224597 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 365006 Page 1 of 1
ONE CIVIC SQUARE NALCO CROSSBOW WATER
CARMEL, INDIANA 46032 NETWORK PLACE 24658 CHECK AMOUNT: $190.00
CHICAGO IL 60673
CHECK NUMBER: 224597
CHECK DATE: 9125/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2116399 190 . 00 OTHER EXPENSES
CROSSBOW-
Nalco Crossbow Water Invoice
Network Place 24658
Chicago, IL 60673
USA 2116399
`Customer No 0310060A
Bil1 Toy � Shili To` r
CITY OF CARMEL WASTEWATER UTILITIES CITY OF CARMEL WASTEWATER UTILITIES
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
Contact: Tara Washington Contact: Tara Washington
Telephone: 317-571-2634 210 Telephone: 3 i 7-571=2634 210
Invoice Dafe ;Order Da°te,;;` SOQNumber " Custo ner,,PO Number Payment Methbd
08/30/13 09/04/13 Net 30
Warehouse, F:O.B., Saiestierson Resale Number':
INDY Crossbow Truck Chris Coppock
Order Ship; Uni Extended "
uantit umber'-/Descr,i tion = w
Q y Quantity Tax Item N p e i z Pace
P
2 2 Y DMD1 U of M: EAC14 95.0000 190.00
DI EXPRESS
rr SERVICE EXCHANGER
01 D80 FRP MIXBED
Print ate,,,. 09/03/13 Date's 10/14/13 Subtotal�; 190.00
Pant Time: 09:04:49 AM
Freight, 0.00
Page$No l ,� r
Printed By: Rachel Sissman Total Paid,,' 0.00
w Balance Due" 190.00 Invoke"Total': 190.00
VOUCHER # 136390 WARRANT # ALLOWED
365006 IN SUM OF $
NALCO CROSSBOW WATER
NETWORK PLACE 24658
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2116399 01-7202-05 $190.00
Voucher Total $190.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
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
365006
NALCO CROSSBOW WATER Purchase Order No.
NETWORK PLACE 24658 Terms
CHICAGO, IL 60673 Due Date 9/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/11/2013 2116399 $190.00
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
9/z-//-� C"--'Y'-
Date Officer