253291 01/15/16 w F!A
v�'/` '�'� CITY OF CARMEL, INDIANA VENDOR: 030130
`)• ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: S"•**'*168.84'
4. =4 CARMEL, INDIANA 46032 PO BOX 9799 CHECK NUMBER: 253291
9��f)ON LA` FT WAYNE IN 46899-9799 CHECK DATE: 01/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 31229 168.84 REPAIR PARTS
VOUCHER NO. WARRANT NO.
BROWN EQUIPMENT CO., INC ALLOWED 20
PO BOX 9799 IN SUM OF$
FT WAYN E, IN 46899-9799
$168.84
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Member:
I 31229 I 42-370.00 I $168.84 I.hereby certify that the attached invoice(s), or
2201 201 Prior Year
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
Thur?qay, Jaqupy 0 P16
Street Commissioner
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
12/29/15 31229 $168.84
2201 201
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
Brown Equipment Co., Inc. INVOICE
P O Box 9799
Fort Wayne, IN 46899-9799 �� Date Invoice#
12/29/2015 31229
Phone 1-800-747-2312
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST STREET
WESTFIELD,IN 46074 WESTFIELD,IN 46074
Packing List# P.O. Number Terms Salesperson Ship Date Ship Via
5182 TRUCK411 NET JOE UPS
Quantity Item Code Description Price Each Amount
2 284040-1 DRAIN CAP 56.84 113.68
2 40643-1 Washer 2.36 4.72
1 6974-1 Water Tank Filter 41.38 41.38
1 Freight&Handling Freight 9.06 9.06
: Sales Tax (7.0%) $0.00
Total $168.84