HomeMy WebLinkAbout246925 06/30/1 5 9a;' CITY OF CARMEL, INDIANA VENDOR: 368568
I; ® a ONE CIVIC SQUARE PALMER POWER & TRUCK EQUIPMENTCHECK AMOUNT: $.....""287 97'
f. ?Q CARMEL, INDIANA 46032 2835 SOUTH HOLT ROAD CHECK NUMBER: 246925
, INDIANAPOLIS roN, INDIANAPOLIS IN 46241 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 PT55554 287.97 OTHER EXPENSES
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Palmer Power & Truck Equipment �`�
2835 South Holt Road
J 0 Indianapoils, IN 46241 CL
•� (317)634-8951
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Sold To: Ship To:
Carmel Utilites Water Oper. Carmel Utilites Water Oper.
WATER OPERATIONS WATER OPERATIONS
3450 W 131ST STREET 3450 W 131ST STREET
Carmel, IN 46074 Carmel, IN 46074
Customer Acct Number Phone Number Salesman Invoice # > PT55554
C09721 1317 733-2855 IJRB
Customer Order Number Tax ID Number Date Ship Via Page 1
00 OR MORE TRUCK#70 100031201550-010 104-29-15 WILL CALL
LOC Part# Description Ord Ship BIO Unit Price Extension
C1A 16TK5027 E-HYDRA ALLISON 2&3 11 1 283.10 283 .10
V801 13T38-541 GASKET 1 1 4.87 4.87
DELIVERED
10:44AM-XX JRB 19A1 PARTS NTX
-tt-kk 4+ 7r> l� ji � Sub Total 287.97
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Freight 0.00
Received By:X �.>.__ T✓�,_ 3��/� `� Sales Tax 0.00
Please Pay 287.9
[ ] Cash
[ ] Check #
[ ] credit Card 220
Paid On
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Disclaimer of Warranties:The seller hereby disclaims all warranties either expressed or implied,including any implied warranty of merchantability or fitness for a particular purpose,and seller neither assumes nor authorizes any
other person to assume for rt any liability in connection with the sale of the parts.
Return Policy:Special order and electrical parts are not returnable.All claims and returned parts must be accompanied by this bill.Not responsible for labor on parts not installed by our shop.
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.
Payee
368568
PALMER POWER &TRUCK EQUIPMENT Purchase Order No.
2835 SOUTH HOLT RD Terms
INDIANAPOLIS, IN 46241 Due Date 6/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/24/2015 PT55554 $287.97
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 Officer
VOUCHER # 152241 WARRANT# ALLOWED
368568 IN SUM OF $
PALMER POWER & TRUCK EQUIPMEP
2835 SOUTH HOLT RD
INDIANAPOLIS, IN 46241
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
PT55554 01-6500-05 $287.97
Voucher Total $287.97
Cost distribution ledger classification if
claim paid under vehicle highway fund