247772 07/28/15 ��'C4q*
°' t� CITY OF CARMEL, INDIANA VENDOR: 030130
® i'. ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $'*'""*65.79'
,. ?q CARMEL, INDIANA 46032 PO Box 9799 CHECK NUMBER: 247772
'Mr aN�: FT WAYNE IN 46899-9799 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 30054 65.79 REPAIR PARTS
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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))
07/20/15 30054 $65.79
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brown Equipment Co. Inc.
IN SUM OF $
P. O. Box 9799
Fort Wayne, IN 46899-9799
$65.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 30054 I 42-370.001 $65.79 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
Th�sda/'V 1 0 Il-All y J�a� 0
i"71 �
St Lecftmissiciriener
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund