224161 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
0 ONE CIVIC SQUARE UTILITY SUPPLY CO INC.
. CARMEL, INDIANA 46032 6310 S HARDING ST CHECK AMOUNT: $115.00
INDIANAPOLIS IN 46217 CHECK NUMBER: 224161
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1102720 115 . 00 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
to
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET
1102720
W
INDIANAPOLIS,IN 46217 Invoice Date Page
US 8/28/2013 15:19:35 1 of 1
ORDER NUMBER
317-783-4196 1108531
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131 ST STREET 3450 WEST 131 ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:GREG HOLLANDER
Customer ID: 100753
PO Number Tern:Description Net Due Date Disc Due Date Discount Amount
GH-8/14/2013 15:33:06 Net 30 DAYS 9/27/2013 9/27/2013 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
8/14/2013 15:31:17 1112353 ANDY NUGENT RROPES
Quantities Pricing
Item ID UOM unit Extended
Ordered Shipped Remaining UOM _4 Item Description Price Price
Unit Size 4 Unit size
Carrier: OUR TRUCK Tracking#:
1.00 1.00 0.00 EA 238-066312-009 EA 115.0000 115.00
1.0 6 X 12"X I CC TAPPED CLAMP 656-696 1.0000
TAPPED REPAIR CLAMP
Total Lines: I SUB-TOTAL: 115.00
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(I8% AMOUNT DUE: 115.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
--- **—*REPRJNT
VOUCHER # 132665 WARRANT # ALLOWED
316200 IN SUM OF $
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
1
1
1 Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1102720 01-6200-06 $115.00
Voucher Total $115.00
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 9/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2013 1102720 $115.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have au//ditJJed same in accordance with IC 5-11-10-1.6
Date Officer