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243295 3 /18/2015 u! CITY OF CARMEL, INDIANA VENDOR: 355371 j; ® `31 ONE CIVIC SQUARE OTT EQUIPMENT SERVICE INC CHECK AMOUNT: $*******303.50* r, i' CARMEL, INDIANA 46032 517 HERRIMAN CT CHECK NUMBER: 243295 -9M'hos c�� NOR ESVILLE IN 46060 CHECK DATE: - 03/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 30102 303.50 BUILDING REPAIRS & MA 517 Herriman Ct. Invoice Noblesville, IN 46060 EQUIPMENT 317-773-8941 DATE INVOICE# FEIRVICE INC.. 3/4/2015 30102 BILL TO SHIP TO Carmel Street Department Attn: Jim Bentley 3400 W 131st Street 733-2001 or 691-6725 Westfield,IN 46074 P.O.NO. TERMS REP - - QTY ITEM DESCRIPTION RATE AMOUNT Truck lift won't go up or down. They leave at 3:30pm. 0.00 Bay#19:'k1OQ-120(Serial#XBJ03COO 16)dump 0.00 valve needs replaced.Ordered part and returned. - - 64 1 FA31Valve,Exhaust Humphry#SQE2 51.00 5 LOOT 1 Truck Charge Truck Charge 46.00 40.66 2.5 Serv-Brady Service Labor-Brady 85.00 212.50 Total $303.50 A 1.5% Service Charge will be assessed on amounts over 30 days past due. We will accept credit card payments(MCNisa); however, all credit card charges in excess of$1,500.00 will be subject to a 3% convenience charge. - i i VOUCHER NO. WARRANT NO. ALLOWED 20 Ott Equipment Services IN SUM OF$ 517 Herriman Court Noblesville, IN 46060 $303.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#_ /Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 I 30102 I 43-501.001 $303.50 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 F/iday, Oyh 13, 2015 Street CommissiQ Street 19affi 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)) 03/04/15 30102 $303.50 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 20 Clerk-Treasurer