221755 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
0 ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $67.68
CARMEL, INDIANA 46032 6310 S HARDING ST
INDIANAPOLIS IN 46217 CHECK NUMBER: 221755
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1095477 67 . 68 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
1095477
t - 6310 SOUTH HARDING STREET
Invoice Date r Page
INDIANAPOLIS,IN 46217 _ #_
us Y' 6/14/2013 15:02:35_j_______ 1 of I
ORDER NUMBER
317-783-4196 1102583
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131 ST STREET 3450 WEST 131 ST STREET
CARMEL,IN 46074 CARMEL, IN 46074
US US
Attn: K LOVEALL Ordered BY:.IACK SPEARS
Customer ID: 100753
PO Number Tenn Description Net Due Dote Disc Due Date Discount Amount
.LACK-6/14/2013 09 02 34 Net 30 DAYS 7/14/2013 7/14/2013 000
Order Date Pick Ticket No Primary Saiesrep Name Taker
6/14/2013 09:01:20 1104671 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Ilem!D L10M Unit Eviended
110i11 /tent Description Price Price
Orderer! Shipper! I Remaining Unit Size Unit Si,-.e
Carrier: CUSTOMER PICK UP Tracking#i
1.00 1 00 0 00 EA 2 17A 33 5200 3152
10 #2 METER BOX KEY STD AND LARGE 1 0000
PENTAGON
1.00 1.00 000 EA 3RAILW EA 34.1636 34.16
10 RHINO 3-RAIL LINE MARKER BLUE FOR 1.0000
WATER
WITH STANDARD DECAL
Total Lntes. 2 SUB-TOTAL: 67.68
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 67.68
ANNUAL PI-RCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 6/25/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/2013 1095477 $67.68
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 fficer
VOUCHER # 131909 WARRANT # ALLOWED
316200 IN SUM OF $
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1095477 01-6200-06 $67.68
Voucher Total $67.68
Cost distribution ledger classification if
claim paid under vehicle highway fund