226003 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
ONE CIVIC SQUARE UTILITY SUPPLY CO INC.
? CHECK AMOUNT: $832.36
CARMEL, INDIANA 46032 6310 S HARDING ST
1410 `o INDIANAPOLIS IN 46217 CHECK NUMBER: 226003
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 1107680 305 . 70 OTHER EXPENSES
601 5023990 1107896 239 . 65 OTHER EXPENSES
601 5023990 1108408 287 . 01 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET _
1107680
INDIANAPOLIS,IN 46217 Invoice Date Page
� US
10/16/2013 15:17:1 1 of]
ORDER NUMBER
317-783-4196 1114719
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:GREG HOLLANDER
Customer ID: 100753
PO Number Terut Description Net Due Date Disc Due Date Discount Amount
GH101413 Net 30 DAYS 11/15/2013 11/15/2013 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
10/14/2013 13:22:13 1117748 ANDY NUGENT RROPES
Quantities Pricing
Item ID UOM Unit Extended
UOM c Item Description Price Price
Ordered Shipped Renrreinurg Unit Size Unit.Size
Carrier: OUR TRUCK Tracking#:
6.00 6.00 0.00 EA 824278-25ON EA 362000 217.20
1.0 3/4 MUELLER 1P BALL METER STOP LLB 1.0000
6.00 6.00 0.00 EA H15428-333N EA 14.7500 88.50
1.0 1 CTS COMP X 3/4 MIP ADAPTER LLB 1.0000
Total Lines: 2 SUB-TOTAL: 305.70
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 35.70
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
INV®ICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET
�_ 1107896
' INDIANAPOLIS,IN 46217 Invoice Date Page
US 10/18/201312.32:47 1 of 1
ORDER NUMBER
317-783-4196 1115058
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:GREG HOLLANDER
Customer ID: 100753
PO Nuntber Ternt Description Net Due Date Disc Due Date Discount Amount
GH-10/17/2013 08:51:49 Net 30 DAYS 11/17/2013 11/17/2013 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
10/17/2013 08:48:13 1117924 ANDY NUGENT RROPES
Quantities Pricing
Item ID UOM
Unit Extended
UOM - Item Description
Ordered Shipped Remaining Unit Size p Price Price
Unit Size
Carrier: OUR TRUCK Tracking#:
3.00 3.00 0.00 EA 226-069012-000 EA 79.8824 239.65
LO 6 X 12 SMITH BLAIR 684-724 1.0000
REPAIR CLAMP
Total Lines: l SUB-TOTAL: 239.65
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 239.65
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
INV®ICE
UTILITY SUPPLY COMPANY _
" t a Branch: 03 USC NW INDY _ INVOICE
1108408
6310 SOUTH HARDING STREET
INDIANAPOLIS,IN 46217 Invoice Date Page
10/24/2013 09:56:07 1 f 1
US o
ORDER NUMBER
317-783-4196 F 1115524
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION
3450 WEST 13.1 ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
US US
Attn:K LOVEALL Ordered By:GREG HOLLANDER
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
GH-10/23/2013 07:51:19 Net 30 DAYS 11/23/2013 11/23/2013 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
10/23/2013 07:50:46 1118447 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM Item Description Price Price
Unit Size q Unit Size
Carrier: OUR TRUCK Tracking#:
3.00 3.00 0.00 EA 226-090512-000 EA 95.6700 287.01
1.0 8 X 12 SMITH BLAIR 899-939 1.0000
REPAIR CLAMP
Total Lines: / SUB-TOTAL: 287.01
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(I8% AMOUNT DUE: 287.01
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
VOUCHER # 133193 WARRANT # ALLOWED
316200 IN SUM OF $
Utility Supply Company
6310 South Harding Street
Indianapolis, IN 46217
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
02.331t1.q
1107680 02-2308-00 $305.70
Depreciation
k or7 D 9 C)1,V- -V`d' --a c' .(PCs
'I bgLA uiFs -7,D1
Voucher Total
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
316200
Utility Supply Company Purchase Order No.
6310 South Harding Street Terms
Indianapolis, IN 46217 Due Date 10/29/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201; 1107680 $305.70
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and II have audited same in accordance with IC 5-11-10-1.6
Date Officer