319358 12/05/17 t Coq .
%� ''• CITY OF CARMEL, INDIANA VENDOR: 030130
ONE CIVIC SQUARE BROWN`EQUIPMENT CO., INC CHECK AMOUNT: $•"""954.47'
?4 CARMEL, INDIANA 46032 Po Box 9799 CHECK NUMBER: 319358
FT WAYNE IN 46899-9799 CHECK DATE: 12/05/17
r ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 36007 954.47 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 030130 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BROWN EQUIPMENT CO., INC IN SUM OF$ 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 46899-9799
Payee
$954.47
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
36007 42-370.00 $954.47 1 hereby certify that the attached invoice(s),or 11/20/17 36007 $954.47
2201 2201 2201 2201
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, December 05, 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#
11/20/2017 36007
Phone 1-800-747-2312
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W. 131 ST 3400 W. 131 ST.
WESTFIELD,IN 46074 WESTFIELD,IN 46074
Packing List# P.O. Number Terms Salesperson Ship Date Ship Via
8404 NET JOE TRUCK
Quantity Item Code Description Price Each Amount
2 K455 18 PIECE MAIN BROOM STRIP STYLE 316.00 632.00
2 K30562 12PC GUTTER BROOM 110.00 220.00
1 Freight&Handling Freight 102.47 102.47
Sales Tax (7.0%) $0.00
Total $954.47
PACKING LIST - _ PACKING LIST
NO.
08404
BROWN EQUIPMENT CO., INC., DATE
10603 Majic Port Lane
- .FORT WAYNE, IN 46319 SHIP TO
(800)74'7-231� SAME AS SOLD70 UNLESS OTHERWISE INDICATED HERE
SOLD TO Ir V✓'� d T D
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OUR ORDER NO:
YOUR ORDER NO. .CARTONS-PKGS. TOTAL WEIGHT PPD.OR COLL SHIPPED VIA -
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QUANTITY QUANTITY QUANTITY DESCRIPTION
ORDERED BACK—ORD'D SHIPPED
2., Z S62-
PLEASE NOTIFY US IMMEDIATELY IF ERROR IS FOUND IN SHIPMENT.
ORDER COMPLETE
FIBALANCE TO FOLLOW PACKED BY CHECKED BY