224679 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00352777 Page 1 of 1
ONE CIVIC SQUARE USA BLUE BOOK
CARMEL, INDIANA 46032 PO BOX 9004 CHECK AMOUNT: $1,164.38
!�. GURNEE IL 60031-9004
CHECK NUMBER: 224679
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 007802 1, 159 . 89 OTHER EXPENSES
651 5023990 103931 4 .49 OTHER EXPENSES
PAST INVOICE
UTILITY SUPPLY OF AMERICA NO. 103931 1
d/b/a USA Bluebook
PO Box 9004 Page 1
! Gurnee IL 60031-9004
1 (860) 548-1234 07/23/13 1
! Bill-to: 936803 Ship to: 1
CARMEL UTILITIES CARMEL UTILITIES
760 3RD AVE SW STE 110 9609 HAZEL DELL PWKY !
CARMEL, IN 46032 INDIANAPOLIS , IN 46280 1
USA AUSA 0009 ABBEY ANDERSON
!REFERENCE # ISHIPPED ISALESPERSON—►TERMS — ITAX CODEIDOC # IWHIFREIGHTISHIP VIA �!
1 ---------------107/23/13IDJ0---------DAN--------JOURDAINET-------30------------------IINEXEMPTI----698504I--------OlIFXD/PPDIUPS----------------------1
513644
!ITEM (DESCRIPTION ORDEREDI SHIPPEDIBACKORDRDIUMI PRICEIUMI EXTENSION)
112708 (Adapter Kit I 11 11 OIEA1 4.491EA1 4.491
s
1— IMERCHANDISEI MISCI DISCOUNTI TAXI FREIGHT( TOTAL, DUE
4.491- .001- .001 _001 .001 4.49
------------------------------------------------------------------
! —
1 PAST INVOICE 1
UTILITY SUPPLY OF AMERICA NO. 007802
d/b/a USA Bluebook
PO Box 9004 Page 1
Gurnee IL 60031-9004
1 (860) 548-1234 07/12/13
Bill-to: 936803 Ship to: 1 i
CARMEL UTILITIES CARMEL UTILITIES
760 3RD AVE SW STE 110 9609 HAZEL DELL PWKY
1 CARMEL, IN 46032 INDIANAPOLIS , IN 46280
USA USA
_ATTN 0009 ABBEY ANDERSON
IREFERENCE r# ISHIPPED (SALESPERSON (TERMS — ►TAX CODEIDOC # IWHIFREIGHTISHIP VIA
------------------------------------------------------------------------------------------
S13644 107/12/131DJ0 DAN JOURDAINET 30 IINEXEMPT16985041011FXD/PPDIUPS
ITEM (DESCRIPTION I ORDEREDI SHIPPEDIBACKORDRDIUMI . PRICEIUMI EXTENSION(
144923 160' Life Ring Rope I 41 41 OIEAI 16.49 EAI 65.961
12708 (Adapter Kit 1 61 1IEA� 4.49IEA� 22.45!
24955 Life Hook, 3/8" rod aluminum 611. 6 0 EA 35.95fIEA 215.7011
144920 (Ring Preserver,30" orange buoy 1 41 41 OIEAI 90.951EAI 363.801
124950 (Aluminum Pole 8-16' 1 61 61 01EAI 70.951EAI 425.701
i Iw/Pool Style Connector I I I I I II I
IMERCHANDISEI MISCI DISCOUNTI TAXI FREIGHT( TOTAL DUEL
II----1093----------------------------------------0--01--- ---66 281-----1159 891
4., , - .0 ' T v LL
1 34,-'t' W A R R- 0"v'D
352777 IN SUM OF
USA BLUE BOOK
P.O. Box 9004
Gurnee, IL 60031
C.armel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
007802 01-7202-06
01-7o'109-o(o y,y9
�q, 3?
Voucher Total
Cost distribution ledger classification if
clam pair; Under vehicle highway fund
P r�'Srrjh?G �v _trite 9o2rd OfACCCUr,tS iiiy Form No 201 (q°V ,995)
A OUNTS 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, rues per day, number of units,
price per unit, etc.
Payee
352777
USA BLUE BOOK Purchase Order No.
P.O. Box 9004 Terms
Gurnee, IL 60031 Due Date 9/19/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2013 007802 $1,159.89
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
Cvi'rc,a a nd 1 hLVE aUC)ifed same in accordance with IC 5-11-10-1.6
/v
Date Officer