222155 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1
ONE CIVIC SQUARE SERVICE PIPE&SUPPLY INC
CARMEL, INDIANA 46032 P 0 33805 CHECK AMOUNT: $159.05
[� INDIANAPOLIS IN 46203
CHECK NUMBER: 222155
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 579847 159 . 05 OTHER EXPENSES
SERVICE PIPE & SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203
Phone: 317-639-9308
Fax: 317-639-1335 n Number: 579847
k. Date: 06/17/13
'.Page: I 1
Bill To: E. CITY OF CARNIEL Ship To j' a CITY OF CARNMEL
CITYCA 3450�V 131ST ST YIP 114915E.106THST.
it CARNIEL.IN 46074 J DAN
„ {CARNIEL,IN 46033
T a
Customer/?O#_ j ,.Shipped Salesperson Terms Tax Code 1 Doc# I wli Freight i Ship Via ..,`:.
DAN061413A I 06/17/13 004 B.FENTON 2% 10 DAYS N/30 NOTA\ 323840 01 PREPAID SAIYIE
Item Description Ordered Shipped( Backordrd UM Price un4l Extension
125TB10050S 112 PVC TU S/I'BALL VLV-VITON 5.00 5.001 .00 EA 25.87 EA 129.35
10n 806005 ,/_> >Vre OSC 90 12 .F1 - A 7.80-1
109817005 1/2 PVC80 SOC.45 12 9 3 EA 1.22 EA 10.98
1119801005 1/2 PVC 80 SOC.TEE 6 6 0 EA 1.82 EA 10.92
I i
i
PLEASE DEDUCT 3.1 S Merchandise Misc "Discount Tax Freight Total Due
IF PAID BY 06/27/1 3
159.05 .00 .00 .00 .00 159.05
WE APPRECIATE YOUR BUSINESS!
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
281250
SERVICE PIPE & SUPPLY INC Purchase Order No.
P.O. 33805 Terms
INDIANAPOLIS, IN 46203 Due Date 7/9/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/2013 579847 $159.05
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 Officer
VOUCHER # 132076 WARRANT # ALLOWED
281250 IN SUM OF $
SERVICE PIPE & SUPPLY INC
P.O. 33805
INDIANAPOLIS, IN 46203
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
579847 07-1050-06 $159.05
cc)NN2C-jioA✓
Voucher Total $159.05
Cost distribution ledger classification if
claim paid under vehicle highway fund