217408 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $852.62
0 CARMEL, INDIANA 46032 305 SOUTH POST ROAD
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INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 217408
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0234422 532 . 88 OTHER EXPENSES
651 5023990 0234422 319 . 74 OTHER EXPENSES
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305 South Post Rood ` �� s`� s' U1/29/2013 0234422
Indianapolis, IN 46219-7900 Certified os a
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Women Business Enter rise a
(317)895-9708 by ft Ci 5[o[e of Indo w and the p ar? Terms
City of hdionopo6s NMSE Prog,o
www.worrelicorp.com Net 30 Days
Sold To Shipped To
WCO
CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER UTILITIES CITY OF CARMEL-Newsletter
760 3RD AVE SW 305 S POST RD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
SURE MAKI
Cu Nmef- .Y (NO..- ..
Sales Ship Shipped_
iPerson J Worrell SUE MAKI 085753 Date 01/28/2013'.; ,a .BEST AVAILABLE
COC-NEW001 21,0001 Monthly Newsletter 38.22a M 802.82
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A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 852.62
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
„ t® Please detach this receipt along perfdratlori and enclose with remittance
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Solutions at Work -
pnnhng rnorkeFting.•'office.products:
Invoice Number: 0234422
I 126952
CITY OF CARMEL Invoice Date p 01/29/2013
WATER-WASTEWATER UTILITIES
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Amount Due 852.62
760 3RD AVE SW
k CARMEL, IN 46032 F K 7 �'�:. g
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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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 2/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2013 0234422 $532.88
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
2/,///3 C
Date Officer
VOUCHER # 123519 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0234422 01-6360-07 $532.88
1
5 `D
Voucher Total $532.88
Cost distribution ledger classification if
claim paid under vehicle highway fund
Invoice Date Invoice No.
305 south Pose:Rood 01/29/2013 0234422
Indianapolis, IN 46Q19 7900 certified os o
Women Business Enterprise
k-
(317) 895-9708 by Mo Sm[e o Indiana and M. Terms
City of Indiompdis M(LUBE Programs
www.worrellcorp.com Net 30 Days
Sold To Shipped To
WCO
CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER UTILITIES CITY OF CARMEL-Newsletter
760 3RD AVE SW 305 S POST RD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
SURE MAKI
Sales Customer Job Ship Shipped
Person J Worrell Po.No. SUE MAKI 114o_ 085753 Date 01/28/2013 Via BEST AVAILABLE
COC-NEW0011 21,000 Monthly Newsletter 38.22 M 802.62
CO
Freight: 50.00
--- — -- -----
--- - - -- -- - - — --Sales-Tax:-- I --- -� - - —00-----
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 852.62
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 2/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2013 0234422 $319.74
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 # 126662 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0234422 01-7360-08 $319.74
x
Voucher Total $319.74
Cost distribution ledger classification if
claim paid under vehicle highway fund