243236 03/18/15 j'4�*� CITY OF CARMEL, INDIANA VENDOR: 369168
® ONE CIVIC SQUARE HOOSIER EQUIPMENT LLC CHECK AMOUNT: $*****3,054.38*
,. ?a; CARMEL, INDIANA 46032 11465 REDWOOD ROAD CHECK NUMBER: 243236
9,�;�TON PLYMOUTH IN 46563 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1929 3,054.38 OTHER EXPENSES
30169
HOOSIER EQUIPMENT LLC
3/5/15
No. 1929
Invoice - PO#514864
Company: Carmel Waste Water PO# HE1503
Attn: Duane Jarvis
Address: 9609 Hazel Dell Pkwy.
City: Indianapolis State IN Zip 46280
Quantity Item Price Total
3 6" Blade #7600C-6 $58.95 $176.85
6 8" Blade #7600C-8 $65.70 $394.20
3 10"Blade#7600C-10 $71.75 $215.25
3 12"Blade#7600C-12 $83.25 $249.75
3 15" Blade#7600C-15 $94.25 $282.75
3 18" Blade#7600C-18 $105.75 $317.25
1 6" Spiral Blade #7600-6 $60.50 $60.50
1 8" Spiral Blade#7600-8 $68.90 $68.90
1 10" Spiral Blade#7600-10 $77.70 $77.70
1 12" Spiral Blade#7600-12 $85.95 $85.95
1 15" Spiral Blade #7600-15 $98.95 $98.95
1 18" Spiral Blade#7600-18 $130.75 $130.75 — --
5 DO-89 Tyger Tail $47.95 $239.75
5 LH1x10 Leader Hose $99.72 $498.60
Shipping& Handling $157.23
TOTAL DUE $3,054.38
Shipped Direct—UPS Freight
Terms -Net 30 days
Your business is greatly appreciated!!
Hoosier Equipment LLC * 11465 Redwood Rd., Plymouth, Indiana 46563 * (574) 952-5808
Email: hoosierequipmentllc@yahoo.com
VOUCHER # 155121 WARRANT # 4 ALLOWED
369168 IN SUM OF $
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HOOSIER EQUIPMENT LLC
11465 REDWOOD RD.
PLYMOUTH, IN 46563
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1929 01-7200-02 $3,054.38
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Voucher Total $3,054.38
Cost distribution ledger classification if
claim paid under vehicle highway fund
4
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.
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Payee
369168
HOOSIER EQUIPMENT LLC Purchase Order No.
11465 REDWOOD RD. Terms
PLYMOUTH, IN 46563 Due Date 3/12/2015
Invoice Invoice Description
Date Number (or note attached i,nvoice(s) or bill(s)) Amount
3/12/2015 1929 t $3,054.38
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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
Date 70fficer