224532 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00353364 Page 1 of 1
ONE CIVIC SQUARE IN VIRONMENTAL INC.
CARMEL, INDIANA 46032 12109 SOMERSET WAY EAST CHECK AMOUNT: $164.19
CARMEL IN 46033 CHECK NUMBER: 224532
CHECK DATE: 9125/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 I-130903 164 . 19 OTHER EXPENSES
INVIRONMENTAL INC. INVOICE
12109 Somerset Way E.
Carmel, IN 46033-3330 Date Invoice #
PH: 317.844.0570 FAX:844-0757 9/4/2013 1-130903
E-mail: invironmental @indy.rr.com
Bill To Ship To
CARMEL WASTEWATER UTILITIES CARMEL UTILITIES
9609 HAZEL DELL PARKWAY CARMEL WWTP
INDIANAPOLIS, IN 46280 9609 HAZEL DELL PKWY.
ATTN: PAUL ARNONE INDIANAPOLIS, IN 46280
P.O. No. Terms Due Date Ship Date Ship Via FOB Project / SO#
S13672 Net 30 10/4/2013 8/30/2013 FEDEX--GRD Ship Point 7517007554
Qty. Description Price Each Amount
PARTS FOR GRIT PUMPS - MORRIS PUMP 6100,
4X4-18HCM
3 LIP SEAL, SPLIT TYPE, BUNA-N, p# 97807765 52.00 156.00
SHIPPING & HANDLING 8.19 8.19
Order is complete! Thank You Subtotal $164.19
Thank You...your business is appreciated Sales Tax (0.0%) $0.00
E-mail Payments/Credits $0.00
invironmental @indy.rr.com TOTAL DUE $164.19
VOUCHER # 136419 WARRANT # ALLOWED
00353364 IN SUM OF $
IN VIRONMENTAL INC
12109 Somerset Way East
Carmel, IN 46033
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1-130903 01-7202-06 $164.19
1
1
Voucher Total $164.19
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
00353364
IN VIRONMENTAL INC Purchase Order No.
12109 Somerset Way East Terms
Carmel, IN 46033 Due Date 9/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2013 1-130903 $164.19
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