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246915 06/30/15 (9, CITY OF CARMEL, INDIANA VENDOR: 228000 ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $ """""'110.27" CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 246915 ZIONSVILLE IN 46077 CHECK DATE: 06/30/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4232100 137015 36.08 GARAGE & MOTOR SUPPIE 2201 4237000 137019 74.19 REPAIR PARTS w NORTHSIDE TRAILER LLC SALES • PARTS • SERVICE INVOICE NO. 11985 EAST STATE ROAD 32 137015 ZIONSVILLE, IN 46077 317-769-2460 317-769-2463 FAX BILL T0: 4 0 92 SHIP TO: ( JUN Y Zp15 (, v' CARMEL CLAY PARKS & RECREATION Lam;✓-.____`_ j 1411 EAST 116TH STREET CARMEL, IN 46032 1411 EAST 116TH STREET 317-571-2695 CARMEL, IN 46032 INVOICE DATE ORDER NO. TERMS RLWMP ON Jun17115 5132 NET 30 DAYS QUANTITY DESCRIPTION UNIT PRICE AMOUNT 3 00056 8450 0 . 84 2 :52 3/8-16 GR 5 LOCKNUT, COMPRESSI 3 000041 4787 0 .39 1 . 17 3/8-16 X 1" GR5 HEX HEAD 3 00059 5450 0 . 13 0 . 39 3/8" LOCKWASHER 1 266576 140070 7 .50 7 .50 JACK FOOT, 2-5K JACKS W/ PIN 1 264718 EA2000 24 .50 24 .50 JACK,ECLIPSE,2K,TW,AFRA4E,14"L Sub-Total 36 . 08 Discount Shipping & Handling 0 . 00 ax[ 01 EXEMPT* Total 36. 08 Amount Paid 0 . 00 Received Amount Due 36. 08 Change 0 .00 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 228000 Northside Trailer, LLC Terms 11985 East St Rd 32 Date Due Zionsville, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 6/17/15 137015 Trailer crank& leg xx2338 $ 36.08 Total $ 36.08 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer i Voucher No. Warrant No. 228000 Northside Trailer, LLC Allowed 20 11985 East St Rd 32 Zionsville, IN 46077 In Sum of$ $ 36.08 ON ACCOUNT OF APPROPRIATION FOR 101 - General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 137015 4232100 $ 36.08 I hereby certify that the attached invoice(s), or bili(s) is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except June 25, 2015 IPAN-91�� Signature $ 36.08 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund NORTHSIDE TRAILER LLC SALES • PARTS • SERVICE INVOICE NO. 11985 EAST STATE ROAD 32 137019 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 SAL SPERSON Jun17115 IfIKE NET 30 DAYS AUSTIN AUSTIN QUANTITY DESCRIPTION UNIT PRICE AMOUNT 4 00077 2500 0 .38 1 .52 7/16-20 HEX NUT 1 81600 23-26 53 .50 53 .50 BRK ASM 10x2 .25 LH ELEC 3 . 5K 1 L59000 10-19 3 . 00 3 . 00 GREASE SEAL, 2 . 565" OD X 1 . 719 1 L29000 L44649 7 . 45 7 . 45 BEARING 1 . 063, I/O BTR, 0/#84 1 L29200 L68149 8 . 72 8 . 72 BEARING 1 . 378 , #84 SPINDLES Sub-Total 74 .19 Discount Shipping Handling 0 . 00 Tax[ 01 EXEMPT* / Total 74 . 19 2 c Amount Paid 0 .00 Received y: ount Due 74 . 19 Change 0 . 00 Q��7//�Ffi `-)/SLG 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)) 06/17/15 137019 $74.19 1 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Northside Trailer IN SUM OF $ 11985 East St. Rd. 32 Zionsville, IN 46077 $74.19 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 I 137019 I 42-370.001 $74.19 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 4 Thu s Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund