237928 10/08/2014 tf� CITY OF CARMEL, INDIANA VENDOR: 228000
® ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT:"$'""•'"112.70-
x i° CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 237928
9M(ios�O.` ZIONSVILLE IN 46077 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 132593 30.00 REPAIR PARTS
2201 4237000 132661 82.70 REPAIR PARTS
NORT'HSIDE TRAILER LLC
SALES • PARTS - SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 132661
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL T0: 14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
317-733-2001
P
INVOICE DATE ORDER NO. TERMS SALEPERSON
Sep25114 KEVIN SMITH NET 30 DAYS BETH BETH
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
2 429800 413573 12 .25 24 .50
STOP, TURN, TAIL LIGHT, FLUSH
1 318625 RT25824 58 .20 58.20
24" RECEIVER TUBE
Sub-Total 82 .70
Discount,
Shipping & Handling 0 .00
Tax[ 01 EXEMPT*
Total 82 .70
;mount Paid. 0.00
Receive By: Z Z Amount Due 82 .70
Change 0 .00
NORTHSIDE TRAILER LLC
SALES • PARTS - SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 132593
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILLTO:14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
317-733-2001
Pace
INVOICE DATE ORDER NO. TERMS SAL SPERSON
Se 22 14 NET 30 DAYS KENT KENT
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
150 386600 TFX250 0 .20 30 .00
SCREW,FLOOR,TORX 1/4x2-1/2"
Sub-Total 30 .00
Discount
Shipping Handling 0 .00
Tax[ 0] EXEMPT*
Total 30.00
Amount Paid 0 .00
Received By: I=ount Due 30 .00
Change 0.00
pJ -1
47'wz ��G
VOUCHER NO. WARRANT NO.
ALLOWED 20
Northside Trailer
IN SUM OF$
11985 East St. Rd. 32
Zionsville, IN 46077
$112.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
2201 132593 42-370.00 j $30.00 1 hereby certify that the attached invoice(s), or
2201 132661 42-370.00 $82.70 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
id a 2014
--Vvvv W f'-rL/M
S 4Wffl*1AT er
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/22/14 132593 $30.00
09/25/14 132661 $82.70
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
, 20
Clerk-Treasurer