217094 02/13/2013 ,F CITY OF CARMEL, INDIANA VENDOR: 366482 Page 1 of 1
0 ONE CIVIC SQUARE CLASSIC AUTOMATION LLC CHECK AMOUNT: $473.00
�a CARMEL, INDIANA 46032 795 MONROE AVENUE
.oN ROCHESTER NY 14607 CHECK NUMBER: 217094
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 IN13-0221 473 . 00 OTHER EXPENSES
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Classic Automation LLC
795 Monroe Avenue ®
Invoice Rochester, Ny 14607
USA
Invoice Number:
Voice: 585 241-6010
Fax: r.�l—®a�rr IN13-0221
Fax: 585 241-6014 A Invoice Date:
Unpaid Jan 17, 2013
Sold To: Page:
1
Carmel Waste Water Treat m Plant
9609 Hazel Dell Parkway Ship to:
Indianapolis, IN 46280 Carmel Waste
Water Treatment Plant
Attn Blaine
9609 t"tallaber
Hazel Dell Parkway
Attention:
Accounts Payable Indianapolis,
IN 46280
Customer ID
C-?12-1.084 Custo-nerPO
Sales Re 513447 Pa -anent.
I Rep Y Tenns
GS Shipping Method Net 30 Days
UPS Ground i Ship Date
Quantity 1/17/13 I Due Date
Item 2/16/13
1.006ES7331-7KF02-pABp Description
(Siemens t I
Analog Input Module, Unit$ USD � Item
Previously Used, 466.00 Total $ USD
1-year Warranty 466.00
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3lease make checks payable to Classic Automation LLC if Subtotal 466.00
)alance is shown, Sales Tax
Shipping 7.00
Total Invoice Amount 473.00
Payment/Credit Applied
e1�oN�'
473.00
TOTAL ORDER $ CSD
�G dally
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
366482
CLASSIC AUTOMATION Purchase Order No.
795 MONROE AVENUE Terms
ROCHESTER, NY 14607 Due Date 2/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2013 IN13-0221 $473.00
hereby certify that the attached invoice(s), or bill(s) is (are)true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 126621 WARRANT # ALLOWED
366482 IN SUM OF $
CLASSIC AUTOMATION
795 MONROE AVENUE
ROCHESTER, NY 14607
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
IN13-0221 01-7202-06 $473.00
Voucher Total $473.00
Cost distribution ledger classification if
claim paid under vehicle highway fund