215767 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1
ONE CIVIC SQUARE SERVICE PIPE&SUPPLY INC CHECK AMOUNT: $82.60
CARMEL, INDIANA 46032 P.O.33805
INDIANAPOLIS IN 46203 CHECK NUMBER: 215767
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 566678 82 . 60 MATERIALS & SUPPLIES
SERVICE PIPE & SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203 ,
Phone: 317-639-9308
Fax: 317-639-1335 `Numtier. 566678
"Date'. { 11/19/12
[ P,age: i 1
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Bill Td:'. CITY OF CARMEL Ship To'% CITY OF CAWMEL
..CIT.YC ' 760 3RD AVE S�1',SUITE 1111 '" 1 <1P" . n 1 4915 E 106TH ST.
CARMEL,IN 46032 DAN
CARNIEL.IN 46033
Customer PO# ,k_ Shipped Sites person j "::Terms_ < I Tak�Code Doc# . wh I Freight Ship"Via
DAN I10812A 11/I9/12 004 B.FENTON 2% 10 DAPS N/30 NOTA\ 11444B 111 PREPAID OUR TRUCK
I
,Item- . �,.Description.. Ordered Shipped Backordrd um I uM I Extension
B/O II-9-12(311444)
999 #426-CCC CAP FOR 426 LINIIT 2.00 2.00 .00 EA 41.30 EA 82.60
STOP
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PLEASE DEDUCT �.� ' ,�. , „", -
UCT 1.65 Yt,Merchandise Misc -Discount Tax.v" Freight ; Total Due
IF PAID BY 11/29/12
82.60 .(111 .00 OU .00 82.61)
WE WILL BE CLOSED 1 1/22-1 1/2i HAVE A SAFE HOLIDAY _ _
VOUCHER # 123024 WARRANT # ALLOWED
281250 IN SUM OF $
SERVICE PIPE & SUPPLY INC
P.O. 33805
INDIANAPOLIS, IN 46203
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
566678 01-6200-04 $82.60
s
Voucher Total $82.60
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
281250
SERVICE PIPE & SUPPLY INC Purchase Order No.
P.O. 33805 Terms
INDIANAPOLIS, IN 46203 Due Date 12/10/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/201: 566678 $82.60
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
1 Z/l,l/-L— /Vlllp-v
Date Officer