218169 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 365006 Page 1 of 1
ONE CIVIC SQUARE NALCO CROSSBOW WATER
r' CARMEL, INDIANA 46032 NETWORK PLACE 24656 CHECK AMOUNT: $190.00
CHICAGO IL 60673
CHECK NUMBER: 218169
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2102547 190 . 00 OTHER EXPENSES
i-- W c: r e r
Nalco Crossbow Water Invoice
Network Place 24658
Chicago,IL 60673
USA Invoice.No. 2102547
Customer No. 0310060A
Bill To Ship To
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 317-571-2634 210 __ Telephone: 317-571-2634-210 -- - - --
Invoice Date Order Date SO Number Ordered By Customer PO Number Payment Method
02/22/13 1 02/19/13 Net 3^v
Warehouse Ship Via F.O.B. Salesperson Resale Number
INDY Crossbow Truck Chris Coppock
Order Ship Unit Extended
Quantity Quantity Tax Item Number/Description Price Price
2 2 Y DMD1 U of M: EACH 95.0000 190.00
DI EXPRESS
1T SERVICE EXCHANGER
01 D80 FRP MIXBED
Print Date 02/22/13 Due Date 03/24/13 Subtotal 190.00
Print Time 02:25:36 PM Freight 0.00
Page No. I
Printed By: Laura Robertson Total Paid 0.00
Balance Due 190.00 Invoice Total 190.00
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
365006
NALCO CROSSBOW WATER Purchase Order No.
NETWORK PLACE 24658 Terms
CHICAGO, IL 60673 Due Date 3/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2013 2102547 $190.00
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
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Date Officer
VOUCHER # 135015 WARRANT # ALLOWED
365006 IN SUM OF $
NALCO CROSSBOW WATER
NETWORK PLACE 24658
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2102547 01-7202-05 $190.00
Voucher Total - $19000
Cost distribution ledger classification if
claim paid under vehicle highway fund