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248463 08/12/15 t• CITY OF CARMEL, INDIANA VENDOR: 228000 ® 1 ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $**......18 92* CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 248463 ZIONSVILLE IN 46022 CHECK DATE: 08/12/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 137886 18.92 REPAIR PARTS NORTHSIDE TRAILER LLC SALES • PARTS • SERVICE INVOICE NO. 11985 EAST STATE ROAD 32 137886 ZIONSVILLE, IN 46077 317-769-2460 317-769-2463 FAX BILL T014 2 3 5 SNIP T0: 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 Su129115F.MT1RRY NET 30 DAYS TOM TOM QUANTITY DESCRIPTION UNIT PRICE AMOUNT 11 37200 B472R 1 .72 18 . 92 REFLECTOR, RED, OVAL W/ALUMINU Sub-Total 18 . 92 Discount Shipping & Handling 0 .00 Tax[ 01 EXEMPT* Total 18 . 92 ount Paid 0 .00 Received y: Amount Due 18 . 92 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)) 07/29/15 137886 $18.92 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Northside Trailer IN SUM OF $ 11985 East St. Rd. 32 Zionsville, IN 46077 $18.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 137886 I 42-370.001 $18.92 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 7 rsd 2015 -7 U '3"N'r'eVPEMM19A87ier Title Cost distribution ledger classification if claim paid motor vehicle highway fund