252070 12/02/15 a'.! CITY OF CARMEL, INDIANA VENDOR: 228000
ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
;. CHECK AMOUNT: $********82.80*
:9 ?Q CARMEL, INDIANA 46032 11965 EAST STATE ROAD 32 CHECK NUMBER: 252070
y�TON�, ZIONSVILLE IN 46077 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 139761 82.80 REPAIR PARTS
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 139761
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
317-733-2001 Race-
INVOICE DATE ORDER NO. TERMS SA ESPERSON
Nov06115 NET 30 DAYS AUSTIN AUSTIN
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
20 462400 04926 2 .50 50.00
6 WIRE 14ga CABLE, 5001ROLL
4 00149 BUYHP6253WC 5. 95 23.80-
HITCH PIN & CLIP,5/811 ,CLASS 3
4 21616 14-238 2 .25 9.00
PIN, 1/41lx2-3/8" , SQUARE SPRG.
Sub-Total 82 .80
Discount
Shipping & Handling 0 .00
Tax[ 01 EXEMPTA
Total 82 .80
Z3
ount Paid 0 . 00
Received y: L ount Due 82 .80
Change 0 .00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Northside Trailer
IN SUM OF$
11985 East St. Rd. 32
Zionsville, IN 46077
$82.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
i
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 139761 42-370.00 $82.80 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
� n
I
Friday r er 20, 2015,
Street Commissioner
Street Commissioner
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))
11/06/15 139761 $82.80
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