327034 07/03/18 9�( � CITY OF CARMEL, INDIANA VENDOR: 00350062
® i
ONE CIVIC SQUARE SCOTT OSBORNE CHECK AMOUNT: $*****6,015.59*
CARMEL, INDIANA 46032 19702 SIX POINTS ROAD CHECK NUMBER: 327034
y�.(TON. r: SHERIDAN IN 46069 CHECK DATE: 07/03/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 R4351000 101140 2 6,015.59 SNOW PLOW NEW TRUCK
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00350062 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SCOTT OSBORNE IN SUM OF$ CITY OF CARMEL
19702 SIX POINTS ROAD 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.
SHERIDAN, IN 46069
Payee
$6,015.59
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Fire 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
101140 2 43-510.00 $6,015.59 I hereby certify that the attached invoice(s),or 6/28/18 2 $6,015.59
1120 Encumbered 101 1120 101
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
Friday,June 29,2018
David Haboush
Fire Chief
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
INVOICE
1 ,
BILL SHIP Invoice# 2
TO Carmel Fire Department TO Carmel Fire-Department —
2 Civic Square 2 Civic Square Invoice Date 6/27/18
Carmel,IN 46032 Carmel,IN 46032
Customer ID
QTY DESCRIPTION UNIT PRICE TOTAL
1 Western 8.6 MVP3 V Plow with 18"Rubber deflector,curb guards and hand $6015.59
Held controller–Installed on 2018 Ford F250.
i
i
I
i
i
I
Subtotal $6015.59
Shipping
BALANCE . f
Please return the portion below with your payment. DUE6015.591 4. $
REMITTANCE
Invoice# 2
Amount Paid
Make checks payable to:
Scott K.Osborne
19702 Six Points Road
Sheridan,IN 46.069