305697 11/28/16 ;. CITY OF CARMEL, INDIANA VENDOR: 355824
ONE CIVIC SQUARE VERMEER OF INDIANA INC CHECK AMOUNT: $**■**►►►*4.08*
?Q CARMEL, INDIANA 46032 13402 BRITTON PARK ROAD CHECK NUMBER: 305697
FISHERS IN 46038 CHECK DATE: 11/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 P71359 4.08 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
VERMEER OF INDIANA INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
13402 BRITTON PARK ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
FISHERS, IN 46038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$4.08 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 invoices)or bill(s)) AMOUNT
P71359 42-370.00 $4.08 1 hereby certify that the attached invoice(s),or 11/15/16 P71359 $4.08
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
Friday, November 18, 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
Vermeer of Indiana, Inc.
13402 Britton Park Rd..
'Vermeer" Fishers, IN 46038
Ph 317 842 1040
Midwest FX 317 577 1179
Branch
Carmel Street Dept Date Time Page
o Pick up
a Indiana Store
Account No. Phone No. Invoice No.
CARME001 3177332001 P71359
Ship Via Purchase Order
6 Carmel Street Dept PICK UP SHOP JAMES
Y3 3400 W 131st St
c
Westfield IN 46074-8267
Salesperson
NWN
PARTS INVOICE
ORDER#: 068473
Part# Description Bin ORD ISS SHP B/O UTTTT Price Amount
507613030 SCREW-HFS,M12-1 1G07207 4 4 4 1.02 4.08
CHARGE ON ACCOUNT 4.08
.04'armel Street DftceiVed By
Payment for all services rendered shall be due within(30)days from the date on the invoice from Vermeer of Indiana,lnc. Interest shall accrue on all
amounts at the rate of one and one-half percent(11/2%)monthly(eighteen percent[18%]per annum)to any outstanding amounts more than(30)days
past due. You agree to pay all of Vermeer of Indiana, Inc.costs of collection or attempted collection,including, but not limited to,reasonable attorneys'
fees made necessary by your nonpayment pursuant to these terms. All Merchandise returned is subject to a 15%restocking charge and must be
returned within 30 days of receipt. Some safety equipment may not be returnable.