247970 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 228000
® it ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $**.....131.40*
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 247970
ZIONSVILLE IN 46077 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 137506 131.40 REPAIR PARTS
NORTHSIDE TRAILER LLC
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 137506
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO:142 35 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
Ju110 ' 15 STEVE ZELLER NET 30 DAYS AUSTIN AUSTIN
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
10 61600 03212 - 1- 9 1 .00 10 .00
2 WIRE 12ga DUPLEX, 100 ' ROLL
1 84600 178203 n 119 . 68 119. 68
BD SWIVEL JACK, SW,5K, 1511 ,PIPE
1 A37200 B472R / O� 1 . 72 1 . 72
REFLECTOR, RED, OVAL W/ALUMINU Yl
Sub-Total 131 . 40
Discount
Shipping S Handling 0 . 00
Tax[ 0] EXEMPT*
Total 131 .40
ount Paid 0 .00
Received y: Imount Due 131 . 40
Change 0 . 00
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))
07/10/15 137506 $131.40
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
$131.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 137506 I 42-370.001 $131.40 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
b
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ft'?iul Jul
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund