258482 05/10/16 v CITY OF CARMEL, INDIANA VENDOR: 228000
ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $*********5.80*
® CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 258482
'M�,•.,_oN4�9 ZIONSVILLE IN 46077 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 142656 5.80 REPAIR PARTS
VOUCHER NO. WARRANT NO.
ALLOWED 20
NORTHSIDE TRAILER INC.
11985 EAST STATE ROAD 32
IN SUM OF$
ZIONSVILLE, IN 46077
$5.80
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Member
142656 I 42-370.00 I $5.80 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
Tuesday, May 0 , 20 6
0
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))
05/02/16 I 142656 I I $5.80
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
NORTHSIDE TRAILER LLC
SALES - PARTS • SERVICE INVOICE Na.
11985 EAST STATE ROAD 32 142656
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
sK
INVOICE DATE ORDER NO. TERMS LWftm0nN
May 116 JIM KITTERMAN NET 30 DAYS BETH__ Rpm;
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
2 158200 10-60 2 .90, 5.80
GREASE SEAL, 1 . 98711 OD X 1 .511
Sub-Total 5.80
Discount
Shipping & Handling 0 .00
Tax[ 0] EXEMPT*
Total 5.80
Amunt Paid 0.00
Received ly: Anount Due 5.80
Change 0 .00