308167 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 369204
t 1 ONE CIVIC SQUARE INTERSTATE BILLING SERVICE INC CHECK AMOUNT: $*******137.33*
CARMEL, INDIANA 46032 PO 13Ox 2208 CHECK NUMBER: 308167
DECATUR AL 35609-2208 CHECK DATE: 02/13/17
[rpN CO
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 P11800 137.33 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 369204 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INTERSTATE BILLING SERVICE INC IN SUM OF$ CITY OF CARMEL
PO BOX 2208 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
DECATUR, AL 35609-2208
Payee
$137.33
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
P11800 42-370.00 $137.33 1 hereby certify that the attached invoice(s),or 2/1/17 P11800 $137.33
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
Monday, February 06,2017
Huffman, Dave
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
Bobcat®of Anderson - Bobcats of Bloomington 0( Bobcats of Indy Bobcat®of Indy North
2075 East County Road 67 2002 West 3rd Street 2935 Bluff Road 4489 S.Indianapolis Road
Anderson,IN 46017 Bloomington,IN 47404 Indianapolis,IN 46225 Whitestown,IN 46075
765-643.4222 • 800-346-5624 812-287-8042 317-787-2201 • 800-825-9132 317-769.4946
Fax:765-643-5119 Fax:812-332-7580 Fax:317-787-2202 Fax:317-769.4951
Branch
Ship To: SAME AS BELOW WHITESTOWN *RE
Date Time Page
02/01/17 12:51:35 O 01
Account No. Phone No. Invoice No.
CARME002 3177332001 P11800
Ship Via Purchase Order
Invoice To: CARMEL-STREET DEPT,CITY OF
3400 W 131ST STREET
WESTFIELD IN 46074
Salesperson
350
PARTS INVOICE
ORDER#: 009908
Part#, Description Bin ' ORD ISS SHP B/O UTTTT Price Amount
6669415 TIMER SO4726 1 1 1 125.33 125.33
FRT FREIGHT 1 1 1 12.00 12.00
663052 INTERSTATE BILLING 137.33
REMITTANCE ADDRESS: INTERSTATE ,BILLING
P.O. BOX 2208,
DECATUR, AL609
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• All articles left on the premises 90 days after work X CARM L-ST EPT CITY 0
is completed may be sold for payment of charges. Purchased By
• 20% Restocking Fee • No Returns On Electrical Or Installed Parts
• $20.00 Returned Check Fee • No Returns After 45 Days Purchased For
I hereby certify under the
perjury that the personal property
purchased by the use of this exemption certificate will be DIRECTLY
0 OT„ used in the DIRECT production of agricultural products for resale.
www.bobcatofanderson.com • www.bobcatofindy.com S.S.