225478 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 365006 Page 1 of 1
ONE CIVIC SQUARE NALCO CROSSBOW WATER
o CARMEL, INDIANA 46032 NETWORK PLACE 24656 CHECK AMOUNT: $190.00
M.'oN.co� CHICAGO IL 60673 CHECK NUMBER: 225478
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2120138 190 . 00 OTHER EXPENSES
CROSSBOW'
Nalco Crossbow Water Invoice
Network Place 24658
Chicago, IL 60673
USA Invoice N' . 2120138
�,..:
Customer No 0310060A
`BIII.To' Ship`iTo
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: 317-571-2634 210
Invoice;Date Order.Date�� :SO�Number Ordered By . �, Customer PO Number,':: a_ Payriient Method
10/09/13 1 10/04/13 Net 30
`Warehouse Shi ,Via.`: F.O.B. Salesperson_ Resale.Num6er
INDY Crossbow Truck Chris Coppock
7`1
Order Ship .; Un►t . Extended
Tax Item Number I e's ripjon. u
Quantity Qtuanhty „ Pace Price
2 2 Y DMD1 U of M: EACH 95.0000 190.00
DI EXPRESS
IT SERVICE EXCHANGER
01 D80 FRP MIXBED
PnntiDa`te 10/10/13 D,ue Date 11/08/13 -Subtotal.' 190.00
I'rmt,Time 03:57:40 PM Erei ghf' 0.00
Page No > 1
Printed By: Rachel Sissman Total Paid 0.00
Balance Due 190.00 Invoice tall 190.00
VOUCHER # 136652 WARRANT # ALLOWED
365006 IN SUM OF $
NALCO CROSSBOW WATER
NETWORK PLACE 24658
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2120138 01-7202-05 $190.00
Voucher Total $190.00
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
365006
NALCO CROSSBOW WATER Purchase Order No.
NETWORK PLACE 24658 Terms
CHICAGO, IL 60673 Due Date 10/17/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/201: 2120138 $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
Date Officer