223290 08/13/2013 - CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CHECK AMOUNT: $498.38
305 SOUTH POST ROAD
CARMEL, INDIANA 46032
INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 223290
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 240724 102 . 61 OTHER EXPENSES
651 5023990 240724 395 . 77 OTHER EXPENSES
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.� 305 South Bost R oad �
.� 07/26/2013 0240724
Indianapolis, IN 46219-7900 Certified as o
Women Business Enterprise
(317)895-9708 the i—of l M B End the
City of Intlionopoliz MN1BE Progromz � l�.r- ���`Te:ms
tuww.worrellcorp.com Net 30 Days
Sold To Shipped To
0001
CITY OF CARMEL Carmel Utilities
WATER-WASTEWATER UTILITIES Pat Rigdon
760 3RD AVE SW 760 3RD AVE SW
CARMEL, IN 46032 CARMEL, IN 46032
IIIIIIIIIIIIIIIIIIIIII Pat Rigdon
sates custormer Job �hd{> SWpDed
Person J Worrell PO No., 7/17 Pat Rigdon ca 088184 i2 07/25/2013 Via WORRELL TRUCK
ASI-J790 5 1 Jacket, Glacier Soft Shell 50.39 ,EACH t 50.39
ASI-L796 t Ste— 1 Vest, Ladies Glacier Soft Shell 47.39 EACH 47.39
ASI-EB553 T��� 1 Rain Shell, Ladies Eddie Bauer Tech 87.89 EACH 87.89
ASI-EB201 ; 7-"-Y 1 Jacket, Eddie Bauer Ladies Zip Fleece 47.39 EACH 47.39
ASI-373749 2 Nike Golf Pebble Texture Polo 30.38 EACH 60.76
ASI-85080 131 Polo, Men's Performance Pique 14.25 EACH 185.25
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Freight: 19.31
Saies Tax: .00
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 493.38
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
Please detach this receipt along perforatior5 and enclose with remittance.
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Invoice Number 0240724
126952
CITY OF CARMEL Invoice Date 07/26/2013
WATER-WASTEWATER UTILITIES
760 3RD AVE SW Amount Due 498.38
CARMEL, IN 46032 • _ •
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VOUCHER # 136092 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
240724 01-7200-01 $140.11
240724 01-7200-08 $108.34
,
240724 01-720H-08 $147.32
Voucher Total $395.77
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 8/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2013 240724 $395.77
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 er
hwebee Date
305 South Post Rood °- 07/26/2013 0240724
Indianapolis,, IN 46219-7900 certified os:� risej
Women Business ��
(317)895-9708 by fh°St°Ia of Inds°^° ems
City of Indionopolis MUBE roms
www.worrellcorp.com Net 30 Days _
Sold To Shipped To
0001
CITY OF CARMEL Carmel Utilities
WATER-WASTEWATER UTILITIES Pat Rigdon
760 3RD AVE SW 760 3RD AVE SW
CARMEL, IN 46032 CARMEL, IN 46032
IIIII �IIIIIIIIIIIIIIIII Pat Rigdon
Sees a J Worrell I` ` 7/17 Pat Rigdon I 088184 lo- .07/25/2013 IrWORRELL TRIJCK
ASI-J790 1 ! Jacket, Glacier Soft Shell 50.39 !EACH I 50.39
ASI-L796 1 ; Vest, Ladies Glacier Soft Shell 47.39 EACH ; 47.39
ASI-EB553 T-- r`! 1 Rain Shell, Ladies Eddie Bauer Tech 87.89 EACH 87.89
ASI-EB201 C r--" 1 : Jacket, Eddie Bauer Ladies Zip Fleece 47.39 EACH 47.39
ASI-373749 -wi,- 21 Nike Golf Pebble Texture Polo 30.38 EACH 60.76
ASI-85080 13 Polo, Men's Performance Pique 14.25 ;EACH 185.25
6�
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01. 1 o C6 1"
i
ti
E
-Freight- —- -- - -- — 19.31 —-
Saies Tax: 00
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 498.38
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S Funr Thank you for your continued business.
VOUCHER # 132407 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
.I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
240724 01-6200-08 $102.61
Voucher Total $102.61
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 8/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2013 240724 $102.61
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 ZL
Date 7officw