221407 07/02/2013 uu,,F CITY OF CARMEL, INDIANA VENDOR: 00350779 Page 1 of 1
ONE CIVIC SQUARE B L ANDERSON CO. CHECK AMOUNT: $936.64
CARMEL, INDIANA 46032 4801 TAZER DRIVE
o� LAFAYETTE IN 47905 CHECK NUMBER: 221407
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 P-4686 936 . 64 OTHER EXPENSES
B L Anderson Co., Inc.
Invoice
4801 Tazer Drive
Lafayette IN 47905
765-463-1518 phone
765-446-8390 fax
www.blanderson.com
A39- ANDERSON
Date Invoice#
6/12/2013 P-4686
Bill To Ship To
CARMEL WASTEWATER CARMEL WASTEWATER
760 3RD AVE.SW 9609 HAZEL DELL PKWY
CARMEL.IN 46032-2072 INDIANAPOLIS,IN 46280
P.O. Number Terms Rep Ship Date Project
513597 Net 30 RWL 6/10/2013
Quantity Item Code Description Price Each Amount
1 Non Inventory Parts THE PROBE 884.00 884.00
1 Shipping and Handling Shipping and Handling-PedEx Priority 52.64 52.64
Tag PO#13597
I �
Overdue balance will
accrue interest at the rate of
1-1/2%per month
compounded plus legal and
collection fees.
Total $936.64
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. ficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
CARMEL, INDIANA NO.
pp
Di- AAic6 SO,, Favor Of
9401 `Tazer Dr•
Lazo e�{4� ::I:-N �-179oS
Total Amount of Voucher $
Deductions
-790 -OS
Amount of Warrant $
Month of Yr
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325