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219542 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1 ` ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $12,845.81 CARMEL, INDIANA 46032 305 SOUTH POST ROAD INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 219542 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 236894 8, 028 . 63 OTHER EXPENSES 651 5023990 236894 4, 817 . 18 OTHER EXPENSES :aj, Invoice Date Invoice No 305 Sout�Post oo d 04/10/2013 0236894 Indianapolis, IN 46419-7900 certified as o Women Business Enterprise 4— (317) 895-9708 bV the State of Indiana oM he Gty of Indionopdrs NVlUBE Hogroms fI11S t.uww.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 III�IIII, ,,,II� IIII , II�� IIII,,��I�I�I CARMEL, IN 46032 SCOTT CAMPBELL Sales Customer Job IP Shipped Person J Worrell Ro.No. Scott Campbell No. 086948 I 03/31/2013 Via U.S. Mail oo- 41 COC-PROC 1 City of Carmel -Utility Mailings 4607...54 EACH 4;607:54-- COC-POST 1 City of Carmel - Postage for Mailings 8113.27 EACH 8,113.27 I March 2013 0 Freight: 125.00 — -- - Sales Tax: VOUCHER # 135364 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 236894 01-7360-07 $4,817.18 P Voucher Total $4,817.18 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 4/16/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/16/2013 236894 $4,817.18 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 V MCI' o ja 2A Invoice Date Invoice No. 305 South Post Road 04/10/2013 0236804 Indianapolis, IN 46219-7900 (317) 895-9708 by the state of 1nd­.and the —Terms Oty of hd.n.p.B NIMBE P,.g,- www.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 CARMEL, IN 46032 SCOTT CAMPBELL Customer Job, Ship- Person J Worrell , -1p, Date 03/31/201,3: 1v'ih-'p7" 6.S. Mail Scott amp 0869.48 - Sales Campbell; COC-PROC 1 City of Carmel - Utility Mailings I 4607.54 EACH 1 4'607'.54 COC-POST 1 i City of Carmel - Postage for Mailings 8113.27 EACH I 8113.27 March 2013 \jj 4 i i Freight: 125.00 Sales Tax: .00 - A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 12,845.81 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. Please detach this receipt along perforation and enclose witfi�reirnittance. A� w a cor om Work- Solutions at. printing i,rnarketing office products. Invoice Number 0236894 126952 CITY OF CARMEL Invoice Date 04/10/2013 WATER-WASTEWATER UTILITIES 760 3RD AVE SW Amount Due 12,845.81 CARMEL, IN 46032 J, VOUCHER # 131427 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 236894 01-6360-07 $8,028.63 Voucher Total $8,028.63 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 4/16/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/16/2013 236894 $8,028.63 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