227023 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 00351074 Page 1 of 1
ONE CIVIC SQUARE KIMBALL-MIDWEST
CARMEL, INDIANA 46032 DEPT L-2780 CHECK AMOUNT: $65.20
COLUMBUS OH 43260-2780 CHECK NUMBER: 227023
CHECK DATE: 12/1112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3298353 65 . 20 OTHER EXPENSES
T LL INVOICE INVOICE NO. TERMS: 1% 10 DAYS�l
j V 0 DAYS
PLEASE PAY FROM THIS INVOICE 3298535
IDW ST ORIGINAL ORDER NO. • _ •
Sprrwkins in A.farelials management since 1923 0 6 2 0 8 3 2 E
•
REMIT TO: KIMBALL MIDWEST
ACCOUNT NO. • . �
DEPT. L-2780
COLUMBUS,OHIO 43260-2780 (614-219-6100) 65060
www.kimbalimidwest.com
SOLD TO: SHIP TO:
CARMEL WATER DISTRIBUTION SAME
3450 WEST 131ST ST
CARMEL IN 46032
JIM
DATE SALES REPRESENTATIVE PURCHASE ORDER NO. SHIPPED VIA&DATE
12/02/13 1COHEN, ROBER IM U UPS GROUND 12/02/13
ORDERED SHIPPED BALANCE DESCRIPTION UNIT PRICE AMOUNT
DUE
5 5 26982 1/4X6 SHRINK TUBING 9. 45
5 5 2'6981: 3/16X6 SHRINK TUBING 9.>115
5 5 26983 3/8X6 SHRINK TUBING 14 . 40
20 20 NAB2214 FAST HS !BLUE/RED `BUT 32 .:20 `i
UPS TRACKING # : 1247817303415966 0 WGT: l
To help us,f correctl';y process' yo r payment please
include invoice number on your emittance advice
__ _...... ._...._
_...
hank yo for y r business;! Payment;'; is due 0>1/0. 214
lease
mail by 12/25/13
Co recei e invoices via email send a request inc udinq you
ccont iarnber to ;invoice @kmballmidwest : com
r.M,.d'isclosed acknowledge and agree that,by placing this order,all information provided to you by Kimball Midwest herein is confidential and is the property of Midwest
or Supply Co.,Inc.d/b/a Kimball Midwest.You further agree that this information is for your internal use only and will not be copied,reproduced,distributed
by you and/or your organization without the prior written consent from Kimball Midwest.
CARRIERS RECEIPT IN GOOD ORDER CON- ORDERED TAX% TAX AMT. SHIPPING INVOICE TOTAL
STITUTES DELIVERY AND CLAIMS FOR LOSS
OR DAMAGE IN TRANSIT MUST BE FILED BY
CUSTOMER
GOODS RETURNED WITHOUT OUR CONSENT
WILL POSITIVELY NOT BEACCEPTED. 65 . 20 6 5 .2 0
DEBTOR IS LIABLE FOR USUAL AND CUSTOM-
ARY COLLECTION CHARGES.
ALL CHECKS MUST BE MADE PAYABLE ONLY
ro"KIMBALL M!DWFST' - We Appreciate You Business PLEASE REMIT THIS AMOUNT I
-—
VOUCHER # 133529 WARRANT # ALLOWED
3551074 IN SUM OF $
KIMBALL MIDWEST
Dept L-2780
Columbus, OH 43260-2780
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
3298353 01-6500-05 $65.20
Voucher Total $65.20
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
3551074
KIMBALL MIDWEST Purchase Order No.
Dept L-2780 Terms
Columbus, OH 43260-2780 Due Date 12/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2013 3298353 $65.20
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 5711-10-1.6
Date Officer