249981 09/23/15 t� CITY OF CARMEL, INDIANA VENDOR: 276475
ONE CIVIC SQUARE ROUDEBUSH EQUIPMENT INC CHECK AMOUNT: $'`"*"*'41.91"
CARMEL, INDIANA 46032 2911 ST RD 32 E CHECK NUMBER: 249881
WESTFIELD IN 46074-9512 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 003862 41.91 OTHER EXPENSES
1 INVOICE Sales Order 6895
Roudebush Equipment, Inc. TELEPHONE Date SEP 10,2015
(317) 896-2753 Customer Number 8123
2911 St. Rd.32 East Invoice Number 003862
Westfield, IN 46074 *Find us online at*
www.RoudebushEquipment.com Purchase Order S15442
Telephone (317; 571-2634
Cell Phone (000) 000-0000
Sold To
City of Carmel, Wastewater
9609 Hazel Dell Parkway
Indianapolis IN 46280
Terms: Net 10 Days After Mo Salesperson :JA
Part Number Mfg Qty UM B\O Tax Description List Unit Price Extended
FX00200 MAS 2.0 EA 0.0 N PIN/ARM,LIFT _ $3.75 $3.48 $6.96
FX00332 MAS 1.0 EA 0.0 N LINK/TOP,FORGED $34.95 $34.95 $34.95
No goods returnable after 10 days! Any returns are subject to a restocking fee of 15%, return handling charges, &
must be accompanied by this invoice. Special order, electrical, rubber, & hydraulic parts are not returnable.
Respectfully —The Management
Thank you for allowing us to serve you! (Taxable Item Total $42.45
Hours: f,,-1)nday — Friday 8AM-5PM Saturday 8AM-12PM Or by $0.00 Sales Taxes/Fees $0.00
appoin:,,,ent
Serving ,esidents of Westfield & Hamilton County since 1961!
Shipping/Handling $0.00
Amt Before Discount $42.45
Discount $0.54
Amt After Discount $41.91
Payment Received $0.00
Sign,. . ; Order Balance $41.91
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
276475
ROUDEBUSH EQUIPMENT INC Purchase Order No.
MASSEY-FERGUSON Terms
2911 ST RD 32 E Due Date 9/14/2015
WESTFIELD, IN 46074-9512
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/14/2015 003862 $41.91
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 # 156241 WARRANT # ALLOWED
276475 IN SUM OF $
ROUDEBUSH EQUIPMENT INC
MASSEY-FERGUSON
2911 ST RD 32 E
WESTFIELD, IN 46074-9512
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
003862 01-7502-06 $41.91
Voucher Total $41.91
Cost distribution ledger classification if
claim paid under vehicle highway fund