228182 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 361174 Page 1 of 1
ONE CIVIC SQUARE WORRELL CORPORATION
CARMEL, INDIANA 46032 CHECK AMOUNT: $697.68
305 SOUTH POST ROAD
INDIANAPOLIS IN 46219-7900 CHECK NUMBER: 228182
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0247689 388 . 38 OTHER EXPENSES
651 5023990 0247689 309 . 30 OTHER EXPENSES
305 South Post Road - 12/30/2013 0247689
Indianapolis, IN 46419-7900 Certified as a1 - `�-
Ulomen Business Enterprise
1
(317)895-9708 by the 4ote of Indiono and tha
City of Indionopolis MOBE Progroms Term
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 220 WATER - W TEWATER UTILITIES
CARMEL, IN 46032 30 W STR T, STE 220
I.I.d.II.11.111111111I1III11111111II111II111111111 C M L, IN 4 32 SCOTT CAMPBELL
Sales Person J Worrell o� LETTERHEAD N. 090431 S 12/18/2013vUPS GROUND
oa- @D- o o
_. _
COC-LH01CS 2,500 Letterhead - CUSTOMER SERVICE I - 6.531 M d 316-33
COC-LH02A D' 2,750 Letterhead - ADMIN 126.53, M 347.96
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Freight: ; 33.39
--- - - - - - _ Sales Tax: 00 _ -
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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 697.68
All claims or returns must be made within 30 days of receipt and require a return authorization.
All invoices are payable in Funds. Thank you for your continued business.
-
VOUCHER # 133826 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
247689 01-6200-07
247689 01-6200-08 pi"!'98
Voucher Total $ =k:68
Cost distribution ledger classification if
claim paid under vehicle highway fund
�v l J
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 12/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201; 247689 $371.68
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 15-11-10-1.6
Date Officer
�� � � ,��.� nr��`�'`' +4 '��".�.�.r'`a��pt��y.$�� �'�'���.. '" ��4=� -{ "� �yr�c��w7� a�r#,_�c '`6,�' �`°�'��•
r 305 South Post Road 12/30/2013 0247689.
�h#
,Y
Indianapolis, IN 46219-7900 Certified
as
o E '
Women Business Enterprise Pg
(317)895-9708 by[he St t of Indono and th¢ Tams
C y of Indionopols MUSE Programs
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 220 WATER - W TEWATER UTILITIES
CARMEL, IN 46032 30 W STR T, STE 220
Ifl��l�ll��llf��f�llt��l�lll���ll�f�llf��ll����l�l,l C MEL, IN�432 SCOTT CAMPBELL
sats. Cusfam=_r-. fab` cFr�P- 'isgp�$
Parson J Worrell -; Po Ata LETTERHEAD;. �a 090431 late 12/18/2013 �� UPS GROUND
t
.e.
COC-LH01 CS 2,500 Letterhead - CUSTOMER SERVICE t 6.53 M f 316'33
COC-LH02AD 2,7501 Letterhead - ADMIN 126.53 M ! 347_.96
! I
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Ij I l
I
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i
L
X\U
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i
i Freight: 33.39
;
t Sales Tax: l .00 '
A FINANCE CHARGE of 2%per month(24%ANNUAL PERCENTAGE RATE)will be applied to all PAST DUE accounts. TOTAL DUE 697.68
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.
,
® Plea'se detach this receipt along perforation and enclose with remittance ®A- worrll �Y_
_
Solutionsat work
printing .marketing oFf.iceproducts
Invoice Number 0247689
126952
CITY OF CARMEL Invoice Date 12/30/2013 `
WATER-WASTEWATER UTILITIES
30 W MAIN STREET - STE 220 Amount Due 697.68
CARMEL, IN 46032
_ .._._ ......... ....� _.._... _. _.., __ .___. ._,._ _ ._ __.� ........ a eo � • •00 . ,-y
VOUCHER # 137165 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 Audit Trail Code
16 R
247689 01-7200-07
247689 01-7200-08
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 CORP Purchase Order No.
305 SOUTH POST ROAD Terms
INDIANAPOLIS, IN 46219 Due Date 12/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
i
12/30/201: 247689 $292.61 j
1
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