319971 12/21 /17 CITY OF CARMEL, INDIANA VENDOR: 228000
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ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: 319971
""200.00"
s CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK NUMBER: 319971 ZIONSVILLE IN 48077 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT. DESCRIPTION
2201 4237000 14235 200.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 228000
NORTHSIDE TRAILER INC. IN SUM OF$ CITY OF CARMEL
11985 EAST STATE ROAD 32 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.
ZIONSVILLE, IN 46077
Payee
$200.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Street Department
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 42-370.00 $200.00 1 hereby certify that the attached invoice(s),or 12/7/17 0 $200.00
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
Wednesday, December 13,2017
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
NORTHSIDE TRAILER LLC PREVIOUS BALANCE )0-
DATE
DATE DESCRIPTION CHARGES CREDITS BALANCE
11/01/17 BAL FWD BALANCE FORWARD 54 . 00 0 . 00
11/07/17 153008 BLACK TRL 115 . 00 115. 00
11/09/17 Payment Check 317658 54 . 00
152188 — 09/20/17 — $54.00
11/14/17 153117 PALLADIUM RAMP 170 . 00 170 . 00.
11/15/17 153132 JAMES BENTLEY 85. 00 -85 . 00
TOTAL AMOUNT DUE
0 - 30 30 - 60 60 - 90 Over 90
200 . 00 0 . 00 0 . 00 0 . 00 200 . 00
MESSAGES/COMMENTS
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PRODUCT 13035G USE WITH 771C ENVELOPE Deluxe Corporation 1-800-328-0304 or www.deluxe.com/shop PRINTED IN U.S.A. A
NORTHSIDE TRAILER LLC
SALES - PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 153008
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL T0:14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
317-733-2001
Pa e• 1
INVOICE DATE ORDER NO. TERMS SALESPERSON
Nov07117 BLACK TRL NET 30 DAYS TOM TOM
_ _QUANTITY _ _ DESCRIPTION_._, _ __UNIT PRICE _MA0UNT _
1 65117 171412 115. 00 115 .'00
BD SWIVEL JACK,TW,5K, 15"SNAPRG
Sub-Total 115 . 00
Discount
Shipping Handling 0 .00
Tax[ 0] EXEMPT*
Total 115 . 00
AELOunt Paid 0 .00
Received y: Ali Imount Due 115 . 00
Change 0 ..00
� 5 NORTHSIDETRAILER LLC
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 153117
ZIONSVILLE, IN 46077
317-769-2460
t 3177769-2463 FAX
BILL TO: 14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
317-733-2001
Page:1
INVOICE DATE ORDER NO. TERMS SALESPERSON
Nov14 ' 17 ALLADIUM RAMP NET 30 DAYS TOM TOM
_ QUANTITY _ .DESCRIPTION UNIT.PRICE AMOUNT
20 404300 DRB12-25 8 .50 170 . 00
D-RING,1/2" BOLT/ WELD-ON,4K W
10 NOT IN ST CK AT TIME OF PURCHASE Sub-Total 170 .00
Discount
Shipping Handling 0 .00
Tax[ 01 EXEMPT,
Total 170 . 00
Amount Paid 0 . 00
Received y: 1mount Due 170 . 00
Change 0 . 00
NORTHSIDE TRAILER LTC
SALES • PARTS - SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 153132
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO:14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
317-733-2001
INVOICE DATE ORDER NO. TERMS SALESPERSON
Nov15117 JAMES BENTLEY NET 30 DAYS TOM TOM
--QUANTITY __DESCRIPTION_ UNIT,PRICE AMOUNT
-10 404300 DRB12-25 8 .50 -85 . 00
D-RING,1/2" BOLT/ WELD-ON14K W
ub-Total -85 . 00
Discount
Shipping & Handling 0 .00
ax[ 01 EXEMPT*
Total -85 . 00
Amount Paid 0 . 00
Received ount Due -85 . 00
Change 0 . 00