221155 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 365006 Page 1 of 1
ONE CIVIC SQUARE NALCO CROSSBOW WATER CHECK AMOUNT: $213.00
CARMEL, INDIANA 46032 NETWORK PLACE 24658
CHICAGO IL 60673 CHECK NUMBER: 221155
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2110236 190 . 00 OTHER EXPENSES
651 5023990 2110237 23 . 00 OTHER EXPENSES
CROSSBOW`
Nalco Crossbow Water Invoice
Network Place 24658
Chicago, IL 60673
USA hn'v:oice5=N6 2110237
Pik:'' ;Customer No.: 0310060A
Bill:TO
Sh1p:' o:::
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 317`571-2634 210 Telephone: 317-571-2634210
Invoice Date Order Date SO'Number Ordered By Customer PO Number,, Payment Method
05/31/13 06/13/13 Net 30
-Warehouse: Shi Via'. F.O.B. Salesperson Resale Number,
INDY Crossbow Truck Chris Coppock
Order' '::Shi Unit. Extended.
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p., a;
Item-Niinitier••/J.escri tion``. ' ;' i ,,
•
uanht uantlt Price Rricey
Q. . •._Y� Q. Y- c
1 I Y R1504 U of M: EACH 14.5000 14.50
CARBON CARTRIDGE, 10" FITS Sl 102 HOUSING
I 1 Y R1009 U of M: EACH 8.5000 8.50
FILTER, 9 7/8", 5 MICRON, W/SERVICE TO REPLACE
DOE,FITS STANDARD S 1 102 HOUSING
50 PER CASE
05/31/13 3;< .r:;.,
:.•� lit Date:: r,. ;. ::a�.• D,ue:ol)te`: 06/30/13 Subtotal: 23.00
PrinYTime 03:01:41 PM Freight` 0.00
Printed By: Rachel Sissman Total Paid 0.00
Balance Due 23.00 Invoice.Total: 23.00
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Nalco Crossbow Water Invoice
Network Place 24658
Chicago, IL 60673
USA `Inyoice'lYo: 2110236
'Customer,No' 03,10060A
' o
:BiII::To .Ship:To'
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
Contact: Teresa Lewis Contact: Teresa Lewis
Telephone: 317-571-2634 210 Telephone: 317-571-2634 210
Invoice Date Order Date °SO Number Ordered By Customer;-PO Nu►riber` Payment Method
05/31/13 06/13/13 Net 30
Warehouse Shi Yia' F.O.B. Salesperson Resale Number
INDY Crossbow Truck Chris Coppock
Order. :Shi Unit. Extended
Quantity. HQua tit T:ix ;y` Item Number/Description,.
y,, {, :Price; Price.
2 2 Y DMDI U of M: EACH 95.0.000 190.00
DI EXPRESS
1'r SERVICE EXCHANGER
01 D80 FRP MIXBED
S
hi*f-')ate; 05/31/13 ue-Date 06/30/13 Subtotal 190.00
<,Print Tirn6'- 03:01:41 PM .Freight. 0.00
c _
`Page.N' 1
Printed By: Rachel Sissman Total Paid 0.00
Balance Due 190.00 Invoice Total 190.00
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
365006
NALCO CROSSBOW WATER Purchase Order No.
NETWORK PLACE 24658 Terms
CHICAGO, IL 60673 Due Date 6/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/11/2013 2110236 $190.00
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 O ' er
VOUCHER # 135724 WARRANT# ALLOWED
365006 IN SUM OF $
NALCO CROSSBOW WATER
NETWORK PLACE 24658
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2110236 01-7202-05 $190.00
1109-3-7 93.00
X13,00
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund