244903 05/05/15 0{ Gip'' CITY OF CARMEL, INDIANA VENDOR: 364575
g ONE CIVIC SQUARE CUMMINS ALLISON CORP CHECK AMOUNT. $*******359.18*
?q CARMEL, INDIANA 46032 PO BOX 339 CHECK NUMBER: 244903
��"�TON�°.` MT PROSPECT IL 60056 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4350000 4712787 359.18 EQUIPMENT REPAIRS & M
CUMMINS Page 1 of 1
CUMMINS-ALLISON CORP. INVOICE
Invoice Number 4712787
P.O. BOX 339 Invoice Date 04-24-15
MT.PROSPECT, IL 60056 Customer Number 41954
BR:68 Cummins local phone: 317-872-6244 Order Type Service Order
Telephone 847-299-9550 Customer P.O. Number Diana Cordray
Fax 847-299-4939 Cummins Order Number U75773
Federal ID 35-0145140
Bill to: Service Location:41954*1
ATTN: DIANA CORDRAY ATTN: CINDY
IN CITY OF CARMEL IN CITY- OF CARMEL
ONE CIVIC SQUARE ONE CIVIC SQUARE
CARMEL,IN 46032 CARMEL,IN 46032
UNITED STATES
Terms-- NET-1-0_-- - — -- ---- - -- - ------
Service
----Service date 04-22-15
Part Number Description Qty/hours Amount
SERVICES FOR 406-9903-00 JETSCAN 4063
SERIAL NUMBER 14063105009037
Ref
Nbr: A155715-1
406-0676-00 INSERT, FRED ROLL 2.00 3.70
406-0784-00 INSERT, DRUM ROLLER 2.00 18.56
406-0106-01 ROLLER ASSY, LOWER TRANS 4.00 26.92
021-UPGD-00 SOFTWARE UPGRAD FLASHCARD 1.00 85.00
MCA68 MINIMUM CHARGE 1.00 225.00
SUBTOTAL 359.18
�— —_--_-- -- -__
---SALES--TAX--
INVOICE
-SALES-TAX INVOICE TOTAL 359.18
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))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
� L
L012
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I 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
20
Z 0e
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund