218120 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00351074 Page 1 of 1
�tONE CIVIC SQUARE KIMBALL-MIDWEST
a CARMEL, INDIANA 46032 DEPT L-2780 CHECK AMOUNT: $49.87
COLUMBUS OH 43260-2780 CHECK NUMBER: 218120
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2850907 49 . 87 OTHER EXPENSES
�3 1.
I INVOICE NO,' r I
tFf
TRIi -y fi�'t NET
PLEASE PAY FROM THIS INVOICE 2 8'5 0`9,0 7/a�� ORIGINAL ORDER...NQ""'.'::
( Spec aliung ircAfateri4lsMaruge»zerr.''sintc 17«3 _ a
0533632E _ • ,
a REMIT TO: KIMBALL MIDWEST ACCOUNT NO;. x "_
DEPT. L-2780 e, • • s
COLUMBUS,OHIO 43260-2780 (614-219-6100) 65:060,
www.kimballmidwest.com
SOLD TO: SHIP TO:
CARMEL WATER DISTRIBUTION CARMEL. WATER DISTRIBUTION u
3450 WEST 131ST ST 3450 WEST 131ST ST
CARMEL IN 46032 CARMEL IN 46032
JIM
DATE SALES REPRESENTATIVE PURCHASE ORDER NO. SHIPPED VIA& DATE
02/25/13 COHEN, ROBER JIM U UPS GROUND 02/25/13
ORDERED SHIPPED BALANCE DESCRIPTION UNIT PRICE AMOUNT
DUE
1 1 521-096 24" 1-JET TYPHOON EX . 22 . 88
1 :: 521090S TYPHOON BLOWGUN 26_.9:9
25 25 NCSN3461 12-10 FAST HS BUTT-Co . 00
25. : 25 :: NBS;N331Ill 16 1:4: FAST :HS: BUTT: C :0:0
UPS TRACKING 4 : 1247817303397126 9 WGT: 1
To hel
p .us correctly pr-oces_s yq:rr; :payrneTit p le ase
include invoice number on your emittance advice
p.t
Fhank .yo t for_ :y r.'busi.ness.! Pay:menI 1s due: :03/2 ./.13
71:ease: m a i_1-. by 03/2'0:/1
^�+4pMY,a�rF ! To recei e invoa- es via email- send a request inc. tiding you
r
,� � ccount umber t._ invoice @kimballinidwest'. corn
` Youiacknowledge'and agree that,by placing this order,all information provided to you by Kimball Midwest herein is confidential and is the property of Midwest
!,,,Mdtor Supply Inc.llola Kimball Midwest You further agree that this information is for your Internal use only and will not be copied,reproduced,distributed
I 'roscl'6sedby.ybCoo„u:and/or your organization without the prior written consent from Kimball Midwest.
f k L CARRIERS RECEIP,T:.w 000D.oRDER;coN ORDERED TAX°� TAX AMT. SHIPPING INVOICE TOTAL
`”STITUTES+'DELIVERY,-.ANDCLAIMS',FOR LOSS
ORDAMAGE IN TRANSITMUSL,BE FILED'BY
CUSTOMER
GOODS RETL,RNED.WITHOUTI OUR CONSENT.
WILL'P,OSITIVELY NO,T BE'AGCEPTED,
49 . 87 49.87
670R'IS'LIABLE;'EOR�L7SUAL'ANDCUSTOM-
`"i��''��'
L CHE
CHIiRGES..,;�
ALCKS,MUST.;BE MADE''PAYABLE.ONLY
To KEM BALL MIOwEST We Appreciate Your Business PLEASE REMIT THIS AMOUNT
VOUCHER # 131041 WARRANT # ALLOWED
3551074 IN SUM OF $
KIMBALL MIDWEST
14
Dept L-2780 u
Columbus, OH 43260-2780
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2850907 01-6500-05 $49.87
i
1
i
Voucher Total $49.87
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
3551074
KIMBALL MIDWEST Purchase Order No.
Dept L-2780 Terms
Columbus, OH 43260-2780 Due Date 3/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2013 2850907 $49.87
I hereby certify that the attached invoice(§), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer