HomeMy WebLinkAbout250788 10/21/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 228000
ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECKAMOUNT: $*******159.52*CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 250788
ZIONSVILLE IN 46077 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 139134 159.52 REPAIR PARTS
NORTHSIDE TRAILER LLC
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 139134
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO:14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
317-733-2001 CARMEL, IN 46074
INVOICE DATE ORDER NO. TERMS SON
Oct05115 13ENTLEY NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 65926 TJD12000SPR 159.52 159.52
JACK,IOK,DF,SL,SIDE PIN,W/HAND
Sub-Total 159.52
Discount
Shipping & Handling 0 .00
ax[ 0] EXEMPT*
Total 159.52
AmDunt Paid 0 .00
Received y: Anount Due 159.52
Change 0 .00
VOUCHER NO. WARRANT NO.
Northside Trailer ALLOWED 20
IN SUM OF$
11985 East St. Rd. 32
Zionsville, IN 46077
$159.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 139134 I 42-370.001 $159.52 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
I
Wed a day tober 14, 2015
Street Commils' ner
- �treot C=ommis�i�nPr
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))
10/05/15 139134 $159.52
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
I