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250145 10/07/15 0�%�4,p''� CITY OF CARMEL, INDIANA VENDOR: 030130 t® ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $*******974.95* ,a CARMEL, INDIANA 46032 Po Box 9799 CHECK NUMBER: 250145 M,�TOH�` FT WAYNE IN 46899-9799 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 30483 799.71 REPAIR PARTS 2201 4237000 30489 175.24 REPAIR PARTS Brown Equipment Co., Inc. INVOICE P O Box 9799 Fort Wayne,IN 46899-9799 Date Invoice# 9/18/2015 30483 Phone 1-800-747-2312 Bill To Ship To CARMEL STREET DEPT. CARMEL STREET DEPT. 3400 W. 131 ST STREET 3400 W. 131 ST STREET WESTFIELD,IN 46074 WESTFIELD,IN 46074 Packing List# P.O. Number Terms Salesperson Ship Date Ship Via 5413 NET JOE UPS Quantity Item Code Description Price Each Amount 1 Johnston Parts 282061-1 PENDANT 783.05 783.05 1 Freight&Handling Freight 16.66 16.66 Sales Tax (7.0%) $0.00 Total $799.71 Brown Equipment Co., Inc. INVOICE P O Box 9799 Fort Wayne,W 46899-9799 Date Invoice# 9/18/2015 30489 Phone 1-800-747-2312 Bill To Ship To CARMEL STREET DEPT. CARMEL STREET DEPT. 3400 W. 131 ST STREET 3400 W. 131.ST STREET WESTFIELD,IN 46074 WESTFIELD,IN 46074 Packing List# P.O. Number Terms Salesperson Ship Date Ship Via 4543 NET JOE UPS Quantity Item Code Description Price Each Amount 2 72-28 Bowl Lubricator 82.14 164.28 1 Freight&Handling Freight 10.96 10.96 Sales Tax (7.0%) �$0-00 Total $175.24 VOUCHER NO. WARRANT NO. Brown Equipment Co. Inc. ALLOWED 20 IN SUM OF$ P. O. Box 9799 Fort Wayne, IN 46899-9799 $974.95 I ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#lrITLE I AMOUNT Board Members 2201 30483 42-370.00 j $799.71 I herebycertify that the attached invoice(s), or fY 2201 30489 42-370.00 $175.24 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 Thur y 15 Street eoummIssIoner Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 09/18/15 30483 $799.71 09/18/15 30489 $175.24 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