216459 01/15/2013 7,ITY OF CARMEL, INDIANA VENDOR: 365006 Page 1 of 1
ONE CIVIC SQUARE NALCO CROSSBOW WATER
CARMEL, INDIANA 46032 NETWORK PLACE 24658 CHECK AMOUNT: $213.00
'+ r CHICAGO IL 60673 CHECK NUMBER: 216459
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2098026 190 . 00 OTHER EXPENSES
651 5023990 2098027 23 . 00 OTHER EXPENSES
CRC)SSBC)VV-
W a t e r Invoice
Nalco Crossbow Water
Network Place 24658
Chicago,IL 60673
USA Invoice No.- 2098027
Customer No. 0310060A
Bill To Ship To
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis,IN 46280 Indianapolis,IN 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 317-571-2634 210 Telephone: 317-571-2634 210
Invoice Date Order Date SO.Number.. Ordered By Customer PO Number Payment Method
12/27/12 12/25/12 Net 30
Warehouse Ship Via F.O.B. Salesperson Resale Number
TNDY Crossbow Truck Chris Coppock
Order Ship Unit Extended
Tax Item Number/Descri tion
Quantity Quantity p
Price Price
1 1 Y R1504 U of M:EACH 14.5000 14.50
CARBON CARTRIDGE, 10" FITS S1102 HOUSING
1 1 Y R1009 U of M:EACH 8.5000 8.50
FILTER,9 7/8", 5 MICRON, W/SERVICE TO REPLACE
DOE,FITS STANDARD S1102 HOUSING
50 PER CASE
Print Date, 12/27/12 Due Date 01/26/13 Subtotal; 23.00
Print Time 12:47:49 PM Freight 0.00
Page No.,, 1
Printed By:Laura Robertson l Total Paid 0.00
Balance Due 23.00 Invoice Total 23.00
Nalco Crossbow Water Invoice
Network Place 24658
Chicago,IL 60673
USA Invoice No:. 2098026
Customer No. 0310060A
Bill To Ship To
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis,IN 46280 Indianapolis,1N 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 317-571-2634 210 Telephone: 317-571-2634 210
Invoice Date Order Date SO Number Ordered By Customer PO Number Payment Method a"
12/27/12 12/25/12 Net 3^v
Warehouse -','Ship Via F.O.B. Salesperson Resale Number
WDY Crossbow Truck Chris Coppock
Order Ship Unit Extended
Tax Item Number/Description
Quantity Quantity Price Price
2 2 Y DMD1 U of M: EACH 95.0000 190.00
DI EXPRESS
IT SERVICE EXCHANGER
01 D80 FRP NffXBED
Print Date" 12/27/12 Due Date 01/26/13 Subtotal 190.00
Print Time 12:48:05 PM Freight" 0.00
Page No. 1
Printed By:Laura Robertson- Total Paid 0.00
Balance Due 190.00 Invoice Total 190.00
VOUCHER # 126445 WARRANT # ALLOWED
365006 IN SUM OF $
NALCO CROSSBOW WATER
NE'"WORK PLACE 24658
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2098026 01-7202-05 $190.00
'109g09-►
l:3, �c�
Voucher Total
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
365006
NALCO CROSSBOW WATER Purchase Order No.
NETWORK PLACE 24658 Terms
CHICAGO, IL 60673 Due Date 12/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201; 2098026 $190.00
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
3orrect and I have audited same in accordance with IC 5-11-10-1.6
c'—WA,
Date Officer