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HomeMy WebLinkAbout260117 06/28/16 '' CITY OF CARMEL, INDIANA VENDOR: 030130 J ® ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $*******336.88* 4. a; CARMEL, INDIANA 46032 Po Box 9799 CHECK NUMBER: 260117 9M�imi�p� FT WAYNE IN 46899-9799 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 32127 336.88 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) BROWN EQUIPMENT CO., INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 9799 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service FT WAYN E, IN 46899-9799 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $336.88 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 32127 42-370.00 $336.88 I hereby certify that the attached invoice(s),or 6/7/16 32127 $336.88 2201 201 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, June 14,2016 0 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Brown Equipment Co., Inc. INVOICE P O Box 9799 Fort Wayne, IN 46899-9799 Date Invoice# 6/7/2016 32127 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 6233 TRUCK 416 NET JOE UPS Quantity Item Code Description Price Each Amount 2 Johnston Parts 94990-1,INTAKE SEAT 144.53 289.06 6 Johnston Parts 127-139,SCREW 2.25 13.50 6 Johnston Parts 460-10,WASHER 2.55 15.30 6 Johnston Parts 420-10,NUT 0.00 0.00 1 Freight&Handling Freight 19.02 19.02 5V Sales Tax (7.0%) $0.00 Total $336.88 1 JohnstonERICA Packing Slip Johnston North America_Inc. Date S.O.No. 105 Motorsports Road 6/2/2016 17443 Mooresville, NC 28115 PO Box 388 Ship To . Carmel Street Dept. 3400 W. 131 st Street Westfield, IN 46074 ATTN: GARY P.O.No. Ship Date Ship Via FOB Account# 6233 6/2/2016 UPS Ground MOORES... 900030 Item _ Description Shipped Ordered U/M 94990-1 Intake Seat W/A 250dia/1201-g 2 2 ea 92327113-0 CSK Flat HD Slotted Screw-M8Cx30-4.8 WAS 6 ea 127-139 93699710-0 Spring Washer-Plated M8 WAS 460-10 6 ea 93056008-0 Hex Nut M3C-8 6 ea Freight UPS GROUND 1 ea