216875 01/29/2013 " \4 CITY OF CARMEL, INDIANA „ VENDOR: 281250 Page 1 of 1
ONE CIVIC SQUARE SERVICE PIPE&SUPPLY INC CHECK AMOUNT: $84.90
a CARMEL, INDIANA 46032 P.0,33805
INDIANAPOLIS IN 46203 CHECK NUMBER: 216875
CHECK DATE: 112912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 569170 84 . 90 OTHER EXPENSES
SERVICE, PIPE & SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203 Customer Copy
Phone: 317-639-9308
Nurriber;: 56
Fax: 317-639-1335 3 ;
= Date:,e' 01/04/13
jtPage:;'� 1
Bill To:" CARMEL WASTEWATER TREATMENT Sh,i To: N I CARMEL WASTEWATER TREATMENT
CARWAS. "°° 0 i
760 3RD AVENUE S.W. ' 9609 HAZEL DELL PARKWAY
CARMEL,IN 46032 INDIANAPOLIS,IN 46280
=;Customer PO# : Slii" ed Sales erson:fTerms. :;g° ,Tax Code Doc# wn: Frei ht:.i Shi }Via
PP
513385 01/03/13 004 B.FENTON 2% Ill DAPS N/30 NOTAY 11720A 0I PREPAID O/T
.Item Description,. , Ordered Shipped Backordrd um Price uM Extension
B/O II-15-12(311720) - ——
40037935 I I/2 12R NPT HS DIES F/SS 1.00 1.00 AO EA 84.90 EA 84.90
I
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PLEASE DEDUCT 1.70 Merchandise w z. v? =A?isc '"17iscourit' , ' '-Taz�x r aFreight `°' Tgtal*Due
IF PAID BY 01/14/13
84.90 .00 .00 .00 .00 84.90
RETURNS WILL NOT BE ACCEPTED DEC.3.2012-JAN.3.2013
VOUCHER # 126530 WARRANT # ALLOWED
' 281250 IN SUM OF $
SERVICE PIPE & SUPPLY INC
P.O. 33805
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
569170 01-7202-06 $84.90
Voucher Total $84.90
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 1/23/2013
3
Invoice Invoice Description
Date- Number (or note attached invoice(s) or bill(s)) Amount
1/23/2013 569170 $84.90
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