216506 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $136.10
CARMEL, INDIANA 46032 6310 S HARDING ST
INDIANAPOLIS IN 46217 CHECK NUMBER: 216506
CHECK DATE: 1115/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1083709 67 . 00 OTHER EXPENSES
601 5023990 1083710 69 . 10 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET 1083709
'Ifc INDIANAPOLIS,IN 46217 Invoice Date Page
US 1/7/2013 08:54:56 1 of I
ORDF.,R NUMBER
317-783-4196 1087815
**DIRECT SHIPMENT**
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER METERS
3450 WEST 131 ST STRU=T 3450 \VEST 131 ST STREET
CARMEL,IN 46074 (WATER MITERS AND METER PARTS ONLY)
US CARMEL, IN 46074
Us
AtIn:K LOVEALL Ordered By:JACK SPEARS
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Dale Discount Amount
JACK SPEARS Net 30 DAYS 2/6/2013 2/6/2013 0.00
Order Dale Pick Ticket No Primary Salesrep Name Taker
12/5/2012 13:20:03 1091676 DOUG KARST RROPES
Quantities Pricing
/tent ID UOd1 Unit Extended
Orderer/ shipped Remaining UOaI Rent Description Price Price
Unit Size p Unit Size
Carrier: PREPAID R ADD,13ES-F WAY Tracking#:
2.00 1.00 0.00 EA FIVDOT2 1=A 20.0000 20.00
1.0 SAFETY VEST 1.0000
SIZE XXXL
100 1.00 0.00 EA FIVDS EA 40.0000 40.00
1.0 WIND JACKET 1.0000
SIZE XXXL
Total Lines: 2
SUB-TOTAL: 60.00
Total Freight In: 0.00 Total Freight Out: 7.00
TOTAL FREIGHT. 7.00
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 67.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
UTILITY SUPPLY COMPANY INVOICE
13r:u,ch: 03 USC NW INDY
INVOICE
6310 SOUTH HARDING STREET 1083710
INDIANAPOLIS;IN 46217 Invoice Date Page
US 1/7/2013 08:56:04 1 of'I
ORDER NUMBER
317-783-4196 1087815
**DIRECT SHIPMENT**
Bill To: si To:
CARMEL WATER DISTRIBUTION CARMEL, WATER ME"1[:RS
3450 WEST 131 ST STREET 3450 WEST 131 S"I'S"IREET
CARMEL,IN 46074 (WA]- METERS AND METER PARTS ONLY)
US CARMEL, IN 46074
US
Attn:K LOVEALL Ordered By:.IACK SPEARS
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date
Discount Amount
.TACK SPEARS Net 30 DAYS 2/6/2013 2/6/2013
0.00
Order Date Pick Ticket A'o Primary Salesrep Name
Taker
12/5/2012 13:20:03 1091677 DOUG KARST RROPES
Quantities
Item ID Pricing
U011 Unit E.ctended
Ordered Shipper/ Renurinurg U0r11 ;� Item Description
Unit.Size p Price Price
Utrit Size
Carrier: PREPAID&ADD,BEST WAY Tracking#:
2.00 1.00 0.00 EA FIVD0T2
EA 20.0000 20.00
1.0 SAFETY VEST 1.0000
SIZE XXXL
2.00 1.00 0,00 EA HVDS EA
40.0000 40,00
LO WIND JACKET L0000
SIZE XXXL
Total Lines: 2
Total Freight/rt: 0.00 Total Freight Our. 9.10 SUB-TOTAL: 60.00
TOTAL FREIGHT.• 9.10
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% TAX: 0.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS, AMOUNT DUE: 69.10
ORIGINAL
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 12/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201: 1083709 $67.00
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
VOUCHER # 123264 WARRANT # ALLOWED
316200 IN SUM OF $
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
1083709 01-6200-06 $67.00
(24. 10
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund