222371 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 361229 Page 1 of 1
0 ONE CIVIC SQUARE DRAINAGE SOLUTIONS, INC
CHECK AMOUNT: $2,033.78
CARMEL, INDIANA 46032ssox+tea
CRE"VVOOD'IN-46142 CHECK NUMBER: 222371
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4237001 0004872-IN 501 . 59 STORM SEWER MAINT SUP
211 4237001 0005011-IN 332 .47 STORM SEWER MAINT SUP
211 4237001 0005809-IN 1, 199 . 72 STORM SEWER MAINT SUP
Mail Payments To:
771 International Dr InvOIC@
DP.. lIAGE Franklin, IN 46131
SOLUTIONS,INC (317) 346-4110 Invoice Number: 0004872-IN
• •• (317) 346-4109, Fax Invoice Date: 6/26/2013
www.drainagesolutionsinc.com
Due Date 7/26/2013
Customer Number: C112000
Sold To: Ship To:
Carmel Street Dept. Customer Pick Up
3400 W. 131 st. St.
Carmel, IN 46074
P
Amy Lunn
Customer P.O. Ship VIA F.O.B. Terms Tracking Number
CPU Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
10DWY EA 1.00 1.00 0.00 71.47 71.47
10"x 10"x 10"HDPE Doublewall Wye(PE) Whse: 000
10DW45 EA 4.00 4.00 0.00 20.61 82.44
10"HDPE Doublewall 45(1/8)(PE) Whse: 000
10-8DWRED EA 2.00 2.00 0.00 44.29 88.58
10"x 8"HDPE Doublewall Reducer(PE x PE) Whse: 000
10SPCPL EA 20.00 20.00 0.00 6.27 125.40
10""HDPE Singlewall/Doublewall Split Coupling Whse: 000
10DWPIPE FEET 15.00 15.00 0.00 4.90 73.50
10"HDPE Doublewall Pipe Solid w/F477 Gasket x 20'(BE) Whse: 000
NDS1050 EA 4.00 4.00 0.00 15.05 60.20
NDS 10"Round Grate for 8"Pipe(Green) Whse: 000
All returns must be clean, merchantable and immediately ready for resale. All approved Net Invoice: 501.59
returns are subject to a 25% restocking charge to be deducted from the original Less Discount: 0.00
purchase price. All returns that require pick-up by Drainage Solutions, Inc. (DSI)will be
assessed a freight charge to be determined by DSI. Return freight charges will be Sales Tax: 0.00
deducted from the refunded purchase price. Invoice Total: 501.59
Sales Order
IDPLAXIVAGxE
SOLD-nONS;INC Order Number: 0003183
Order Date: 6/26/2013
771 International Dr 2478 N Lebanon St.
Franklin, IN 46131 Lebanon, IN 46052 Created By: counter
(317) 346-4110 765-484-8788 Customer Number: COUNTER
(317) 346-4109, Fax 765-484-8766, Fax
Sold To: Ship To:
City of Carmel Customer Pick Up
Street Dept.
Customer P.O. Ship VIA F.O.B. Terms
Shelbourne Rd. CPU No Terms
Item Code Unit Ordered Shipped Back Order Price Amount
10DWY EA 1.00 0.00 0.00 71.47 71.47
10"x 10"x 10"HDPE Doublewall Wye(PE) Whse: 000
10DW45 EA 4.00 0.00 0.00 20.61 82.44
10"HDPE Doublewall 45(1/8)(PE) Whse: 000
10-8DWRED EA 2.00 0.00 0.00 44.29 88.58
10"x 8"HDPE Doublewall Reducer(PE x PE) Whse: 000
10SPCPL EA 20.00 0.00 0.00 6.27 125.40
10""HDPE Singlewall/Doublewall Split Coupling Whse: 000
10DWPIPE FEET 15.00 0.00 0.00 4.90 73.50
10"HDPE Doublewall Pipe Solid w/F477 Gasket x 20'(BE) Whse: 000
NDS1050 EA 4.00 0.00 0.00 15.05 60.20
NDS 10"Round Grate for 8"Pipe(Green) Whse: 000
Net Order: 501.59
Less Discount: 0.00
Sales Tax: 0.00
Order Total: 501.59
— Mail Payments To:
771 International Dr Invoice
Franklin, IN 46131
SOLUTIONS,INC i (317) 346-4110 Invoice Number: 0005011-IN
• - = •• (317) 346-4109, Fax Invoice Date: 7/1/2013
www.drainagesolutionsinc.com
Due Date 7/31/2013
Customer Number: C112000
Sold To: Ship To:
Carmel Street Dept. custoemr p/u Lebanon
3400 W. 131 St. St.
Carmel, IN 46074
P
Amy Lunn
Customer P.O. Ship VIA F.O.B. Terms Tracking Number
CPU Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
10DWY EA 3.00 3.00 0.00 71.47 214.41
10"x 10"x 10"HDPE Doublewall Wye(PE) Whse: 001
10-8DWRED EA 2.00 2.00 0.00 44.29 88.58
10"x 8"HDPE Doublewall Reducer(PE x PE) Whse: 001
10REDTEE EA 1.00 1.00 0.00 29.48 29.48
10"x 10"x 10"-8"-6"HDPE Singlewall Reducing Tee(BE) Whse: 001
Call Jim Hobbs 317-417-5216
iCPU 0.00
Customer Pick Up
v
7
//
� V
All returns must be clean, merchantable and immediately ready for resale. All approved Net Invoice: 332.47
returns are subject to a 25% restocking charge to be deducted from the original Less Discount: 0.00
purchase price. All returns that require pick-up by Drainage Solutions, Inc. (DSI)will be
assessed a freight charge to be determined by DSI. Return freight charges will be Sales Tax: 0.00
deducted from the refunded purchase price. Invoice Total: 332.47
i
Mail Payments To:
771 International Dr Invoice
DRAINAGE Franklin, IN 46131
SOLUTIONS,INC (317) 346-4110 Invoice Number: 0005011-IN
• = •• (317) 346-4109, Fax Invoice Date: 7/1/2013
www.drainagesolutionsinc.com
Due Date 7/31/2013
Customer Number: C112000
Sold To: Ship To:
Carmel Street Dept. custoemr p/u Lebanon
3400 W. 131 St. St.
Carmel, IN 46074
P
Amy Lunn
Customer P.O. Ship VIA F.O.B. Terms Tracking_Number
- - -CPU - Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
10DWY EA 3.00 3.00 0.00 71.47 214.41
10"x 10"x 10"HDPE Doublewall Wye(PE) Whse: 001
10-8DWRED EA 2.00 2.00 0.00 44.29 88.58
10"x 8"HDPE Doublewall Reducer(PE x PE) Whse: 001
10REDTEE EA 1.00 1.00 0.00 29.48 29.48
10"x 10"x 10"-8"-6"HDPE Singlewall Reducing Tee(BE) Whse: 001
Call Jim Hobbs 317-417-5216
/CPU 0.00
Customer Pick Up
All returns must be clean, merchantable and immediately ready for resale. All approved Net Invoice: 332.47
returns are subject to a 25% restocking charge to be deducted from the original Less Discount: 0.00
purchase price. All returns that require pick-up by Drainage Solutions, Inc. (DSI)will be
assessed a freight charge to be determined by DSI. Return freight charges will be Sales Tax: 0.00
deducted from the refunded purchase price. Invoice Total: 332.47
Mail Payments To:
771 International Dr Invoice
Franklin, IN 46131
(317) 346-4110 SOLUTIONS,INC Invoice Number: 0005809-IN
= 0 (317) 346-4109, Fax Invoice Date: 7/24/2013
www.drainagesolutionsinc.com
Due Date 8/23/2013
Customer Number: C112000
Sold To: Ship To:
Carmel Street Dept. CPU
3400 W. 131 St. St. Carmel, IN 46074
Carmel, IN 46074
r•=
Amy Lunn
Customer P.O. Ship VIA F.O.B. Terms Tracking Number
Net 30 Days
Item Code Unit Ordered Shipped Back Ordered Price Amount
12DWPIPE FEET 100.00 100.00 0.00 5.81 581.00
12"HDPE Doublewall Pipe Solid w/F477 Gasket x 20'(BE)(ALL BLUE WRAP) Whse: 001
12DWT EA 4.00 4.00 0.00 84.59 338.36
12"x 12"x 12"HDPE Doublewall Tee(PE) Whse: 001
12SPCPL EA 8.00 8.00 0.00 7.52 60.16
12"HDPE Singlewall!Doublewall Split Coupling Whse: 001
NDS1250 EA 4.00 2.00 2.00 47.53 95.06
NDS 12"Round Grate(Green) Whse: 001
NDS1240 EA 2.00 2.00 0.00 47.53 95.06
NDS 12"Round Grate(Black) Whse: 001
/CPU 0.00
Customer Pick Up
12SPCPL EA 4.00 4.00 0.00 7.52 30.08
12"HDPE Singlewall/Doublewall Split Coupling Whse: 001
All returns must be clean, merchantable and immediately ready for resale. All approved Net Invoice: 1,199.72
returns are subject to a 25% restocking charge to be deducted frorn the original Less Discount: 0.00
purchase price. All returns that require pick-up by Drainage Solutions, Inc. (DSI) will be
assessed a freight charge to be determined by DSI. Return freight charges will be Sales Tax: 0.00
deducted from the refunded purchase price. Invoice Total: 1,199.72
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 service rendered, by whom,
rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Drainage Solutions, Inc Purchase Order No.
771 International Drive Terms
Franklin, IN 46131 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
6/26/2013 0004872-IN Street Department Repair $ 501.59
7/1/2013 0005011-IN Street Department Repair $ 332.47
7/24/2013 0005809-IN Street Department Repair $ 1,199.72
Total $ 2,033.78
1 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.
20
Clerk-Treasurer
VOUCHER NC WARRANT NO.
Drainage Solutions, Inc ALLOWED 20
771 International Drive IN SUM OF $
Franklin, IN 46131
$ 2,033.78
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 0004872-IN 211-4237001 $ 501.59 or bill(s) is (are)true and correct and that the
materials or services itemized thereon for
0 0005011-IN 211-4237001 $ 332.47 which charge is made were ordered and
0 0005809-IN 211-4237001 $ 1.199.72 received except
r 7/29/2013
Ignature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund