242111 02/10/15 �%'.c\�. CITY OF CARMEL, INDIANA VENDOR: 367878
"; CHECK AMOUNT: $****"""666.15*
r. �•
ONE CIVIC SQUARE US MACHINERY
=a
CARMEL, INDIANA 46032 PO INDIANAPOLIS 881502
N 46208 CHECK NUMBER: 242111
''�+eN'�° CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 SI-1324 666.15 OTHER EXPENSES
e
e ' Date Invoice#
1/16/2015 S3-i324
-
.
Bill To Ship To
City of Carmel Utilities City of Carmel Utilities
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Y
IN Indianapolis
46280 IN
46280
P.O. No. Terms Project
Net 30
Quantity Description I Rate Amount
Machine Make: National/ Machine Model: 500D/Vin# 33575/ Mileage: 2971
Labor Description: Perform OSHA inspection and DOT inspection, change hyd
filter, check swing gear box and winch oil, load test unit, all ok.
1 Filter 17.77 17.77T
1 Shop Supplies 30.88 30.88T
6.5 Labor 95.00 617 0
Sales Tax 7.00% 3.41
All past due balances are subject to a late fee of 1.5 percent per month
Total $K.5
i
VOUCHER # 146642 WARRANT # �, ALLOWED
367878 IN SUM OF $
US MACHINERY LLC
PO BOX 881502
INDIANAPOLIS, IN 46208
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT j Audit Trail Code
SI-1324 01-7502-06 $666.15
i
f
d
i
a
i
i
Voucher Total $666.15
Cost distribution ledger classification if I�
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
1
f
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
367878
US MACHINERY LLC Purchase Order No.
PO BOX 881502 Terms
INDIANAPOLIS, IN 46208 Due Date 2/4/2015
t
` Invoice Invoice Description
Date Number (or note attached i'nvoice(s) or bill(s)) Amount
i
2/4/2015 S1-1324 i $666.15
f
i
i
i
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