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308058 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 030130 (9, ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECKAMOUNT: S""'**235.76' CARMEL, INDIANA 46032 Po Box 9799 CHECK NUMBER: 308058 FT WAYNE IN 46899-9799 CHECK DATE: 02/13/17 DEPARTMENT ACCOUNT . PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 33521 235.76 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 030130 BROWN EQUIPMENT CO., INC IN SUM OF$ CITY OF CARMEL PO BOX 9799 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. FT WAYNE, IN 468999799 Payee $235.76 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 33521 42-370.00 $235.76 1 hereby certify that the attached invoice(s),or 1/25/17 33521 $235.76 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,January 31,2017 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 Brown Equipment Co., Inc. INVOICE P O Box 9799 Fort Wayne, IN 46899-9799 Date Invoice# 1/25/2017 33521 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 6893 NET JOE PICKED UP Quantity Item Code Description Price Each Amount 1 09598716-0 PILOT CHECK VALVE 138.89 138.89 1 553-20 ELBOW 7.87 7.87 1 K30599 605&650 2PC.GUTTER BROOM 89.00 89.00 Sales Tax (7.0%) $0.00 Total $235.76