219028 04/09/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 281255 Page 1 of 1
ONE CIVIC SQUARE SETON IDENTIFICATION PRODUCTS
CARMEL, INDIANA 46032 PO BOX 95904 CHECK AMOUNT: $282.70
CHICAGO IL 60694-5904 CHECK NUMBER: 219028
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9320594683 282 . 70 OTHER EXPENSES
1200 10
Please Remit To: INVOICE
rSET�N Seton Identification
1� Products
P.O. Box 95904
Chicago, IL 60694-5904
P.o. Box 819 Fed ID: 52-1234-223
20 Thompson Rd.
Branford, CT 06405-0819
Bi11-to/Payer#: 1086734534
Ship to Account#: 1086734535
CARMEL WATER UTILITIES
3450 W. 131 ST. ST. Ship-to Attn: KENNETH RHODES
WESTFIELD IN 46074 CARMEL WATER PLANT#1
4915 E. 106TH ST.
CARMEL IN 46033
Thank you for your order.
Please reference invoice number on remittance and all correspondence.
Invoice Invoice 'Purchase Invoice Payment Currency
Number Date Order Number Total Terms
9320594683 03105/2013 KR30513 282.70 10 days net USD
Carrier and Service Terms of Delivery Deliverryy Terms Description or
Your Shi er Account Number
UPS GROUND Prepaid and Add
order Placed by Original Order Number We are your Vendor# Original Quote
Number
KENNETH RHODES WS0108643
LINE PART NUMBER I SKU QUANTITY (UIM) LIST PRICE NET PRICE NET TOTAL
ORIGIN DESCRIPTION
FORWARDING AGENT: UPS GROUND
TRGr'KING NUMRFRB
1ZO175760316384055
000010 24110 / M4287 5 EA 3.10 3.10 15.50
(us) 8LG, 8"WX2-1/4"H, YEUBLK LTRS
Your PO Item#: 1
00002o 56014 / M6925 1 ROL 31.60 31.60 31.60
(us) YELLOW/BLACK ARROWS, 1" X 108'
Your PO Item#: 2
000030 69656 / M9527 1 PAC 149.70 149.70 149.70
(us) JUMBO, 2-1/4"W X 1"H
Your PO Item#: 3
000040 54469 / M6766 1 PAC 85.90 85.90 85.90
(us) 8500 1.5" X .625" GREEN/WHITE
Your PO Item#: 4
-------------------------
Invoice Total 282.70
For questions, please call us toll free at 1-800-243-6624, e-mail us at setonusa @seton.com, or fax us at
1-800-345-7819. For order status, invoice reprint, or to place an order visit www.seton.com.
PAGE 1 OF 2
VOUCHER # 131223 WARRANT # ALLOWED
281255 IN SUM OF $
SETON IDENTIFICATION PRODUCTS
PO BOX 95904
CHICAGO, IL 60694-5904
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
9320594683 01-6200-04 $282 70
t
0
Voucher Total $282.70
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
281255
SETON IDENTIFICATION PRODUCTS Purchase Order No.
PO BOX 95904 Terms
CHICAGO, IL 60694-5904 Due Date 4/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2013 9320594683 $282.70
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