256466 03/15/16 CITY OF CARMEL, INDIANA VENDOR: 228000
1 ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $""•""•241.74•
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 256466
yiroN�, ZIONSVILLE IN 46077 CHECK DATE: 03/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 141481 241.74 REPAIR PARTS
VOUCHER NO. WARRANT NO.
ALLOWED 20
NORTHSIDE TRAILER INC.
11985 EAST STATE ROAD 32
IN SUM OF$
ZIONSVILLE, IN 46077
$241.74
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
I 141481 I 42-370.00 I $241.74 1 hereby certify that the attached invoice(s), or
2201 201
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
Tu ay, M�f qA 08 , 6
U" x)�
Street CammissiOneF
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))
03/07/16 141481 $241.74
2201 201
1 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
NORTHSIDE TRAILER LLC
SALES - PARTS - SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 141481
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO:14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
317-733-2001
fNV010E DATE ORDER N0. TERMS page
SALESPERSON
Mar07116 RL420/KITTERMAN NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 829.00 23-105 73.74 73.74
BRK ASM 12x2 LH 6K DEXTER
4 59700 10-36 3.00 12 .00
GREASE SEAL,3 . 376ODx2 .25ID ***
1 119200 8-201-5 76.50 76.50
HUB/DRUM, 6on5 .5, 67048,25580
1 118800 42656 79.50 79.50
HUB/DRUM, 6on5 .5 15123,25580
Sub-Total 241 .74
Discount
Shipping Handling 0 .00
Tax[ 01 EXEMPT*
Total 241.74
Amount Paid 0 .00
Received y: Amount Due 241. 74
Change 0. 00