225376 10/23/2013 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: $1,837.66
INDIANAPOLIS IN 46214
CHECK NUMBER: 225376
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 00226229 622 . 40 OTHER EXPENSES
601 5023990 0026780 1, 215 . 26 OTHER EXPENSES
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
00226780
N George E. Booth Co. Inc. ENTERING OFFICE
George E.Booth Co.,Inc. INVOICE DATE
George E.Booth Co.,Inc.
8202 West 10th Street 10/07/13
ATTN:Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA
1/1
Indianapolis IN 46214
USA
Cusl NO. Date Ordered Date Shippetl Written By Ober Type Ship From Loc Selling Loc
C1191 10/01/13 10/07/13 BRENT STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground Net Thirty Days Shipping point
Customer PO No. Mark Number
W09866
EMAIL INVOICES TO:kloveall @carmel.in.gov
Tracking numbers: 1Z4418480377901513
;LINE QUANTITY ITEM UOM UNIT PRICE EXTENDED'.
`NO. TDTAL ORDER BACKORDER THIS SHIPMNT DESCRIPTION DISCOUNT AMOUNT'.
0010 4.00 0.00 4.00 8210G004MO,120/60 EA 296.0000 1,184.00
VALVE,SOLENOID,1",2W,NC,BR,MAN OP
REPAIR KIT FOR THIS VALVE:302280-MO
Phone:317-247-0100 AMOUNT 1,184.00
SO#:00114508 FRGHT/INS/HNDL 31.26
PL#:00114448 SALES TAX 0.00
AMOUNT DUE 1,215.26
e' CITY OF CARMEL-WATER DEPT. s CITY OF CARMEL
l WATER-WASTEWATER UTILITIES H' WATER-WASTEWATER UTILITIES
3450 W.131ST STREET p 4915 E.106TH STREET
CARMEL IN 46074 CARMEL IN 46033
,T USA T USA
;o1 0
VOUCHER # 133033 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 I Audit Trail Code
1
0026780 01-6200-04 $1,184.00
i
0026780 01-6200-04 $31.26 l
1
Voucher Total $1,215.26
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
353520
GEORGE E. BOOTH COMPANY Purchase Order No.
8202 W. 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 10/1412013
Invoice Invoice Description
Date Number (or note.attached invoice(s) or bill(s)) Amount
10/14/201; 0026780 $1,215.26
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
j0//?1/3 Cis." .r---_�� .
Date Officer
MAIL REMITTANCE TO: INVOICE INVOICE NUMBER
00226229
® George E. Booth Co., Inc. ENTERING OFFICE INVOICE DATE
George E. Booth Co., Inc.
George E.Booth Co., Inc. 8202 West 10th Street 09/25/13
ATTN:Accounts Receivable Indianapolis IN 46214 PAGE
8202 West 10th Street USA 1/1
Indianapolis IN 46214
USA
ellin
Cust NO. Date Ordered Date Shipped Written By Order Type Ship From Loc Sg Loc
C1190 09/20/13 09/25/13 G. E. BOOTH III STAND 01 01
Ship Method Terms Of Payment FOB
UPS Ground NET 10TH/25TH PROX Shipping point
Customer PO No. Mark Number
S13728
Tracking numbers: 1Z4418480377318734
LINE QUANTITY ITEM U0rV1 UNIT PRICE EXTENDED
NO. TOTAL ORDER BACK ORDER THIS SHIPMNT DESCRIPTION DISCOUNT AMOUNT
0010 1.00 0.00 1.00 1.5"1366MTE/SEA3 EA 598.0000 598.00
SHARPE
VALVE,BALL,1.5",SS,ELECTRIC ACTUATOR
Cust Line: 1
Phone: 317-247-0100 AMOUNT 598.00
SO#:00114203 FRGHT/INS/HNDL 24.40
PL#: 00114057 SALES TAX 0.00
AMOUNT DUE 622.40
B CITY OF CARMEL s CARMEL'WWTP `_ —--
ATTN:CARMEL DISTRIBUTION CENTER H ATTN: PO:S13728
L 3450 W. 131st Street P CARMEL WWTP
CARMEL IN 46074 9609 HAZEL DELL PARKW Y
T T INDIANAPOLIS IN 46280
0 0
VOUCHER # 136585 WARRANT # ALLOWED
353520
IN SUM OF $
GEORGE E BOOTH CO INC
8202 W 10TH STREET
INDIANAPOLIS, IN 46214
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
00226229 01-7202-06 $622.40
1
i
I
o'
1
Voucher Total $622.40
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
353520
GEORGE E BOOTH CO INC Purchase Order No.
8202 W 10TH STREET Terms
INDIANAPOLIS, IN 46214 Due Date 10/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s).or bill(s)) Amount
10/10/201: 00226229 $622.40
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
Date Officer