251586 11/18/15 t CITY OF CARMEL, INDIANA VENDOR: 369168
d j ONE CIVIC SQUARE HOOSIER EQUIPMENT LLC CHECK AMOUNT: $ .....384.00*
f _� CARMEL, INDIANA 46032 11465 REDWOOD ROAD CHECK NUMBER: 251586
o;,,iroN.�` PLYMOUTH IN 46563 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2189 384.00 OTHER EXPENSES
lll HOOSIER QUIPMENT LLC
11/6/15
No. 2189
Invoice ® PO# S 1 5585
Company: Carmel Waste Water PO# HE1729
Attn: Duane Jarvis
Address: 9609 Hazel Dell Pkwy.
i
C ty: Indianapolis State IN Zip 46280
Quantity Item Price Total
1 8" Tube Holder DTH-60 $257.00 $257.00
Shipping &Handling $127.00
TOTAL DUE $384.00
Shipped Direct—UPS 3 Day
Terms -Net 30 days
Your business is greatly appreciated!!
Hoosier Equipment LLC * 11465 Redwood Rd., Plymouth, Indiana 46563 * (574) 952-5808
Email: hoosierequipmentllc@yahoo.com
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
369168
HOOSIER EQUIPMENT LLC Purchase Order No.
11465 REDWOOD RD. Terms
PLYMOUTH, IN 46563 Due Date 11/12/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/12/201! 2189 $384.00
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 # 156643 WARRANT # ALLOWED
369168 IN SUM OF $
HOOSIER EQUIPMENT LLC
11465 REDWOOD RD.
PLYMOUTH, IN 46563
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2189 01-7200-01 $384.00
Voucher Total $384.00
Cost distribution ledger classification if
claim paid under vehicle highway fund