219102 04/09/2013 a CITY OF CARMEL, INDIANA VENDOR; 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $8,098.20
CARMEL, INDIANA 46032 305 SOUTH POST ROAD
INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 219102
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 236638 5, 061 . 37 OTHER EXPENSES
651 5023990 236638 3 , 036 . 83 OTHER EXPENSES
Invoice Date Invoice No.
305 South Post Rood '��� 03/29/2013 0236638
Indianapolis, IN 46219-7900 certified as o
Women Business Enterprise
(317)895-9708 by the Scot.of Indiono and the
City of Indio.0.,MUBE Programs 44 Terms
www.worrelicorp.com Net 30 Days
Sold To Shipped To
M
CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER UTILITIES CITY OF CARMEL
760 3RD AVE SW 305 SOUTH POST ROAD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
Illllllllllllllllrlllrllllllll SCOTT CAMPBELL
Sales Customer Job Ship Shipped
Person J Worrell PO.No.SCOTT CAMPBELL IN.. 086423 Date 03/25/2013 Ya BEST AVAILABLE
COC-EDG1 165 Envelope, #10 Double Window, Printed 49.08 BOX 8,098.20
At our warehouse in INDIANAPOLIS, IN
Freight: .00
- - - - — Sales Tax: - -.-0p--
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 8,098.20
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S.Funds. Thank you for your continued business.
VOUCHER # 131321 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
236638 01-6200-07 $5,061.37
Voucher Total $5,061.37
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 4/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2013 236638 $5,061.37
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
mod.. �r
frr r s
n�, •- A�`�,,,� �;� � •�"�. Invoice Date Invoice No
305 South Post Rood
03/2 ,:
3/29/2013 0236638'
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Certified os o -v "
Indianapolis, IN 46Q19-7900 =
P Women Business Enterprise
(317)895-9708 by the Rot¢of Indiana and the ` ,h
Gty of Indianapolis MUM Programs �1 ° Terms
www.worrellcorp.com Net 30 Days
Sold To Shipped To
M
CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER UTILITIES CITY OF CARMEL
760 3RD AVE SW 305 SOUTH POST ROAD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
I�I��I�Il�tll��tttlltttl,lll��tll�t�ll���ll�t�rl�l�l SCOTT CAMPBELL
Sales :'. - Customc•T Job. Ship: . -' Shi ed'
Person ;J Worrell Po ao- COTT:CAMPBELL No' 086423 date ,•'03%25/2013.. VaPpBEST AVAILABLE `
COC-EDG1 1651 Envelope, #10 Double Window, Printed ( 49.08 BOX 8,098.20
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Freight:
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Sales Tax: ( II
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A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 8,098.20
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
PIi ase Jetach;..this iecei "t`along peiforation and;enclose:with"remittance`.—
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4' Invoice Number" s 0236638 i.
-_- CITY OF CARMEL Invoice Dafe 03/29/2013 f'
WATER-WASTEWATER UTILITIES .. ",
w `=y 760 3RD AVE SW 5 _Amount Due 8,098.20
k =- CARMEL IN 46032 .LL
VOUCHER # 135281 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
236638 01-7200-07 $3,036.83
IJ
� p
Voucher Total $3,036.83
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 4/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2013 236638 $3,036.83
1 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