243235 03/18/15 +or_c�gH
Jy \ CITY OF CARMEL, INDIANA VENDOR: 360022
j; d �; ONE CIVIC SQUARE THE HOOSIER CO INC CHECK AMOUNT: $*******455.00*
r'. ?a CARMEL, INDIANA 46032 P 0 BOX 681064 CHECK NUMBER: 243235
9�'iioN�c�`- INDIANAPOLIS IN 46268 CHECK DATE: 03/18/15
I
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 8294 455.00 REPAIR PARTS
The Hoosier Co., Inc.
P.O.BOX 681064
INDIANAPOLIS, IN 46268
(317)872-8125 FAX(317)872-7183
Invoice 8294
Bill to: Job: 258294
CITY OF CARMEL CITY OF CARMEL
3400 W. 131 ST ST.
WESTFIELD, IN 46074
Invoice#: 8294 Date: 03/11/15 Customer P.O.#: 136TH AND KEYSTONE
Payment Terms: UPON RECEIPT Salesperson: JOSH COULTER
Customer Code: 915
Remarks:ATTN; ERIC RUSSELL
Quantity Description
1.00 TRACC NOSEPIECE, YELLOW EA 271.50 271.50
0.00 6531 B. INC: REFLECT SHEETING 0.00 0.00
2.00 TRASS-STG 2 RIP PLX75" EA 91.75 183.50
0.00 25963G 0.00 0.00
0.00 0.00 0.00
Subtotal: 455.00
Total: 455.00
Less Retention:
Current Due: 455.00
CREDIT REGULATIONS: 1 1/2% Interest Per Month On Past Due Accounts
2-00 112
00112 I
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Hoosier Co., Inc.
IN SUM OF$
P. O. Box 681064
Indianapolis, IN 46268
I
$455.00 l
�t
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#IrITLE AMOUNT Board Members
2201 I 8294 I 42-370.001 $455.00 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
13, 2015
Street Commissioner
r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
03/11/15 8294 $455.00
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
, 20
Clerk-Treasurer