303601 09/29/16 u!-.4�q
�% �F. CITY OF CARMEL, INDIANA VENDOR: 030130
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $"•"•"1,931.64`
9� /=a; CARMEL, INDIANA 46032 PO BOX 9799 CHECK NUMBER: 303601
M���oN�. FT WAYNE IN 46899-9799 CHECK DATE: 09/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 32749 —250.00 REPAIR PARTS
2201 4237000 32782 2,181.64 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
BROWN EQUIPMENT CO., INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 9799 IN SUM OF$ 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.
�
$1,931.64 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
32749 42-370.00 ($250.00) 1 hereby certify that the attached invoice(s),or 9/8/16 32749 ($250.00)
2201 201 2201 201
32782 42-370.00 $2,181.64
bill(s)is(are)true and correct and that the 9/15/16 32782 $2,181.64
2201 201 materials or services itemized thereon for 2201 1 201
which charge is made were ordered and
received except
Tuesday, September 20,2016
Dave Huffman
Director
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. Credit Memo
P O Box 9799 ----
Fort Wayne, IN 46899-9799 Date Credit No.
9!812016 32749
Customer
CARMEL STREET DEPT.
3400 W. 131 ST STREET
WESTFIELD,IN 46074
P.O. Number Salesperson
JOE
Quanity Item Code Description Price Each Amount
-1 Core Charge Iteturn Core For Credit 250.00 -250.00
Per Invoice#31886
r
Tax Credit (7.0%) $0.00
Total Credit -$250.00
Brown Equipment Co., Inc. INVOICE
P O Box 9799
Fort Wayne, IN 46899-9799 Date Invoice#
9/15/2016 32782
Phone 1-800-747-2312
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W. 131 ST 3400 W. 131 ST STREET
WESTFIELD,IN 46074 WESTFIELD,IN 46074
Packing List# P.O. Number Terms Salesperson Ship Date Ship Via
6403 BENTLEY NET JOE UPS
Quantity Item Code Description Price Each Amount
1 352396 RH POLY DIRT SHOE ASSEMBLY 1,073.07 1,073.07
1 352397 LH POLY DIRT SHOE ASSEMBLY 1,073.07 1,073.07
1 Freight&Handling Freight 35.50 35.50
Sales Tax (7.0%) $0.00
Total $2,181.64