227109 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 281250 Page 1 of 1
ONE CIVIC SQUARE SERVICE PIPE&SUPPLY INC
CHECK AMOUNT: $275.98
CARMEL, INDIANA 46032 P.O.33805
INDIANAPOLIS IN 46203 CHECK NUMBER: 227109
CHECK DATE: 12/1112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 589539 275 . 98 OTHER EXPENSES
SERVICE PIPE & SUPPLY, INC. INVOICE
P.O. BOX 33805
INDIANAPOLIS, IN 46203 Customer
Phone: 317-639-9308
Fax: 317-639-1335 Number 589539
P ate: 11/25/13
age:_ 1
CARMEL WASTE WATER TREATMENT Ship TO:,. CARA4EL WASTEWATER TREATMENT
CARWAS ATTN: PAUL ARNONE 0
9609 HAZEL DELL PKWY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS.IN 46280 "�INDIANAPOLIS,IN 46280
Customer PO# Shipped. Salesperson ( 5A Terms I Tax Code° Doc'# wh Freight ;,i `:Ship"Viay
513785 I 11/25/13 004 B.FENTON 2% 10 DAYS N/30 NOTAX 332702 01 PREPAID OUR TRUCK
Item _— Description Ordered I Shipped I Backord;d um um I Extension
077NI10113 3 MILANO FP BALL VALVE 2 2 0 EA` 120.82 EA 241.64
0092813 3 GALV Cl SH CORED PLUG 2 2 0 EA 17.17 EA 34.34
I
i
PLEASE DEDUCT 5.52 Merchandise Discount Tax.. Freight, '�"'.-Total:.Due
`.+r lµ,,.r.....
IF PAID BY-12/U5/13
275.98 .00 .00 .00 .00 275.98
WE APPRECIATE YOUR BUSINESS1,'.
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
281250
SERVICE PIPE & SUPPLY INC Purchase Order No.
P.O. 33805 Terms
INDIANAPOLIS, IN 46203 Due Date 12/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2013 589539 $275.98
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
VOUCHER # 136975 WARRANT # ALLOWED
281250 IN SUM OF $
SERVICE PIPE & SUPPLY INC
P.O. 33805
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
589539 01-7202-06 $275.98
Voucher Total $275.98
Cost distribution ledger classification if
claim paid under vehicle highway fund