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221130 06/18/2013
CITY OF CARMEL, INDIANA VENDOR: 184825 Page 1 of 1 ` ONE CIVIC SQUARE LIVING WATERS CO. CARMEL, INDIANA 46032 PO BOX 402 CHECK AMOUNT: $2,435.81 ? MONROVIA IN 46157 CHECK NUMBER: 221130 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0078049 525 . 00 OTHER EXPENSES 601 5023990 0078050 675 . 51 OTHER EXPENSES 601 5023990 0078051 610 . 00 OTHER EXPENSES 601 5023990 0078052 625 . 30 OTHER EXPENSES Page: 1 Invoice Living Waters Company, Inc. Invoice Number: 0078051-IN P.O.Box 402 Invoice Date: 5/17/2013 Monrovia, IN 46157 L (317)996-2508 Order Number: 0009993 Order Date 5/17/2013 © Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER UTILITY(e) ATTN:ACCOUNTS PAYABLE 3450 WEST 131ST STREET ONE CIVIC SQUARE PLANT 5 Carmel, IN 46032 Carmel, IN 46074 Customer P.O. Ship VIA F.O.B. Terms VERBAL JERRY OUR TRUCK Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount /LABOR-TA EACH 1.00 1.00 0.00 610.00 610.00 SERVICED 510S/TMK,(3)V10K,(2) 1"NS INJECTOR A finance charge of 1.5% (18%APR) Net Invoice: 610.00 Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total: 610.00 Page: 1 Invoice Living Waters Company, Inc. Invoice Number: 0078049-IN P.O. Box 402 Invoice Date: 5/17/2013 Monrovia, IN 46157 (317)996-2508 Order Number: 0009991 Order Date 5/17/2013 Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER UTILITY(e) ATTN ACCOUNTS PAYABLE 3450 WEST 131ST STREET ONE CIVIC SQUARE PLANT 5A Carmel, IN 46032 Carmel, IN 46074 Customer P.O. Ship VIA F.O.B. Terms _ VERBAL JERRY OUR TRUCK Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount /LABOR-TA EACH 1.00 1.00 0.00 525.00 525.00 ANNUAL SERVICE BY TERRY SERVICED 210S,(3)V10K,(3)3/4"NS INJECTOR I A finance charge of 1.5% (18%APR) Net Invoice: 525.00 Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total: 525.00 Page: 1 Invoice Living Waters Company,Inc. Invoice Number: 0078050-IN P.0. Box 402 �, Invoice Date: 5/17/2013 Monrovia, IN 46157 L. (317)996-2508 Order Number: 0009992 Order Date 5/17/2013 Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER UTILITY(e) ATTN:ACCOUNTS PAYABLE 3450 WEST 131 ST STREET ONE CIVIC SQUARE PLANT 5A Carmel, IN 46032 Carmel,IN 46074 Customer P.O. Ship VIA F.O.B. Terms VERBAL JERRY OUR TRUCK Net 30 Days Item Number Unit Ordered Shipped Back Ordered Price Amount MK-210/510 EACH 2.00 2.00 0.00 111.00 222.00 MAINTENANCE KIT FOR 210/510 Whse: 000 REGULATORS MK-V10K EACH 3.00 3.00 0.00 37.00 111.00 MAINTENANCE KIT FOR V10K Whse: 000 MK-AAA4310 EACH 3.00 3.00 0.00 61.43 184.29 GASKET KIT FOR 3/4"INJECTOR Whse: 000 WTP41212 EACH 3.00 3.00 0.00 7.54 22.62 STOP W2T16924 Whse: 000 WTP 16191 EACH 2.00 2.00 0.00 2.60 5.20 LEAD GASKET W2T11773 Whse: 000 WTAAB2693 EACH 2.00 2.00 0.00 50.82 101.64 BACK HOUSING W2T9971 Whse: 000 WTAAB3143 EACH 1.00 1.00 0.00 20.96 20.96 DIAPHRAGM W2T9957 Whse: 000 LW 1001 FOOT 30.00 30.00 0.00 0.26 7.80 318""OD LDPE TUBING/FT Whse: 000 I A finance charge of 1.5% (18% APR) Net Invoice: 675.51 Less Discount: 0.00 will be charged on all past due accounts. ' Freight: 0.00 Thank you for your business. sales Tax: 0.00 Invoice Total: 675.51 Page: 1 Invoice Living Waters Company, Inc. Invoice Number: 0078052-IN P.O. Box 402 Invoice Date: 5/17/2013 Monrovia, IN 46157 L t (317)996-2508 Order Number: 0009994 Order Date 5/17/2013 Salesperson: TERR Customer Number: CARMWAT Sold To: Ship To: CARMEL WATER UTILITY(e) CARMEL WATER UTILITY(e) ATTN:ACCOUNTS PAYABLE 3450 WEST 131ST STREET ONE CIVIC SQUARE PLANT 5 Carmel, IN 46032 Carmel, IN 46074 Customer P.O. Ship VIA F.O.B. Terms VERBAL JERRY OUR TRUCK Net 30 Days - Item Number Unit Ordered Shipped Back Ordered Price Amount MK-210/510 EACH 2.00 2.00 0.00 111.00 222.00 MAINTENANCE KIT FOR 210/510 Whse: 000 REGULATORS MK-V10K EACH 3.00 3.00 0.00 37.00 111.00 MAINTENANCE KIT FOR V10K Whse: 000 MK-AAA4316 EACH 2.00 2.00 0.00 91.80 183.60 MAINTENANCE KIT FOR AAA4316 Whse: 000 INJECTOR WTAAB2693 EACH 1.00 1.00 0.00 50.82 50.82 BACK HOUSING W2T9971 Whse: 000 WTAAB3143 EACH 1.00 1.00 0.00 20.96 20.96 DIAPHRAGM W2T9957 Whse: 000 LW 1001 FOOT 15.00 15.00 0.00 0.26 3.90 3/8""OD LDPE TUBING/FT Whse: 000 WTP16191 EACH 4.00 4.00 0.00 2.60 10.40 LEAD GASKET W2T11773 Whse: 000 WTP41212 EACH 3.00 3.00 0.00 7.54 22.62 STOP W2T16924 Whse: 000 A finance charge of 1.5% (18%APR) Net Invoice: 625.30 Less Discount: 0.00 will be charged on all past due accounts. Freight: 0.00 Thank you for your business. Sales Tax: 0.00 Invoice Total: 625.30 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 184825 LIVING WATERS CO. Purchase Order No. P.O. Box 402 Terms MONROVIA, IN 46157 Due Date 6/10/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/10/2013 0078051 $610.00 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 # 131808 WARRANT # ALLOWED 184825 IN SUM OF $ LIVING WATERS CO. P.O. Box 402 MONROVIA, IN 46157 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 0078051 01-6360-04 $610.00 it 6x5 CO-T 8'05D CA cam CA (,75.56 Voucher Total)-43S $6 0 Cost distribution ledger classification if claim paid under vehicle highway fund