222469 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 00351074 Page 1 of 1
ONE CIVIC SQUARE KIMBALL-MIDWEST
CARMEL, INDIANA 46032 DEPT L-2780 CHECK AMOUNT: $289.36
COLUMBUS OH 43260-2780
CHECK NUMBER: 222469
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3069906 289 . 36 TRANSPORTATION EXPENS
IINVOICE INVOICE NO 0 D
1�� i
AAM PLEASE PAY FROM THIS INVOICE 3 0 6 9 9 0 6
ILEST ORIGINAL ORDER NO. • •
SperWhing in�fate�ials I+�anagen:en.'aint:c 1P23 0 5 7 6 4 3 2 E
•
REMIT TO: KIMBALL MIDWEST •
DEPT. L-2780
ACCOUNT NO. •
COLUMBUS,OHIO 43260-2780 (614-219-6100) 65060 •
www.kimbalimidwest.com
SOLD TO: SHIP TO:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131sT ST 3450 WEST 131ST ST
CARMEL IN 46032 CARMEL IN 46032
JIM
DATE SALES REPRESENTATIVE PURCHASE ORDER NO. SHIPPED VIA& DATE
07/12/13 1COHEN, ROBER JIM U UPS GROUND 07/12/13
ORDERED SHIPPED BADUECE DESCRIPTION UNIT PRICE AMOUNT
25 25 NB91838 16-14 FAST HS 3/8 RI 27 . 50
25 25; 989 ! 16 14 FAST HS 156:::P-
NB 27 , Sp
25 25 NC93056 12-10 FAST HS 5/16 R 32 . 00
25 25 NC94038 12-10 FAST HS 3/8 91 32 . 00
50 50 NASN345S 22-18 FAST HS BUTT Co 37 . 50
5 5 26981St 3/16X6 SHRINKTUBING q , 95
5 5 26982S 1/4X6 SHRINK TUBING 4 . 95
5 5 269835' 3/8X6 SHRINK ;TUBING
3 3 269845 1/2X6 SHRINK TUBING 5 . 37
3 3` 269855 3/4X'6 SHRINK TUBING 8 .;67
_..
3 3 269865 1"X6 SHRINK TUBING 11 . 97
1 1< 686 6 COMP DRAWER: 00.:
1 1 281805S QUANTUM I .Q. TROUBLE 89 . 00
UPS TRACKING #:1Z47$17303406295 9' WGT::.
UPS TRACKING # : 1247817303406306 9 WGT: 3
To help us- correctly process yo r payment please
include invoice number on your emittance advice
hank;! yo for y r;busness !' Payment ;jis due 08/1 /13
leas m it by 08/04/13;;
.:
o recei e invoices via email send a request inc uding you
ccaunt umber; to invoice @kmballmidwest . corn
You acknowledge and agree that,by placing this order,all information provided to you by Kimball Midwest herein is confidential and is the property of Midwest
Motor Supply Co.,Inc.d/b/a Kimball Midwest.You further agree that this information is for your internal use only and will not be copied,reproduced,distributed
or disclosed by you and/or your organization without the prior written consent from Kimball Midwest.
CARRIERS RECEIPT IN GOOD ORDER CON- ORDERED TAX% TAX AMT. SHIPPING INVOICE TOTAL
STITUTES DELIVERY AND CLAIMS FOR LOSS
OR DAMAGE IN TRANSIT MUST BE FILED BY
CUSTOMER.
GOODS RETURNED WITHOUT OUR CONSENT
WILL POSITIVELY NOT BEACCEPTED. 289 . 36 2 8 9 . 3 6
DEBTOR IS LIABLE FOR USUAL AND CUSTOM-
ARY COLLECTION CHARGES.
ALL CHECKS MUST BE MADE PAYABLE ONLY
_ TO"KIMBALL MIDWEST' -We l�1
ppreciate_Your-Business PLEASE REMIT-THIS-AMOUNT---1 -
VOUCHER # 132266 WARRANT# ALLOWED
3551074 IN SUM OF $
KIMBALL MIDWEST
Dept L-2780
Columbus, OH 43260-2780
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
3069906 01-6500-04 $289.36
Voucher Total $289.36
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
3551074
KIMBALL MIDWEST Purchase Order No.
Dept L-2780 Terms
Columbus, OH 43260-2780 Due Date 7/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2013 3069906 $289.36
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
-71?G 1/3 C .J'V)%— 1� v
Date Officer