252694 12/15/15 i
CITY OF CARMEL, INDIANA VENDOR: 356915
6 it ONE CIVIC SQUARE L T RICH PRODUCTS INC CHECK AMOUNT: $*****1,599.88*
CARMEL, INDIANA 46032 920 HENDRICKS DR CHECK NUMBER: 252694
LEBANON IN 46052 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 112883 1,516.57 REPAIR PARTS
2201 4237000 113209 83.31 REPAIR PARTS
LT Rich Products, Inc.
� �/Lebanon, IN 46052 I ®I
CE
B . e
11/23/2015 112883
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 WEST 131ST ST. 3400 WEST 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
USA USA
IMSERVICE DUE ON DELIVERY 11/23/2015 11/23/2015 U.S. FedEx Grou
80500-B -VANGUARD 16HP ENGINE -VERTICAL 1 1,250.00 1,250.00T
80003-Premium -Idler Pulley w/premium bearing 1 12.00 12.OOT
691656 -SOLENIOD W/SPADE 1 20.111 20.11T
LTBC-6R -6" BATTERY CABLE RED 1 7.99 7.99T
80511 - CHOKE CABLE 1 15.00 15.00T
691035-Vanguard 16hp Fuel Filter 1 4.563 4.56T
60054 - 3/4 MNPT PIPE PLUG 1 0.42 0.42T
SHOP LABOR-SHOP LABOR 5 75.00 375.00T
Subtotal 1,685.08
10%discount -10.00% -168.51
EXEMPT Sales Tax 0.00% 0.00
Total $1,516.57
Payments/Credits $0.00
Balance Due $1,516.57
Phone# Fax# E-mail
765-482-2040 765-482-2050 lauriekiefera hotmail.com
LT Rich Products, Inc.
� Lebanon, IN 46052 ' V1
CEDate
12/3/2015 113209
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 WEST 131ST ST. 3400 WEST 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
USA USA
i
o'. Terms
o . .
DUE ON DELIVERY 12/3/2015 12/3/2015 U.S. FedEx Grou
80019-A- NEW STYLE FRONT (SINGLE BOLT) 1 75.825 75.83T
FRONT CASTER WHEEL ASSY.
HHCSC5-3410- 3/4-10 X 10 GR5 HCS 1 6.99 6.99T
NNC-34 - 3/4-10 NYLOK NUT 1 0.49 0.49T
EXEMPT Sales Tax 0.00% 0.00
Total $83.31
Payments/Credits $0.00
Balance Due $83.31
Phone# Fax# E-mail
765-482-2040 765-482-2050 lauriekiefera hotmail.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 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))
11/23/15 112883 $1,516.57
12/03/15 113209 $83.31
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
LT Rich Products Inc
IN SUM OF $
920 Hendricks Drive
Lebanon, IN 46052
$1,599.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 112883 42-370.00 j $1,516.57 1 hereby certify that the attached invoice(s), or
2201 113209 42-370.00 $83.31 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
Thursd��y, �ece, ber 10; 2015
Stletfeigner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund