221754 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 360190 Page 1 of 1
ONE CIVIC SQUARE UTILITY PIPE SALES CHECK AMOUNT: $502.00
CARMEL, INDIANA 46032 PO BOX 1125
9MON INDIANAPOLIS IN 46206 CHECK NUMBER: 221754
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 IN029937 502 . 00 OTHER EXPENSES
x
UTILITY PIPE SALES OF IN, INC. Invoice
�l P.O. Box 1125
UTH Im"Ar INDIANAPOLIS, IN 46206-1125
(317)224-2300
YA.
€ y PIPE SALES (317)224-2301 fax
Number IN029937
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"Providing The Flow, Above & Below" Website: www.utilitypipesales.com Page 1
Date 06/10/2013
Bill CARMEL WASTE WATER UTILITY Ship CARMEL WASTE WATER UTILITY
To 9609 HAZEL DELL PKWY To 9609 HAZEL DELL PKWY
CARMWW INDIANAPOLIS IN 46280 CARMWW INDIANAPOLIS IN 46280
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Customer PO# Ship Date Salesperson Terms Tax Code
S13605 06/10/2013 Philip Peters Net 30 Days INGOV
Document# Warehouse Freight Ship Via
00030474 UTILITY PIPE SALES OF IN, INC. Ppd & Add Direct ship
Item/Description Ordered Shipped BackOrder um Price Per Extension
SMPW 24 24 0 EA 3.50 EA 84.00
WHITE INVERTED SPRAY
PAINT,
Direct from Vendor
SMPG 48 48 0 EA 3.50 EA 168.00
GREEN INVERTED MARKING
PAINT,
Direct from Vendor
N-0EGMF1000 3 3 0 EA 80.00 EA 240.00
GREEN SEWER FLAGS
BOX OF 1,000
Direct from Vendor
Additional Charges:
Freight 10.00
Merchandise Add On Charges Tax Total Due
We appreciate your business 492.00 10.00 0.00 502.00
III�IIDi IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
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IN IN029937
Customer Copy ... Last page
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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 an 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 ANCCT.
CARMEL, INDIANA
Favor Of
P.o, 6ox i I�5
7N q(0 aoG
Total Amount of Voucher $
Deductions
T" 09993-
01. -7610 0, oa 50a o0
Amount of Warrant $
Month of Yr
VOUCHER RECORD Acct.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