231783 04/23/14 a ur.C 1Hb
CITY OF CARMEL, INDIANA VENDOR: 00352386
ONE CIVIC SQUARE MAXIM CRANE WORKS CHECK AMOUNT: $ ....'821.60*
x a° CARMEL, INDIANA 46032 LOCKBOX 774389 CHECK NUMBER: 231783
?yet roN.�p. 4389 SOLUTIONS CENTERS CHECK DATE: 04/23/14
CHICAGO IL 60677-4003
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 93047308 821.60 OTHER EXPENSES
INVOICE
---REMIT TO--- INVOICE NO: 93047308
LOCKBOX#774389 + INVOICE DATE: 03/28/14
4389 SOLUTIONS CENTER P/O#: 513889
CHICAGO,IL 60677-4003
800/666-4465 Fax: 317/244-5648 Crane Works,. L.A INVOICE TOTAL: 821.60
TERMS: NET UPON RECEIPT
WWW.MAXIMCRANE.COM REFERENCE:
BILL TO: 04507026 SHIP TO: 80163802
CARMEL UTILITIES CARMEL WWT PLANT
760 THIRD AVE SW, STE 110 9606 HAZEL DELL PARKWAY
CARMEL,IN 46032 INDIANAPOLIS,IN 46280
PHONE: 317 571-2443
Equipment Rental Date: 03/26/14 F.O.B. Shipping Point
ORDER#: X1292740ND00253174 BRANCH: IND SALESREP: TES * OPERATED RENTAL
EQUIPMENT# DESCRIPTION QTY UOM UNIT PRICE AMOUNT
ORDERED Y: JEFF COOPER
I
050 TON HYDRAULIC CRANE
8414 S/N F2I80226 4.00 Hours 160.00 640.00
ROAD PERMIT
1.00 Total 150.00 150.00
FUELSURCHARGE
1.00 Total 31.60 31.60
SALES TAX: IN-MARION-INDIANAPOLI EXEMPT .00
Page: 1 INVOICE TOTAL 821.60
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
00352386
MAXIM CRANE WORKS, L.P. Purchase Order No.
LOCKBOX 774389 Terms
4389 SOLUTIONS CENTER Due Date 4/16/2014
CHICAGO, IL 60677-4003
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2014 93047308 $821.60
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 # 137844 WARRANT # ALLOWED
00352386 '
IN SUM OF $
MAXIM CRANE WORKS, L.P.
LOCKBOX 774389
4389 SOLUTIONS CENTER
CHICAGO, IL 60677-4003
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
93047308 01-7362-06 $821.60
Voucher Total $821.60
Cost distribution ledger classification if
claim paid under vehicle highway fund