224891 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 353520 Page 1 of 1
ONE CIVIC SQUARE GEORGE E BOOTH CO INC
CARMEL, INDIANA 46032 8202 w 10TH STREET CHECK AMOUNT: $572.46
?� INDIANAPOLIS IN 46214
CHECK NUMBER: 224891
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00225859 572 .46 OTHER EXPENSES
I
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
00225859
INN George E. Booth Co., Inc. ENTERING OFFICE INVOICE DATE
George E.Booth Co.,Inc.
George E.Booth Co.,Inc. 8202 West 10th Street 09/17/13
ATTN:Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1/1
Indianapolis IN 46214
USA
Cust NO. Dale Ordered Date Shipped Written By Order Type Ship From Loc Selling Loc
C1191 09/09/13 09/17/13 RON FRATZKE STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No Mark Number
DAN090913A
Tracking numbers: 1Z4418480376285638
LINE QUANTITY ITEM UOM UNIT PRICE EXTENDED
NO. TOTAL ORDER BACK ORDER THIS SHIPMNT DESCRIPTION DISCOUNT AMOUNT
0010 2.00 0.00 200 8320G132,120/60 EA 86.3300 172.66
VALVE,SOLENOID,1/8",3W,NC,BR
VALVE,SOLENOI D,1/8",NC,3-WAY,BRASS
0020 2.00 0.00 2.00 302120 EA 55.1800 110.36
KIT,RE PAI R,SOLE NOID,ASCO
0030 2.00 0.00 2.00 8320G136,120160 EA 78.3200 156.64
VALVE,SOLENOI D,1/8",3W,NO,BR
VALVE,SOLENOID,1/8",3-WAY,NO,BRASS
REPAIR KIT FOR THIS VALVE:302156"
0040 2.00 0.00 2.00 302156 EA 55.1800 110.36
ASCO
KIT,REPAIR,SOLENOID
Phone:317-247-0100 AMOUNT 550.02
SO#:00113785 FRGHT/INS/HNDL 22.44
PL#:00113871 SALES TAX 0.00
AMOUNT DUE 572.46
B CITY OF CARMEL-WATER DEPT. s CITY OF CARMEL
WATER-WASTEWATER UTILITIES H ATTN:PO# DAN090913A
L 3450 W.131ST STREET p WATER-WASTEWATER UTILITIES
CARMEL IN 46074 4915 E.106TH STREET
T T CARMEL IN 46033
0 0
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
353520
GEORGE E. BOOTH COMPANY Purchase Order No.
8202 W. 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 10/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/1/2013 00225859 $572.46
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
VOUCHER # 132915 WARRANT # ALLOWED
353520 IN SUM OF $
GEORGE E. BOOTH COMPANY
8202 W. 10TH STREET
INDIANAPOLIS, IN 46214
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
00225859 01-6200-04 $572.46
Voucher Total $572.46
Cost distribution ledger classification if
claim paid under vehicle highway fund