226523 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
' ONE CIVIC SQUARE WORRELL CORPORATION CHECK AMOUNT: $13,398.49
CARMEL, INDIANA 46032 305 SOUTH POST ROAD
+' ? INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 226523
CHECK DATE: 11119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 245654 8, 355 . 30 OTHER EXPENSES
651 5023990 245654 5, 013 . 19 OTHER EXPENSES
601 5023990 245868 15 . 00 OTHER EXPENSES
651 5023990 245905 15 . 00 OTHER EXPENSES
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Invoice Date Invoice No.
/ 305 South Post Road '- �� 11/14/2013 0245868
Indianapolis, IN 46219-7900 7B�uriness a .�
Womnterprise(317)89 5-9708 by the Ste of Ind"In.and the
City of Indionopolis "On"E'Nr_s Term
www.worrelicorp.com Net 30 Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
30 W. MAIN STREET, STE 200 WATER-WASTEWATER UTILITIES
CARMEL, IN 46032 30 W MAIN ST, STE 200
IIllllllll�ll{ II� �II {1111 CARMEL, IN 46032 SCOTT CAMPBELL
saws Person J 'vVorrell - cysts `f SCO'i7 CF�MBELL (�• 269 150 Is2 1 1/07/2iJ 13 (
•••- II .,Description •
COC-F01 31 Statements ` ; BOX ! .00
COC-EDG1 51 Envelope, #10 Double Window, Printed + BOX .00
WC-EN09 51 Envelope, #9 Window Reply BOX .00
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Freight: 15.00
Sales Tax. � .0V
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all\PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your confnued business.
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ImPoice Date Infuse NO.
305 south Post Road ��— 11/12/2013 0245654
Indianapolis, IN 46419-7900 Certified as o
Women Business Enterprise
(317)895-9708 by the Ste te of Indiono and ha
CiCy of Indion fdt,MUSE Aogro-
www.worrellcorp.com Net 30 Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
30 W MAIN STREET- STE 200 WATER - WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
I�Ir�l�llr�ll�����ll���l�lll�f�ll���llrr�ll����l�l�l CARMEL, IN 46032 SCOTT CAMPBELL
Person J Worrell P.O.Nom Scott Campbell Its 090018 1 -09/30/2013 Irk U.S. Mail
COC-PROC 11 City of Carmel - Utility Mailings 5264.82'EACH 5,264:82
COC-POST # 1? City of Carmel - Postage for Mailings 8103.67EACH 8,103.67
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September 2013
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A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 13,368.49
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
VOUCHER # 133391 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORPORATION
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219-7900
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
a
245654 01-6360-07 $8,355.30
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
361174
WORRELL CORPORATION Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219-7900 Due Date 11/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/18/201; 245654 $8,355.30
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
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11/14/2013 0245905
Certified as a '�-„`_
Ulomen Business Enterprise '�..
(317) 895-9708 a`ha Rote of lrMiono ood the Terms
City of Indionopolis MrILBE Pogroms
www.worrelicorp.com Net 30 Days
Sold To Shipped To WCO
CITY OF CARMEL WORRELL CORPORATION
WATER-WASTEWATER UTILITIES Gina King
30 W MAIN STREET- STE 200 305 S POST RD
CARMEL, IN 46032 INDIANAPOLIS, IN 46219
I�It�l�ll��ll�����ll���l�lll��tll���ll��tlle��tltltl cocmarkh
Sates Customer Ship e'
Person J Worrell P.O.No. - I 650623 !'Date 11/06/2013 l w ORRELL TRUCK
Description
COC-EDG1 - 15' Envelope, #10 Double Window, Printed I I BOX 1 .00
COC-F01 30,0001 Statements M 00
WC-EN09 12 Envelope, #9 Window Reply BOX .00
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Freight: 15.00
Sales Tax- nn
A FINANCE CHARGE of 2%per month(24o ANNUAL PERCENTAGE RATE)will be applied.to all PAST DUE accounts. TOTAL DUE 15.00
All claims or returns must be made within 30 days of receipt and require a return authorization _
All invoices are payable in U.S.Funds. Thank you for your continu'I?d business.
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" 305 South Post(food �� 3 � 11/12/2013 0245654
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Indianapolis, IN 46219-7900 ())omen BuslnesaEnterprise
(317)895-9708 by the state cf Mi.-and the j \ �e m=
Cry of Indianapolis M/U18E Progromz l_
www.worrellcorp.com Net 30 Days
Sold To Shipped To 0001
CITY OF CARMEL CITY OF CARMEL
WATER-WASTEWATER UTILITIES SCOTT CAMPBELL
30 W MAIN STREET- STE 200 WATER - WASTEWATER UTILITIES
CARMEL, IN 46032 760 3RD AVE SW
Itlttltllrtll�ttttlltttl�llllttlltttlltt�lltt�tltltl CARMEL, IN 46032 SCOTT CAMPBELL
lerson J Worrell a �` Scott Campbell 090018 09/30/2013 U.S. Mail
FAMEM-1 wig-man=0
COC-PROC 1 1? City of Carmel - Utility Mailings 5204 82 EACH ; 5,264.82
COC-POST i 1' City of Carmel - Postage for Mailings 8103.67'EACH 8,103.67
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September 2013
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Freight: 00
S2!es Tax: CO
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A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 13,368.49
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in U.S. Funds. Thank you for your continued business.
® Please detach this receipt along perforation and enclose with:remittance.
4 oriel -0
Solutions at Work
printing marketing office products.
Invoice Number 0245654 '
126952
CITY OF CARMEL Invoice Date 11/12/2013 >`
WATER-WASTEWATER UTILITIES
30 W MAIN STREET -STE 200 Amount Due
13,368 49
CARMEL IN 46032 i
•rse a • _ •v � _
VOUCHER # 136867 WARRANT # ALLOWED
361174 IN SUM OF $
WORRELL CORP
305 SOUTH POST ROAD
INDIANAPOLIS, IN 46219
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT I Audit Trail Code
i
5 Q�� 245654 01-7360-07 $5,013.19
(s.00
Voucher Total 13.19
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
361174
WORRELL CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 11/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/181201: 245654 $5,013.19
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