216617 01/29/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 366908 Page 1 of 1
ONE CIVIC SQUARE ALMETEK INDUSTRIES INC
CARMEL, INDIANA 46032 2 JOY DRIVE CHECK AMOUNT: $229.82
HACKETTSTOWN NJ 07840-9600 CHECK NUMBER: 216617
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 192780 229 . 82 STORM WATER PHASE II
REMIT TO: INVOICE INVOICE PAGE
Almetek Industries, Inc.
2 Jo Drive
Hackettstown, NJ 07840-9600 J.9 2 7 F-30 i
(908) 850-9700 • (908) 850-9618 FAX
It You Identify With Quality,You Identify With Us.- www.almetek.com
S DATE
H ".AiRMEL. E-61GINEERING DEPT, CITY OF 1/03/13
1 ONE CIVIC S0UARE DUE ON
P ;...(,1\1 ti JOHN -1-1-40MAS 2/02/1.3
()RIYIEL. IN 460,,.3P EXPORT CURRENCY
T
O'l
S CARIIE-'L. ENG I NEER iNC-i DEPT, CITY OF' TERMS �
0
01\1
L I.:-_' C I V I C S G U A R E
D CARMEL. IN 46032 1 '4 10-DAYq, NFT,',R0
SELLER TAX I.D.
T
0
CUSTOMER ORDER SLS.,REP. PURCHASE ORDER NUMBER P.O. REV.
1 1 1.0 3200 CO 13169*79 98 EIyIAIL_ jOlIN
SHIP NO. ,SHIPPING INSTRUCTIONS - SHIP DATE SHIP WEIGHT
82697 UPS GROUND 1/03/13 .000 EA
LINE NO. LINE NUMBER/DESCRIPTION U/M QUANTITY/ PRICE NET SALES AMOUNT
Carrier" United Parcel Seri' IL e
ALI_ Ck.)'Sl-[..)M ITEMS SUBJECT
-ro oi::* +/ io%
OF GUANT.I.TY ORDERED
SDS-(,-R0901 NA00H EA 20.000
4"SS NAT WATERWAY FISH W/HOLE 4. 450 89.00
D F R 2'1.'5 0 EA 14.000
DRIVE RIVET 1 /4"X 3/4" .350 4.90
C r )E_�
1) EA i .0011)
CARBI'DE4"E) DRIL SIT,ARBOR, PIL.OT 99.950 991: 95
G 1"',--4"S E EA 10.000
4"CARR DOL.T 11,4/NUT DC PILT 2. 450 24.50
FREIGHT 11 .47
1\10 S'A L.E S TA X 00
-ra-X Registration Numbers
Div1261 8 9'077.7
.1 ZP
8 9'077
D
9EC,ENED
I:)
0
NET SALES TRADE DISCOUNT
Misc.CHARGES TERMS DISCOUNT
FREIGHT
TAXES ,AMOUNT DUE,
REMIT TO: [ INVOICE INVOICE PAGE
Almetek Industries, Inc.
2 Ja Drive
Hoc ettstown, NJ 07840-9600 1 1?2'7eO
(908) 850-9700 • (908) 850-9618 FAX
It You Identify With Quality,You Identify With US.T. v^vw.almetek.com
S DATE H CARMEL_ E-NGINEITRING DEPT, CITY OF 1/03/1.:3
1 ONE CIVIC SQUARE DUE ON
p A TT N - JOHN THOMAS 2/02/13
CARMEL-. IN li-6032 EXPORT CURRENCY
T
OlN
S CARMEL_ ENGINEERING DEPT, CITY OF TERMS
0 ONE CIVIC SGk.)f'.)I:RE
L
D, CARMEL-. IN 46032 1 %, 'IQ--l_)AYq. NIEI30
SELLER TAK1.D.
T
0
CUSTOMER ORDER SLS. REP. -PURCHASE ORDER NUMBER P.O. REV
J.
1 .103200 CO 1369"79 90 EMAIL_ jOl-lN
SHIP NO. SHIPPING INSTRUCTIONS SHIP DATE 'SHIP WEIGHT
82687 UPS GROUND 1/03/13 .000 EA
LINE NO. LINE NUMBER/DESCRIPTION U/M QUANTITY PRICE NET SALES AMOUNT
Carrier United Parcel Ser-vic-e,
IN THE NFAR FUTURE.ALMS FEK WILL BE
EMAILINO INVOICES TO OUR CUSTOMERS-
PLEASE FORWARD YOU_RF A/1'EMAIL
ADDRESS'1'O:
SVANEFETERE Nf-
(I)ALWTEXCOM
NET SALES,',, TRADE DISC�OUNT
5
213 -3
'0
MISC.CHARGES .00 I.ITERMS DISCOUNT: 2. l 0
FREIGHT
TAXES j. -L .47 IIAMOUNTDUEJ
v -11 229.82
CIC
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
Almetek Industries, Inc Purchase Order No.
2 Joy Drive Terms
Hackettstown NJ 07840-9600 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
1/3/2013 192780 Rain Garden Supplies $ 229.82
Total $ 229.82
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.
,20
Clerk-Treasurer
VOUCHER NC WARRANT NO.
Almetek Industries, Inc ALLOWED 20
2 Joy Drive IN SUM OF $
Hackettstown NJ 07840-9600
$ 229.82
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITI- AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 192780 211-4462838 $ 229.82 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
/� �1/28/2013
Y
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund