226853 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 316200 Page 1 of 1
ONE CIVIC SQUARE UTILITY SUPPLY CO INC. CHECK AMOUNT: $12,232.95
CARMEL, INDIANA 46032 6310 S HARDING ST
INDIANAPOLIS IN 46217 CHECK NUMBER: 226853
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 110921 112 . 95 OTHER EXPENSES
604 5023990 1109498 10, 625 . 00 OTHER EXPENSES
604 5023990 1109981 1, 495 . 00 OTHER EXPENSES
INVOICE
UTILITY SUPPLY COMPANY
s Branch: 03 USC NW INDY INVOICE
4 6310 SOUTH HARDING STREET 1 l 10921
INDIANAPOLIS,IN 46217 Invoice Date �— Page
US 11/21/201314:49:20 1 1 of I
ORDER NUMBER
317-783-4196 L _ 1117998
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 Term Description Net Due Date Disc Due Date Discount Amount
GH-11/20/2013 09:36:02 Net 30 DAYS 12/21/2013 12/21/2013 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
11/20/2013 08:50:48 1121003 ANDY NUGENT ZSTIERWALT
Quantities Pricing
Item ID UOM Unit Extended
UOM d Item Description Price Price
Ordered Shipped Remaining Unit Size ^ Unit Size
Carrier: OUR TRUCK Tracking#:
1.00 1.00 0.00 EA 226-111012-000 EA 1119500 112.95
1.0 10 X 12 SMITH BLAIR 1104-1144 1.0000
REPAIR CLAMP
Total Lines. 1 SUB-TOTAL: 112.95
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 112.95
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
i
ORIGINAL I
INVOICE
UTILITY SUPPLY COMPANY
Branch: 03 USC NW INDY INVOICE
6310 SOUTH HARDING STREET _ 1109981
INDIANAPOLIS,IN 46217 _Invoice Date ) _ Page
US 1 1/11/2013 1147:39 1 of 1
k _ ORDER NUMBER
1115098
317-783-4196
"DIRECT SHIPMENT"
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER METERS
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 (WATER METERS AND METER PARTS ONLY)
US CARMEL,IN 46074
US
Attri:K LOVEALL Ordered By: JACK SPEARS
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
W09873 Net 30 DAYS 12/11/2013 12/11/2013 0.00
Order Date Pick Ticket No Primary Saiesrep Name Taker
10/17/2013 12:52:25 1120180 DOUG KARST SNUGENT
Quantities Pricing
Item ID UONI Unit Extender/
UOM c Item Description Price Price
Ordered SttippeJ Remaining Uttit.5'iZe Unit Size
Carrier: PAID,BEST WAY Tracking#:
10.00 10.00 0.00 EA ED2A31 R8G 1 EA 52.0000 520.00
1.0 METER 5/8 Tl0 D/R GAL WITH PLASTIC 1.0000
BTM P
10.00 10.00 0.00 EA ED2C11R8G1 EA 975000 975.00
1.0 METER 3/4 C/I D/R GAL PLS TOP 1.0000
Total Lines: 2 SUB-TOTAL: 1,495.00
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT D UE: 1,495.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGIM4L
INV®ICE
UTILITY SUPPLY COMPANY
INVOICE
E•; Branch: 03 USC NW INDY
1109498
6310 SOUTH HARDING STREET -
INDIANAPOLIS,IN 46217
Invoice Date Page
US
11/5/2013 09:54:54 1 of 1
ORDER NUMBER
317-783-4196 _ 1115098
"DIRECT SHIPMENT"
Bill To: Ship To:
CARMEL WATER DISTRIBUTION CARMEL WATER METERS
3450 WEST 131ST STREET 3450 WEST 131ST STREET
CARMEL,IN 46074 (WATER METERS AND METER PARTS ONLY)
US CARMEL,IN 46074
US
Attn:K LOVEALL Ordered By:JACK SPEARS
Customer ID: 100753
PO Number Term Description Net Due Date Disc Due Date Discount Amount
W09873 Net 30 DAYS 12/5/2013 12/5/2013 0.00
Order Date Pick Ticket No Printary Saiesrep Nante Taker
10/17/2013 12:52:25 1119649 DOUG KARST SNUGENT
Quantities Pricing
Item ID UOhI Unit Extender(
UOM c Item Description Price Price
Orderer! .Shipper! Remaining Unit.Size Unit Size
Carrier: PAID,BEST WAY Tracking#:
100.00 100.00 0.00 EA ED2FIIR8Gl EA 106.2500 10,625.00
1.0 METER 1 C/I D/R GAL PLS TOP 1.0000
Total Lines: I SUB-TOTAL: 10,625.00
TAX: 0.00
A FINANCE CHARGE computed at a periodic rate of 1 1/2%per month(18% AMOUNT DUE: 10,625.00
ANNUAL PERCENTAGE RATE)is applied to PAST DUE ACCOUNTS OVER 30 DAYS.
ORIGINAL
VOUCHER # 133396 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
o2 33q^-LqQ
1109981 02-2308-00 $1,495.00
Depreciation
•1ibR��� aa.a3�g-� , ��,t�Z5ect�
=--m 1
�t 1 b��.1 pi•�z-6c;.tom l l'���
RM
Voucher Total � �
r
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 11/21/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/21/201: 1109981 $1,495.00
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
ii�z-7 A
Date Officer