219081 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 360190 Page 1 of 1
ONE CIVIC SQUARE UTILITY PIPE SALES
CARMEL, INDIANA 46032 PO BOX 1125 CHECK AMOUNT: $271.15
INDIANAPOLIS IN 46206 CHECK NUMBER: 219081
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 IN028873 271 . 15 OTHER EXPENSES
UTILITY PIPE SALES OF IN, INC. Invoice
T PO BOX 1125
�° INDIANAPOLIS, IN 46206-1125
21PE SALES (317)224-2300
V- (317)224-2301 fax Nuhj er' IN028873
"Providing The Flow, above s aelow" Website: www.utilitypipesales.com
Page,; : i
Date° 03/15/2013
Bill•, CARMEL WASTE WATER UTILITY Ship CARMEL WASTE WATER UTILITY
TO'. 9609 HAZEL DELL PKWY To. 9609 HAZEL DELL PKWY
CARMWW INDIANAPOLIS IN 46280 CARMWW INDIANAPOLIS IN 46280
IIIIIIIIIII �II���I
Customer PO# : Sliip,Date Salesperson, Terms- s -Tax Code
III'
PO#571=2635-- -03/14/2013 Philip Peters Net 30 Days I INGOV
Document# . :: °Warehouse Freight', . T ..Ship-Via"
00029484 UTILITY PIPE SALES OF IN, INC. Prepaid OUR TRUCK ROUTE
Item/Description . , k Ordered T Shipped Backorder. um ' Price'`"Per` r Eztensioh`
IS102-1010SR 5 5 0 EA 54.23 EA 271.15
10" SHEAR RING COUPLING
CLAY X CI/PVC
�
M6r&h
a4s&I Add On_`Charges'. Taz' :Total Due
��'
We appreciate your business 271.15 0.00 —0:00 271-15
�I II IIIII III I �I III IIIIIIII�� IIIIIII 111111111111111111 111
IN IN028873
Customer Copy ... Last page
VOUCHER # 135225 WARRANT # ALLOWED
360190 IN SUM OF $
UTILITY PIPE SALES OF IN INC
,
PO BOX 1125
INDIANAPOLIS, IN 46206
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
IN028873 01-7500-02 $271.15
i
Voucher Total $271.15
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
360190
UTILITY PIPE SALES OF IN INC Purchase Order No.
PO BOX 1125 Terms
INDIANAPOLIS, IN 46206 Due Date 4/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2013 IN028873 $271.15
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