245932 06/03/15 y u�.4Aq�
Jy �f\\• CITY OF CARMEL, INDIANA VENDOR: 228000
® `I ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $********15.95*
?. ,_� CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 245932
9'Jl,-_..-� ZIONSVILLE IN 46077 CHECK DATE: 06/03/15
�roN�°.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 136433 15.95 REPAIR PARTS
NORTHSIDE TRAILER LLC
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 136433
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO:14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
317-733-2001
INVOICE DATE ORDER NO. TERMS SALESPERSON
115 SEWER TRLR. NET 30 DAYS KENT KENT
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 66487 JC-101 15 .95 15 .95
CASTERw/PIN, 2K-5K JACKS
Sub-Total 15.95
Discount
Shipping Handling 0 . 00
Tax[ 0] EXEMPT*
Total 15.95
ount Paid 0 .00
Received By: Ah
Amount Due 15. 95
Change 0.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Northside Trailer
IN SUM OF$
11985 East St. Rd. 32
Zionsville, IN 46077
$15.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT
Board Members
2201 I 136433 I 42-370.001 $15.95 1 hereby certify that the attached invoice(s), or.
bill(s) is (are)true and correct and that the j
materials or services itemized thereon for
which charge is made were ordered and
I
received except
Thur ay,
Stre t�( fmPner
Title
j
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/21/15 136433 $15.95
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