226657 12/03/2013 ±..F CITY OF CARMEL, INDIANA VENDOR: 364871 Page 1 of 1
ONE CIVIC SQUARE FACO LLC
�1 CARMEL, INDIANA 46032 8651 CASTLE PARK DR CHECK AMOUNT: $346.28
`o INDIANAPOLIS IN 46256-1270 CHECK NUMBER: 226657
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 27738 346 . 28 OTHER EXPENSES
Fj i en 8651 Castle Park Drive Invoice
® Indianapolis, IN 46256-1270
Date 11/20/2013
Phone # 317-842-FACO (3226)
Fax# 317-842-4079 Invoice # 27738
Bill To Ship To
CITY OF CARMEL-WATER WASTEWATER CARMEL WTP
UTILITIES 4615 E. 106TH STREET
3450 W. 131ST STREET CARMEL, IN 46033
CARMEL, IN 46074 ATTN: JOHN M.
FOB Ship Via Terms Due Date y Purchase-Ord e—r No. Rep
SHIP POINT UPS NET 30 12/20/2013 JM11413 BEH
Item Description Ordered Shipped Rate Amount
p pp
DS-VALMATIC Model#SPK1-102WS 1 1 339.00 339.00
Complete Repair Kit
FREIGHT 7.28 7.28
Faco stocks / distributes the following: Subtotal $346.28
Automatic Flow Control Valves
Balance Valves Inhibited Glycol Sales Tax (7.0%) $0.00
Coil Piping Packages Link-Seal
Expansion Joints Pipe Markers
Gauges Pump Packages Total $346.28
Hose Kits Thermometers
NOTICE:Any shortage or damaged goods claim must be reported to
Faco in writing within 10 days of receipt of shipment.Thank you.
PLEASE NOTE: As of December 1, 2013 all invoices paid with a credit card will be charged a 5% processing fee.
VOUCHER # 133478 WARRANT # ALLOWED
364871 IN SUM OF $
FACO
8651 CASTLE PARK DRIVE
INDIANAPOLIS, IN 46256-1270
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
27738 01-6200-02 $346.28
Voucher Total $346.28
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
364871
FACO Purchase Order No.
8651 CASTLE PARK DRIVE Terms
INDIANAPOLIS, IN 46256-1270 Due Date 11/25/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/25/201, 27738 $346.28
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 5-1n1-10-1.6
Date V Officer