252046 12/02/15 r"r.C!INgs
- CITY OF CARMEL, INDIANA VENDOR: 00352386
® ONE CIVIC SQUARE MAXIM CRANE WORKS CHECK AMOUNT: $*****1,060.12*
CARMEL, INDIANA 46032 LOCKBOX 774389 CHECK NUMBER: 252046
4389 SOLUTIONS CENTERS CHECK DATE: 12/02/15
CHICAGO IL 60677-4003
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 93052832 1,060.12 OTHER EXPENSES
INVOICE
---REA1IT TO--- INVOICE NO: 93052832
LOCKI30X#774389
INVOICE DATE: 11/11/15
4389 SOLUTIONS CENTERff#1 A N
CHICAGO,IL 60677-4003 P/O#: S 15566
800/666-4465 Fax: 317/244-5648 Crane Works, j,R INVOICE TOTAL: 1,076.23
TERMS: NET UPON RECEIPT
WWW.MAXIN4CRANE.COM REFERENCE:
BILL TO: 04507026 SHIP TO: 80163802
CARMEL UTILITIES CARMEL WWT PLANT
9609 HAZEL DELL PARKWAY 9606 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
PHONE: 317 571-2443
Equipment Rental Date: 11/06/15 F.O.B. Shipping Point
ORDER#: X1364488/VD00316703 BRANCH: IND SALESREP: TES * OPERATED RENTAL
EQUIPMENT# DESCRIPTION QTY UOM UNIT PRICE AMOUNT
ORDERED Y: JEFF COOPER
050 TON HYDRAULIC CRANE
3222 S/N 226012 4.00 Hours 170.00 680.00
ROAD PERMIT
1.00 Total 150.00 150.00
20' X 3"NYLON STRAPS
2.00 Each 115.06 230.12
SALES TAX: IN-MARION-INDIANAPOLI / 16.11
WIRE OR ACH PAYMENTS TO: /1
WELLS FARGO-ABA# 121000248Q
ACCOUNT ORMAXIM CRANE WORKS,L.P.-ACCT#412177 978 ¢ \
REFERENCE: INVOICE#
I
Page: 1 INVOICE TOTAL
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
00352386
MAXIM CRANE WORKS, L.P. Purchase Order No.
LOCKBOX 774389 Terms
4389 SOLUTIONS CENTER Due Date 11/19/2015
CHICAGO, IL 60677-4003
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/19/201,1 93052832 $1,060.12
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
i i �y��Y �Q✓Ytti,' --
Date Officer
VOUCHER # 156696 WARRANT # ALLOWED
00352386 IN SUM OF $
MAXIM CRANE WORKS, L.P.
LOCKBOX 774389
4389 SOLUTIONS CENTER
CHICAGO, IL 60677-4003
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
93052832 01-7362-05 $1,060.12
Voucher Total $1,060.12
Cost distribution ledger classification if
claim paid under vehicle highway fund