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218293 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1 ONE CIVIC SQUARE WORRELL CORPORATION ?' CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK AMOUNT: $16,724.75 INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 218293 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0235245 .-45 . 53 OTHER EXPENSES 651 5023990 0235245 `27 . 32 OTHER EXPENSES 601 5023990 0235250 ,,10, 398 . 06 OTHER EXPENSES 651 5023990 0235250 , 6, 238 . 84 OTHER EXPENSES 601 5023990 0235354 15 . 00 OTHER EXPENSES %4 k 1'r 7�777- Invoice Date Invoice No. 305 south Post Rood 02/20/2013 0235250 Indianapolis, IN 46219-7900 Certified as a Women Business Enterprise (317)895-9708 by the Star of 1n iwo and t� Terms Gtv of hdmmois MORE Aog- tuww.worrellcorp.com Net 30 Days Sold To Shipped To 0001 CITY OF CARMEL CITY OF CARMEL WATER-WASTEWATER UTILITIES SCOTT CAMPBELL 760 3RD AVE SW WATER - WASTEWATER UTILITIES CARMEL, IN 46032 760 3RD AVE SW I�L�Itllt�ll��ll��l�lllt��ll��ll��llttttl�l�l CARMEL, IN 46032 SCOTT CAMPBELL Sates Customer Job Ship Shipped tin J Worrell P.O.No. Scott Campbell lNo. 086167 ID-t- 01/31/2013 fa U.S. Mail COC-PROC 1 City of Carmel - Utility Mailings 5535.06 EACH 5,535.06 COC-POST 1 City of Carmel - Postage for Mailings 10951.84 EACH 10,951.84 For January 2013 Services W Freight: 150.00 vales Tan: GO A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 16,636.90 All claims or returns must be made within 30 days of receipt and require a return authorization. _A.Ill,i.nvoirtTe-,`.,,e„navahle in U.S. Funds., Thank you for your continued business. MIN •� o o Qo Q 1l 0 (,� Invoice Date Invoice No. 305 South Post Rood 02/20/2013 0235245 Indianapolis, IN 46219-7900 7bvth, ertified os o Women Business Enterprise (317)895-9708 ate of Indlono and the �riiis —polls MUBE programs www.worrelicorp.com Net 30 Days Sold To Shipped To 0001 CITY OF CARMEL CITY OF CARMEL WATER-WASTEWATER UTILITIES SCOTT CAMPBELL 760 3RD AVE SW WATER - WASTEWATER UTILITIES CARMEL, IN 46032 760 3RD AVE SW Irlllrllllrr��ll��lllltlll�rllllll�ll CARMEL, IN 46032 SCOTT CAMPBELL Sales Customer Job Ship Shipoed Person J Worrell ao.NO.SCCITT CAMPBELL No. 086071 Data 02/13/2013 VIaCUSTOMER PICKUP ASI-J792 1 Jacket, Men's Port Authority Nootka 72.85 EACH 72.85 Freight: .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 72.85 All claims or returns must be made within 30 days of receipt and require a return authorization. All i—oices 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 3/6/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/6/2013 0235250 $6,238.84 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 3/1/3 Date Officer VOUCHER # 135087 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 0235250 01-7360-07 $6,238.84 �too 0� Voucher Total $6 4 Cost distribution ledger classification if claim paid under vehicle highway fund Invoice Date Invoice No. 305 South Post Rood �` 02/25/2013 0235354 Indianapolis, IN 46219-7900 Certified os a Women Business Enterprise ,a (317)895-9708 w m°st°t°w irobno°nd tn° Terms G[y W Ind—poli,AMUSE Pogroms tuww.worrelicorp.com Net 30 Days _ Sold To Shipped To 0001 CITY OF CARMEL CITY OF CARMEL WATER-WASTEWATER UTILITIES SCOTT CAMPBELL 760 3RD AVE SW WATER - WASTEWATER UTILITIES CARMEL, IN 46032 760 3RD AVE SW Illl�lll �lllllllllllllllllllllllll CARMEL, IN 46032 SCOTT CAMPBELL sales Customer pe Job Ship Shipd Person J Worrell IPO."e.SCOTT CAMPBELL INe 268232 (Date 02/19/2013 via TRUCK ..- o- - COC-F01 5 Statements BOX .00 COC-EDG1 5 Envelope, #10 Double Window, Printed BOX .00 WC-EN09 2 Envelope, #9 Window Reply ! BOX .00 I I Freight: 15.00 - -- — --— —S-les-T-ax:- I - - — --I --OU- --- NANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 15.00 Jaims or returns must be made within 30 days of receipt and require a return authorization. invoices are payable in U.S.Funds. Thank you for your continued business. 305 South Post Rood ' Indianapolis, IN 46219.7900 r. � Certified as o t"°elce Date (317) 895-9708 ul a Involco No,+ amen Business Enterprise 02/20/2013 .023 w 5x0•of oa��e ;�' 5250 www.worrellcorp.com cww" °°'°:xweea Terms f Sold To Net 30 Days Shipped To CITY OF CARMEL 0001 WATER-WASTEWATER UTILITIES CITY OF CARMEL 760 3RD AVE SW SCOTT CAMPBELL CARMEL, IN 46032 WATER - WASTEWATER UTILITIES IiIIIl��ll��ll��l�lll...ll, lltttllltll 760 3RD AVE sw Sales " Person J Worrell r--- CARMEL IN 46032 eo.No. Scott Campbell . INJoba �ShFp SCOTT CAMPBELL ; Z eo' A . 086167 ate 01%31/2013 lv!�hf�;;ie_d _-.. COG FROG I 1 D_ U.S. Mall COC-POST City Of Carmel - Utility Mailings �+ 1 City of Carmel - P x _ Postage for Mailings 5535.06 'EACH 10951.84 I 5,535.06 I I EACH 10 95118 , 4 For January ry 2013 Services � 1 f I 1 - o� I / I f ' Freight: e , Tu... 150.00 v ctx1" aX ANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE �� accounts. i Ift Or returns must be made within 30 days of receipt and require a return authorization. lvoices are payable in U.S. Funds. TOTAL DUE _ 16,636.90 Thank you for your continued business. 8 Please detach this receipt along perforation and enclose with remittance: p . aorrellcor - Solutions of Work printing •'morketin i i g'' office products' 126952 Invoice 1 ` CITY OF CARMEL 0235250 ' WATER-WASTEWATER UTILITIES Invoice Date 02/20/2013 `. 760' RM AVE SW Amount oue CARMEL, IN 46032 16,636.90 a l - iP 305 South P ost Rood Indiono e as e � polls, IN 46219-7900 � �s Certified as o i invoice Date �``y a Invoice Na (317)895-9708 Women Business Enterprise 02/20/2013 �h•5ol•oro-d,000�� - a` t 0235245 www.worrellcorp.com j, 013 Y" Terms Sold To Net 30 Days CITY OF CARMEL Shipped To 0001 - WATER-WASTEWATER UTILITIES 760 3RD AVE SW CITY OF CARMEL CARMEL, N 4 SCOTT CAMPBELL I 6032 IIr�l�llE 4 WATER - WASTEWATER UTILITIES sales - -- rul�llln�llr�ill,��llrn,l�lrl 760 3RD AVE SW Person J Wo rrell ~ customer CARMEL IN 46032 P°."aSCOTT CAMPB ••- ELL No snip '. _ SCOTT CAMPBELL ASI-J792 086071 °et 02/13/2013e'paed 1 °- 9 . CUSTOMER PICKUP Jacket, Men's Port Authority Nootka 72.85 TEACH 72.0 85 t� Freight: Sales 'Tax.. .00 LANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accou nts. , rims or returns must be made within 30 days of receipt and require a return authorization. � o0 ' 'voices are payable in U.S. Funds. TOTAL DUE ® Thank you for your continued business. 72.85 Please detach this receipt along perforation and enclose with remittance.. - -- - r orr�llr Solutions of Work rprinting morketing office products , 126952 Invoice Number CITY OF CARMEL 0235245 Y. WATER-WASTEWATER UTILITIES Invoice Date 02/20/2013 760 3RD AVE SW Amount Duel— i CARMEL, IN 46032 72.85 � s • a # ti - , • o ,F C iti