224004 09/10/2013 �,\*f CITY OF CARMEL, INDIANA VENDOR: 00351074 Page 1 of 1
ONE CIVIC SQUARE KIMBALL-MIDWEST CHECK AMOUNT: $115.24
CARMEL, INDIANA 46032 DEPT L-2780
COLUMBUS OH 43260-2780 CHECK NUMBER: 224004
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3114590 115 . 24 OTHER EXPENSES
INVOICE NO. DAYS BALL INVOICE
PLEASE PAY FROM THIS INVOICE 3114590
MIDWEST ORIGINAL ORDER NO. •LATE PAYMENT FEE
•
Specializing in Alote?ials Mananernen:sinee IJ23 0 5 8 5 3 3 2 E
e
REMIT TO: KIMBALL MIDWEST r r r
DEPT. L-2780 ACCOUNT NO. •�
r • r
COLUMBUS, OHIO 43260-2780 (614-219-6100) 139903
www.kimbalimidwest.com
SOLD TO: SHIP TO:
CITY OF CARMEL SEWER DEPT SEWER DEPARTMENT
760 3RD AVE SW 760 3RD AVE SW
ATTN LISA
CARMEL IN 46032 CARMEL IN 46032
JIM
- - - -DATE -SALES REPRESENTATIVE PURCHASE ORDER NO. SHIPPED V!A& DATE
08/09/13 1COHEN, ROBER IM U UPS GROUND 08/09/13
ORDERED SHIPPED BALANCE DESCRIPTION UNIT PRICE AMOUNT
DUE
6 6 80510P CLEANER 29 . 94
25 25 NB92710 TERMINAL: 34:. 75,"
25 25 NB92514 TERMINAL 34 . 75
1:0
10. 504045 CLAMP 7 .::90
10 10 504065 CLAMP 7 . 90
UPS _:TRACKING #:: 1247817303408"2.59 0 WGT:: 9 -
To help us correctly process your payment please
include invoice " number on_:.your remittance advice : -
-" hank yoj for your business ! "Payment" is due 09/0 ./13.;""
lease mail by "09/0"1/13
o recei e invoices via email send a request "inc uding you
- ccount umber Invoice @kimballmidwest . com
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 BE ACCEPTED. 115 . 24 115 . 24
DEBTOR-IS.LIABLE.FOR-USUAL AND.CUSTOM- - --
ARY COLLECTION CHARGES.
AU_CHECKS MUST BE MADE PAYABLE ONLY �/��
TO"KIMBALL MIDWEST' l e Appreciate Your Business PLEASE REMIT THIS AMOUNT
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 8/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/30/2013 3114590 $115.24
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 # 132638 WARRANT # ALLOWED
3551074 IN SUM OF $
KIMBALL MIDWEST
Dept L-2780
Columbus, OH 43260-2780
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
! PO# INV# ACCT# AMOUNT Audit Trail Code
3114590 01-6500-05 $115.24
Voucher Total $115.24
Cost distribution ledger classification if
claim paid under vehicle highway fund