308223 02/13/17 4/p,C.IF�Ff
CITY OF CARMEL, INDIANA VENDOR: 355371
al ONE CIVIC SQUARE OTT EQUIPMENT SERVICE INC CHECK AMOUNT: $*`*"1,950.00•
=q CARMEL, INDIANA 46032 517 HERRIMAN CT CHECK NUMBER: 308223
9.y,�ON NOBLESVILLE IN 46060 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 33950 1,950.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201 (Rev.1995)
Vendor# 355371 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
OTT EQUIPMENT SERVICE INC IN SUM OF$ CITY OF CARMEL
517 H ERRI MAN CT 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.
NOBLESVILLE, IN 46060
Payee
$1,950.00
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
33950 42-370.00 $1,950.00 1 hereby certify that the attached invoice(s),or 1/27/17 33950 $1,950.00
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
&tt 517Herriman Court Invoice
EwpMEw Noblesville, IN 46060 DATE INVOICE#
SEFMCE INC.
1/27/2017 33950
BILL TO SHIP TO
Carmel Street Department Attn: Jim Bentley
3400 W 131st Street 733-2001 or 691-6725
Westfield, IN 46074
P.O.NO. TERMS REP
Due on receipt EH
QTY ITEM DESCRIPTION RATE AMOUNT
contact-Jim Bentley 317-733-2001
2 SF-6-24 Harvey High Temp Exhaust Hose 6"x24'(600 975.00 1,950.00T
degree rating)
Total $1,950.00
A 1.5% Service Charge will be assessed n amounts 0 days past due.
We will accept credit card payments(MCNisa); however, all credit card
charges in excess of$1,500.00 will be subject to a 3%convenience charge.