000 - - - > 0 . 00 Signature INVOICE TOTAL-> 84 . 08 DATE INVOICE 11/09/12 339692 TIME CARMEL WELDING AND SUPPLY 1 14 : 52 : 00 550 South Rangeline Road { SALESMAN Carmel , Indiana 46032 WORK RDE I 004/004 317-846-3493 www. CarmelWelding. com STORE PAGE I 1 1 1 of 1 Terminal 12 733-2001 7 - BILL TO ACCOUNT: 3017 SHIP TO ACCOUNTe 3017 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL, INDIANA 46074 CARMEL, INDIANA 46074 Tax Exemption 4 : 003120155002 WWW.CARMELWELDING.COM Plese keep receipt for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O iN, PART NUMBER DESCRIPTION LIST NET AMOUNT 4 4 GRH257037 STEP BUSHING 1. 32 5.28 SUB TOTAL - - - -> 5 . 28 CHARGE LE MISC. - - - - - - - -> 0 . 00 LABOR - - - - - - - -> 0 . 00 Signature TAX 7 . 000 - - -> 0 . 00 g INVOICE TOTAL-> 5 . 28 DATE INVOICE I 11/02/12 339469 TIME CARMEL WELDING AND SUPPLY P/0 NUMBERI 9 : 24 : 01 550 South Rangeline Road SALESMAN Carmel , Indiana 46032 WORK ORDER 007/003 317-846-3493 www. CarmelWelding. com 89363 STORE E 1 _ 1 1 of 1 } Terminal 16 733 -2001 7 BILL TO ACCOUNT* 3017 SHIP TO ACCOUNT* 3017 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL, INDIANA 46074 CARMEL, INDIANA 46074 Ta:._ E:_emption 4 : 003120155002 WWW.CARMELWELDING.CONI-----Plese keep receipt 0089363-113 for parts returns within 30 days. 110% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O LINI PART NUMBER DESCRIPTION LIST NET AMOUNT DIME CHOPPER.-ZERO TURN TRACTOR 2 2 L031 ADJUSTED VALVES 75 . 00 150 . 00 2 2 DI1•:OG25650SRV RING SET 21. 82 43 .64 1 1 DIROC2977 GASKET CRANKCASE GE 3 . 02 3 .02 1 1 DI::005943 SEAL OIL PASSAGE GE 0 . 97 0 . 97 2 2 DI=:OC2978 GASKET HEAD GENERAC 5.53 11. 06 2 2 DIXOC4138 GASKET EXHAUST GENE 1 . 39 2 .78 1 1 DIXOC2979 GASKET VALVE COVER 3 . 02 3 .02 1 1 DIKOE9842A SHAFT SEAL 15.36 15 .36 2 2 DI:_078672 VALVE SEAL 2 .23 4 .46 1 1 DIX090072 0 RING 3 .56 3 .56 1 1 DIXOC3043 GASKET 1. 57 1.57 2 2 CHARCI2YC SPARK PLUG 4 .45 8 . 90 3 3 MIS129 OIL ENGINE 4 . 29 12 .87 1 1 BRP70185GS OIL FILTER. GENERAL 8 . 68 8 .68 1 1 MISMIS ENVIRONMENTAL FEE 9. 90 9. 90 1 1 L031 REBUILD ENGINE 1050. 00 1050. 00 SUB TOTAL - - - -> 129 . 79 CHARGE SALE MISC. - - - - - - - -> 0 . 00 LABOR - - - - - - - -> 1200 . 00 TAX 7 . 000 - - -> 0 . 00 Signature INVOICE TOTAL- > 1329 . 79 VOUCHER NO. WARRANT NO. ALLOWED 20 Carmel Welding and Supply IN SUM OF $ 550 S. Rangeline Road Carmel, In 46302 $1,423.63 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 339469 42-370.00 $1,329.79 1 hereby certify that the attached invoice(s), or 2201 339692 42-370.00 $5.28 bill(s) is (are)true and correct and that the 2201 33974 42-370.00 $84.08 materials or services itemized thereon for 2201 340138 1 42-370.00 $4.48 which charge is made were ordered and received except a 17 Friday, Deceber?012 _ /L.,4y i'�'/r 6 t/ ou Ut mmissloner Street ommissloner Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/02/12 339469 $1,329.79 11/09/12 339692 $5.28 11/13/12 33974 $84.08 11/28/12 340138 $4.48 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 20 Clerk-Treasurer DATE 1NV01CB___j 9_/12 340162 � CARMEL WELDING AND SUPPLY P/0 NUMBER 13 : 38 : 12 550 South Rangeline Road 1 Carmel, Indiana 46032 WORK ORDER A .. 004/004 317-846-3493 www. CarmelWelding.,com i 1 1 1 of 1 Terminal 12 (317) 571-2634 (317) 571-2634 BTLL TO ACCOUNTe 3016 SHIP TO ACCOUNTe - 3016 CARMEL SEWER DEPARTMENT CARMEL SEWER DEPARTMENT 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280 Tax Exemption # : 356000972001 WWW.CARMELWELDING.COM-----P1ese keep receipt — - - ior parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD SHIP B O iNe PART NUMBER DESCRIPTION LIST NET AMOUNT 7 7 LIJ-SCOFF SHARPEN CHAIN OFF SAW 8 . 00 56 . 00 r SUB TOTAL - - - -> 0 . 00 CHARGE SALE MISC. - - - - - - - -> 0 . 00 LABOR - - - - - - - -> 56 . 00 TAX. 7 . 000 - - - > 0 . 00 Signature INVOICE TOTAL-> 56 . 00 VOUCHER # 126291 WARRANT # ALLOWED 51000 IN SUM OF $ CARMEL WELDING & SUPP INC 550 S. RANGELINE RD CARMEL, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 340162 01-7362-06 $56.00 Voucher Total $56.00 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 51000 CARMEL WELDING & SUPP INC Purchase Order No. 550 S. RANGELINE RD Terms CARMEL, IN 46032 Due Date 12/6/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/6/2012 340162 $56.00 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 5p-11-10-1.6 yw-- Date Officer DATE INVOICE 12/03/12 340257 TIME CARMEL WELDING AND SUPPLY I 14 : 47 : 29 550 South Rangeline Road SALESMAN Carmel , Indiana 46032 WORK ORDER I 004/004 317-846-3493 www. CarmelWelding. com STORE PAGE I 1 1 of 1 Terminal 12 733 -2855 7 BILL TO ACCOUNT: 3018 SHIP TO ACCOUNT: 3018 CARMEL WATER DEPARTMENT CARMEL WATER DEPARTMENT 3450 WEST 131ST STREET 3450 WEST 131ST STREET WESTFIELD, INDIANA 46074 WESTFIELD, INDIANA 46074 Tax Exemption #: 000312015500 WWW.CARMELWELDING.COM Plese keep receipt for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP charge. No return on electrical or special orders ORD I SHIP B O kINEI PART NUMBER DESCRIPTION LIST NET AMOUNT 1 1 STI4223-190-0600 REWIND SPRING 15. 99 15 . 99 SUB TOTAL > 15 . 99 CHARGE SALE l^ MISC . > 0 . 00 LABOR - - - - - - - -> 0 . 00 TAX 7 . 000 - - -> 0 . 00 Signature�,�,Kf 38 INVOICE TOTAL-> 15 . 99 VOUCHER # 122943 WARRANT # ALLOWED 51000 IN SUM OF $ CARMEL WELDING & SUPP INC 550 S. RANGELINE RD CARMEL, IN 46032 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 340257 01-6500-05 $15.99 t 1 1 Voucher Total $15.99 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 51000 CARMEL WELDING & SUPP INC Purchase Order No. 550 S. RANGELINE RD Terms CARMEL, IN 46032 Due Date 12/4/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/4/2012 340257 $15.99 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