HomeMy WebLinkAbout333654 12/19/18 CITY OF CARMEL, INDIANA VENDOR: 366022
CHECK AMOUNT: $*****1,225.65*
.,; ® ,• ONE CIVIC SQUARE THE HOOSIER CO INC
:q CARMEL, INDIANA 46032 P 0 BOX 681064 CHECK NUMBER: 333654
INDIANAPOLIS IN 46268 CHECK DATE: 12/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 10850 1,225.65 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 360022 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
THE HOOSIER CO INC IN SUM OF$ CITY OF CARMEL
P O BOX 681064 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.
INDIANAPOLIS, IN 46268
Payee
$1,225.65
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
10850 42-370.00 $1,225.65 1 hereby certify that the attached invoice(s),or 12/11/18 10850 Repair Parts $1,225.65
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 12,2018
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
THE HOOSIER COMPANY INC
P.O.BOX 681064
5421 W.86TH STREET
INDIANAPOLIS,IN 46268
317 872-8125
Invoice 10850
Bill to: Job: 281N10850
CITY OF CARMEL CITY OF CARMEL
3400 W. 131 ST ST.
WESTFIELD, IN 46074
Invoice#: 10850 Date: 12/11/18Customer P.O.#:
------------------------------------------------ - ------------------=------------------------------------
Payment Terms: UPON RECEIPT Salesperson: JOSH_COULTER
Customer Code: 4160
Remarks:
Quantity Description
1.000 FRAME WELDMENT EA 502.65 502.65
1.000 BACKUP FRAME EA 648.00 648.00
1.000 DELIVERY EA 75.00 . 75.00
.Subtotal: 1,225.65
Total: 1,225.65
Print Date: 12/12/18 Page: 1
The Hoosier Company, Inc. MATERIAL TICKET
5421 W. 86th Street
E--M Indianapolis, IN 46268 Date ORDER# HCI JOB#
11/20/18 HC1010850A 281N10850
Phone: 317-876-6675
Fax: 317-872-7183
Sold To: City of Carmel Ship To: City of Carmel
Eric Russel Eric Russel
3400 West 131st Street 3400 West 131st Street
Westfield, Indiana 46071 Westfield, Indiana 46071
United States of America United States of America
Phone: (317) 733-2011 Phone: (317) 733-2011
Fax: (317) 733-2005 Fax: (317) 733-2005
Sales REP JSS Directions:
SHIPPING Quoted
FOB Customer P.O. #
Item# Qty UNIT INVENT# MFG Part# Description
1 1 ea 78003 25971A TRACC-FRAME Weldment-25971A
2 1 ea 78008 25972A TRACC-BACKUP Frame25972A
ORDEB V CDUNT RECEIVED BY:
gnature
DATE:
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