307326 01/20/17 9��V�_4,�'Mi
CITY OF CARMEL, INDIANA VENDOR: 228000
ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $***`**"184.50`
,� CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 307326
TON... ZIONSVILLE IN 46077 CHECK DATE: 01/20/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 146887 184.50 REPAIR PARTS
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STATEMENT
NORTHSIDE TRAILER LLC ACCOUNT NO. = DATE
Sales • Parts • Service 14235 12/31/16
11985 East St. Rd. 32
ZIONSVILLE, IN 46077 TOTAL AMOUNT DUE
184 . 50
(317) 769-2460
Page: 1
CITY OF CARMEL — STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 AMOUNT ENCLOSED$ ` 5D
317-733-2001
RETURN THIS PORTION WITH PAYMENT
NORTHSIDE TRAILER LLC PREVIOUS BALANCE ►
DATE DESCRIPTION CHARGES CREDITS BALANCE
12/01/16 BAL FWD BALANCE FORWARD 0. 00 0. 00
12/15/16 146887 JIM BENTLEY / SHO 184 . 50 184 . 50
TOTAL AMOUNT DUE
0 - 30 30 - 60 60 - 90 Over 90
184 . 50 0 . 00 0 . 00 0 . 00 184 . 50
MESSAGES/COMMENTS
�f�arnl� �ou 1
PRODUCT 13035G USE WITH 771C ENVELOPE Deluxe Corporation 1-800-328-0304 or WWW.deluxe.com/shop PRINTED IN U.S.A. A
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