220630 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 358710 Page 1 of 1
ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD
CARMEL, INDIANA 46032 P 0 BOX 91036 CHECK AMOUNT: $213.10
'w ? CHICAGO IL 60693 CHECK NUMBER: 220630
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6445397 142 . 85 OTHER EXPENSES
601 5023990 6627730 70 . 25 OTHER EXPENSES
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Date Ordered Date Shipped Customer PO No Job Name Job No. Bill of Lading Shi ed Via Order Number
3/28/13 3/29/13 GREG K81 SAFETY KIT I UPS 6445397
Product Code Description Quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
61KEK81ACRK 5-1/4 K81A COLLISION REP KIT 1 1 134.60000 EA 134.60
I
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms Subtotal
and conditions,which are incorporated herein by this reference and accepted.
To review these terms and conditions,please point your web browser to
http://waterworks.hdsupply.com/TandC/. NET 30 134.60
Freight Delive —Handling Restock Misc Tax •
8.25 142.85
HDSWW - FAIRFIELD OH 6445397
Branch - 506
3165 Production Dr
Fairfield OH 45014 Page: 1
00000
Return Top Portion With Payment For Faster Credit Thank You For The Opportunity To Serve You.
We appreciate your prompt payment.
Date ordered Date Shipped Customer PO No. Job Name Job No. Bill of Lading Shipped Via Order Number
4/12/13 1 4/16/13 JERRY STORZLOCKS UPS 6627730
Product Code Description quantity Quantity Back- Price Per Amount
Ordered Shipped Ordered
HD SUPPLY WATERWORKS PO#-5988638
STORZLOCKS-5NL 3 3 18.50000 EA 55.50
This transaction is governed by and subject to HD Supply Waterworks standard terms Terms Subtotal
and conditions,which are incorporated herein by this reference and accepted.
To review these terms and conditions,please point your web browser to
http://waterworks.hdsupply.com/TandC/. NET 30 55.50
Freight Delivery Handlinci Restock I Misc T Tax MOZZEMM,
14.75 70.25
HDSWW -INDIANAPOLIS IN -W ® 6627730
Branch - 430
1680 Expo Lane
Indianapolis IN 46214 Page: 1
00000
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
350591
HD SUPPLY WATERWORKS Purchase Order No.
PO BOX 91036 Terms
CHICAGO, IL 60693-1036 Due Date 5/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/2013 6445397 $142.85
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
VOUCHER # 131741 WARRANT # ALLOWED
350591 IN SUM OF $
HD SUPPLY WATERWORKS
PO BOX 91036
CHICAGO, IL 60693-1036
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6445397 01-6200-06 $142.85
Voucher Total $142.85
Cost distribution ledger classification if
claim paid under vehicle highway fund