242807 03/03/15 V y V,4Ap�F!
t, CITY OF CARMEL, INDIANA VENDOR: 00350062
ONE CIVIC SQUARE SCOTT OSBORNE CHECK AMOUNT: $*****5,564.00*
x3 ,?4 CARMEL, INDIANA 46032 19702 SIX POINTS ROAD CHECK NUMBER: 242807
9�/TON�°' SHERIDAN IN 46069 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 457671 5,564.00 AUTO REPAIR & MAINTEN
Scott K. Osborne INVOICE
19702 Six Points Road
Sheridan, Indiana 46069 Invoice#457671
317-371-3140
DATE: FEBRUARY 23, 2015
TO:
Carmel Fire Department
2 Civic Square
Carmel, Indiana 46032
Phone 317-571-2600
SALESPERSON P.O. NUMBER REQUISITIONER j SHIPPED VIA F.O.B. POINT TERMS
Due on
Plow Car 4211
I_ ! receipt
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QUANTITY DESCRIPTION UNIT PRICE TOTAL
1 Western 8.6 MVP3 SnowPlow w/18"deflector&curb guards $5564.00 i $5564.00
Installed on 2014 Ford F250
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TOTAL DUE $5564.00
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Scott Osborne
IN SUM OF $
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$5,564.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 457671 43-510.00 $5,564.00 1 hereby certify that the attached invoice(s), or
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 MAR _
Fire Chief
Title
Cost distribution ledger classification if ! I
claim paid motor vehicle highway fund
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arescribed by State Board of Accounts City Form No.201 (Rev.1995)
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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
ovhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
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Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
457671 C4211 $5,564.00
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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