220840 06/04/2013 "a CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
` ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL, INDIANA 46032 305 SOUTH POST ROAD CHECK AMOUNT: $14,945.88
INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 220840
ETON
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 238312 9, 341 . 17 OTHER EXPENSES
651 5023990 238312 5, 604 . 71 OTHER EXPENSES
� ,y. 3 - 3'£-t{: ��+C� - - i � at ��°s 'r _.. }�.-�ye1' 4f� a•✓3.
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j r�s•x� tnvoice Date Invoice No.
^ 305 South Post Road 05/20/2013 023. 8312
Indianapolis, IN 46219-7900 Certified as a : w _ "J
Ulomen Business Enterprise ��>��_r� z'�a
(317) 895-9708 che State of lndiono ono tho 9"Terms
Gty o of Indianapolis N,nLBF Programs
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
I�I�tltll�tll�����ll���l�lil�l�ll���ll�ttlll�tlitl�l CARMEL, IN 46032 SCOTT CAMPBELL
_sales_'. . . Customer. ''.:: .__t<,:'.:'.- Job.'� ° Ship' 30
Person J,Worrell Po:No. •.SeQtt Campbell. tio.. 087499 Date 04/ /2�13 Ya: �:5..Mall
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COC-PROC ! 1 City of Carmel - Utility Mailings 5174.19 EACH ( 5,174:19
COC-POST 1 City of Carmel - Postage for Mailings ! 9621 .69 EACH # 9,621.69
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I I For April 2013 ,
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Freight: j i 150.00
jC�Inc Tam U0
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 14,945.88
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.
r'
Pl ease.detach-this receipt along,perforatiori and enclose with remittance:;
rr II cor
Solutions at Work y
printin,q •'marketing' office products
Invoice Number 0238312 ,'
{' 126952
CITY OF CARMEL Invoice Date 05/20/2013
WATER-WASTEWATER UTILITIES :'
760 3RD AVE SW Amount Due- 14,945.88
_ CARMEL, IN 46032
a
VOUCHER # 135594 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
238312 01-7360-07 $5,604.71
� I
Voucher Total $5,604.71
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 5/28/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/28/2013 238312 $5,604.71
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
:SI2 9113 ci=-. yw-l--J�Jn
Date Officer
invoice Date I Invoice No.
305 South Post Road 0512012013 10238312
Indianapolis, IN 46219-7900 certified as o
Women Business Enterprise
(317)895-9708 by the state of Indiana and the Terms
Gay of Inds pohs MUBE Pragra-
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
I.I.,Irllrrllrrlllllllllllllll CARMEL, IN 46032 SCOTT CAMPBELL
Sales customer Job Ship
Person J Worrell P.O.No. Scott Campbell No. 087499 Date 04/30/2013. IShipped
a 'U.S. Mail
CGC-PROC 1- City of Carmel - Utility Mailings 5174.19 EACH 5,174.19
COC-POST 1 City of Carmel - Postage for Mailings 9621 .69 EACH 9,621.69
I
I
For April 2013
Freight: 150.00
Sales Tax: 00
A FINANCE CHARGE of 2%per month(24o ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 14,945.88
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 # 131733 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
238312 01-6360-07 $9,341.17
Voucher Total $9,341.17
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 5/28/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/28/2013 238312 $9,341.17
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
_511�/3
Date Officer