221136 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 00351161 Page 1 of 1
i ONE CIVIC SQUARE ME SIMPSON CO,INC CHECK AMOUNT: $650.00
CARMEL, INDIANA 46032 3406 ENTERPRISE AVE
PO BOX 1995 CHECK NUMBER: 221136
VALPARAISO IN 46384-1995
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 23952 650 . 00 CONT SERVICES OTHER
M.E.
36IMPSONO.' Inc. INVOICE
Valparaiso, IN Waukegan, IL Indianapolis, IN Dyer, IN Savage, MN Phoenix, AZ
1-800-255-1521 www.mesimpson.com Fax 1-888-531-2444
Mr. Greg Hollander
Distribution Foreman Invoice # 23952
City of Carmel Utilities Your P.O. 4
3450 W. 131st Street Terms - Net 20 Days
Westfield, IN 46074-8267 May 30, 2013
Quantity Unit Description Cost per Item Total
M.C. Simpson Co., Inc. conducted leak location services
for the City of Carmel on May 22, 2013.
The following area was investigated:
1) Central Park Drive & Parking Lot(S. of)
Two hours of on site location at:
1 $450.00 per the first hour $450.00 $450.00
1 $200.00 per each additional hour $200.00 $200.00
TOTAL DUE THIS INVOICE--------------------------------------------------- $650.00
LEAK LOCATION REPORT ENCLOSED
�. �e
Please remit to: M.E. Simpson Co., Inc., 3406 Enterprise Ave, Valparaiso, IN 46383-6953
For questions please-call: 800-255-1521 Page 1 of I
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
351161
M.E. SIMPSON CO. Purchase Order No.
P.O. Box 1995 Terms
Valparaiso, IN 46384 Due Date 6/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2013 23952 $650.00
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 Office
VOUCHER # 131779 WARRANT # ALLOWED
351161 IN SUM OF $
M.E. SIMPSON CO.
P.O. Box 1995
Valparaiso, IN 46384
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
23952 01-6360-06 $650.00
Voucher Total $650.00
Cost distribution ledger classification if !
claim paid under vehicle highway fund