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HomeMy WebLinkAbout228810 1/29/2014 CITY OF CARMEL, INDIANA VENDOR: 367929 Page 1 of 1 ONE CIVIC SQUARE MIKE HEIRBRANDT,AGENT FOR WSG CARMEL, INDIANA 46032 4914 FOUNDERS COURT CHECK AMOUNT: $129.00 ANDERSON IN 46017 CHECK NUMBER: 228810 CHECK DATE: 1/29/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 10178 129 . 00 OTHER EXPENSES INVOICE# 10178 AIN 4914 Founders Court/Anderson, Indiana 46017 Tel:(765)617-5193/Fax:(765)378-0562 WATER SERVICES GROUP 6 ! INVOICE Sold To: Misc Name Carmel WWTP Date 12/30/2013 Address 9609 Hazel Dell Parkway P.O.# Verbal Jeff City Indianapolis State IN ZIP 46280 Terms: Net 30 days —_ Attention: Accounts Payable Site: Carmel WWTP Qty Description Unit Price TOTAL 1 Hoffman#79 automatic air bleeder for loop system $ 104.00 1 Pump pressure up in system on 11/23/13 $ 25.00 Please provide copy of tax exemption certificate with payment Order confirmation by Jeff Cooper SubTotal $ 129.00 Shipping $ - Payment Tax Rate(s) Payable To: Mike Heirbrandt,Agent for WSG TOTAL $ 129.00 4914 Founders Court Anderson, Indiana 46017 Office Use Only (765)617-51.93 WSG'4914 Founders Ct Anderson, Indiana 46017 VOUCHER # 137215 WARRANT # ALLOWED 367113 NL1��(�'(i� cil, „7E-em.� IN SUM OF $ WATER SERVICES GROUP ,�� 4914 FOUNDERS COURT ANDERSON, IN 46017 l-j Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 10178 01-7202-06 $129.00 I � I 1 1 Voucher Total $129.00 1 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 367113 WATER SERVICES GROUP Purchase Order No. 4914 FOUNDERS COURT Terms ANDERSON, IN 46017 Due Date 12/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 10178 $129.00 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 Date Officer