246404 06/1 7/1 5 y u•.4�q,M ,
f �. CITY OF CARMEL, INDIANA VENDOR: 356915 **,
31 ONE CIVIC SQUARE L T RICH PRODUCTS INC CHECK AMOUNT: $ 130.26
,_� CARMEL, INDIANA 46032 920 HENDRICKS OR CHECK NUMBER: 246404
,y��roN�O' LEBANON IN 46052 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 100110 130.26 REPAIR PARTS
LT Rich Products, Inc.
Z INVOICE
'fir 920 Hendricks Drive
Lebanon, IN 46052 Date Invoice#
6/11/2015 100110
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 WEST 131 ST ST, 3400 WEST 131 ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
USA USA
P.O. No. Terms Due Date Ship Date Via
DUE ON DELIVERY 6/1/2015 6/1/2015 U.S. FedEx Grou
80505- 17 HP IGN. COIL 1 42.84 42.84T
80506-13-16 HP IGN. COIL1 54.936 54.94T
80022-24.5 -24.5"Joystick Rod(Z-Plug/JR36) 1 17.99 17.99T
80022-13- 13" LOCKING CASTER LINKAGE ROD 1 14.49 14.49T
EXEMPT Sales Tax 0.00% 0.00
Total $130.26
Payments/Credits $0.00
Balance Due $130.26
Phone# Fax# E-mail
765-482-2040 765-482-2050 lauriekiefer@hotmail.com
VOUCHER NO. WARRANT NO.
LT Rich Products Inc ALLOWED 20
IN SUM OF$
920 Hendricks Drive
Lebanon, IN 46052
$130.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 100110 I 42-370.001 $130.26 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
Th4ay-/* 11, 2015
U" 46T/rppll�`p
Street CommissioAeV
StrEit t^nmmicciener
Title
I
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))
06/01/15 100110 $130.26
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