253159 01/11/16 +off.c�eM
w� CITY OF CARMEL, INDIANA VENDOR: 228000
J® �I ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $********39.00*
,a�: CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 253159
4,��TtiN�. ZIONSVILLE IN 46077 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 140406 39.00 REPAIR PARTS
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-escribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
,n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
Thom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
140406 Utility Trailer $39.00
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Northside Trailer
IN SUM OF$
11985 East State Road 32
Zionsville, IN 46077
Ize $39.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 140406 42-370.00 $39.00 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
IAN 4 2016
Ali
Xj -7. ti
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
NOR SIDE TRAILER LLC
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 140406
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO:14237 SHIP TO:
CITY OF CARMEL - FIRE DEPT. -
TWO CIVIC SQUARE
CARMEL, IN 46032 I TWO CIVIC SQUARE
CARMEL, IN 46032
317-571-2400
INVOICE DATE ORDER NO. TERMS SAL SPERSON
Dec21' 15 NET 30 DAYS AUSTIN AUSTIN
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 66487 JC-101 14 .50 14 .50
CASTERw/PIN, 2K-5K JACKS
1 64718 EA2000 24 .50 24 .50
JACK,ECLIPSE,2K,TW,AFRAME,141'L
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Sub-Total 39.00
Discount
Shipping Handling 0.00
Tax[ 01 EXEMPT*
Total 39.00
ount Paid 0.00
Received y: Amount Due 39.00
Change 0.00
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