224837 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 367404 Page 1 of 1
ONE CIVIC SQUARE CRETEX SPECIALTY PRDUCTS
CARMEL, INDIANA 46032 N 16 W 23390 STONE RIDGE CHECK AMOUNT: $31.47
WAUKESHA WI 53188
CHECK NUMBER: 224837
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 018635A 31 .47 MATERIALS & SUPPLIES
�
Specialty Products
N 16 W23390 STONERIDGE DR - A WAUKESHA,WI 53188
TEL, (262) 542-8153 (800) 345-3764 FAX (262) 542-0301
Carmel Sewer Dept.
9609 Hazel Dell Parkway
Carmel, IN 46080 INVOICE
DATE: Customer PO#: Salesperson: Territory: Invoice#:
06/25/2013 AARON HOOVER 0 0 018635A
Bill to: Customer ID: HAM360 Ship to:
Cretex Specialty Products, Inc.
N16 W23390 Stone Ridge Dr-A
Waukesha WI 53188
Remit to:
Cretex Specialty Products Payment Terms: Net 30
N16 W23390 Stone Ridge Dr-A
Waukesha WI 53188
ITEM NO. DESCRIPTION PCS PER UNIT PRICE AMOUNT TICKET# SHIP DATE
Shipping for 6/25/13 ProRing order 1 $ 31.47 $ 31.47
01 -��o�' •ca
Sub Total:
Tax: $ -
Freight: $ 31.47
Total Amt $ 31.47
I
Page 1
AFFILIATED WITH THE CRETEX COMPANIES,INC.
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
367404
CRETEX Purchase Order No.
N16 W23390 STONERIDGE Terms
WAUKESHA, WI 53188 Due Date 10/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/2/2013 018635A $31.47
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
lo l
Date Officer
VOUCHER # 136489 WARRANT # ALLOWED
367404 IN SUM OF $
CRETEX
N16 W23390 STONERIDGE
WAUKESHA, WI 53188
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
018635A 01-7200-02 $31.47
Voucher Total $31.47
Cost distribution ledger classification if -
claim paid under vehicle highway fund