259650 06/14/16 yam *"F. CITY OF CARMEL, INDIANA VENDOR: 228000
'.�; ® ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
CHECK AMOUNT: $********15.95*
_� CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 259650
09M�irmi�` ZIONSVILLE IN 46077 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 143230 15.95 OTHER EXPENSES
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
228000
NORTHSIDE TRAILER INC. Purchase Order No.
11985 EAST STATE ROAD 32 Terms
ZIONSVILLE, IN 46077 Due Date 5/31/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/31/2016 143230 $15.95
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
Date Officer
NORTHSIDE TRAILER LLC
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 143230
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO:14234 SHIP TO:
CITY OF CARMEL - UTILITIES
WATER/SEWAGE DEPTS . WATER/SEWAGE DEPTS.
3450 WEST 131ST STREET 3450 WEST,. 131ST STREET
CARMEL, IN 46074 CARMEL, IN 46074
317-733-2855
INVOICE DATE ORDER NO. TERMS SALESPERSON
May26116 SHOP NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 611041 55415 15 . 95 15. 95
PLUG,7RV OEM,FORD,GM,NISSAN
- Sub-Total 15. 95
7,�+ 7, Discount
Shipping Handling 0 .00
Tax[ 01 EXEMPT*
Total 15.95
AMLOunt Paid 0.00
Received y: �,�� d�...._,_. _ ,� ount Due 15 . 95
Change 0 .00
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