180764 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1
'r. ONE CIVIC SQUARE CARMEL WELDING SUPP INC CHECK AMOUNT: $670.36
CARMEL, INDIANA 46032 550 5. RANGELWE RD
i ,,,f..,,' CARMEL IN 46032 CHECK NUMBER: 180764
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 299020 670.36 AUTO REPAIR MAINTEN
WELDING �w����� ��U����m��
inc ^Sc 1948
�0�Ra�e�oRd
Carmel, IN 46032
Ph. 317-846-3493 FA 317-848-6760
www.carmelwelding.com
SOLOTDJ SH/PTD:
RMEL STREET DEPARTMENT RMEL STREET DEPARTMENT 301�7 ~r
3400 WEST 131ST STREET 3400 WEST 131ST STREET
WESTFIELD, INDIANA 46074 WE�TFIELD INDIANA 46074
TERMINAL: 12
L_ _-J L--
Tax Exemption 003120155002
WWW. CARMELWELDING. C8M~----Plese keep receipt Work Order 76635 0)
or parts returns within 30 days, 20% restocking j SHIPPED VIA: CUSTOMER PICKUP
charge, No return on electrical or special orders 17x16:52 PAGE: 1 OF 1
ACCT. /�z' ox�s �,mxomsmo. SALESMA STORE w�� ssn o 7 0
000.:v0z 12/lo/la:) d mic:/mm�� r i wm/00,:5::a M
5�
ORD. SHIP mm LINE PART NUMBER 'PESCRIPTION LIST NET AMOUNT -65`'W
plAiL UNUPPLII*MHUIUff
XT3200-60
1 1 9I 01 E R STANDARD 331.60 331.60
1 1 3I 27.16 27.16 m
2 )I P 2.10 4.20
2 2 I LUCA815-469 MAG" 17. 69 35. 38 (.75 A
1 1 /I Q43 GEAR 80-90 12X11 6.431 6.43
lj 1 i.IX 00220 fraT SEAT BELT STAND 52.641 52.64
i 1 11SHIS ENVIRONMENTAL FEE 1 2.951 2.95
Z.
1 1 02 kEPAIR DIXIE 210. 0IZti 210. 00
o
�.0
460. 3
MISC. 0.00
L9BOR 210.00
T X 7. 0.00 0 n�oc� INVO10E TOTAL 670.36
IMPORTANT NOTICE
um agreed pan m the consideration for this sale that the price shOwn hereon fr the goodo shall be raid 00 or belore Ihe 10th day of the Month
rate m EIGHTEEN PERCENT 411.
condition. There is a 20% restocking charge on all returns. There al be no refund or exchange on electrical part. The factory warranty conshtures ali of the warranties with realteCt to Me sale of this item/items. The seller hereby expressly disclaims all warranties, either tr it
exPressed or implied, including any implied warranty et merchantability Or fitness for a particular purpose and the seller neither assumes nor authonzes any other person to assume far d any Itablay in connection with the sale of this iternl hems.
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Carmel Welding and Supply
IN SUM OF CITY OF CARMEL
550 S. Rangeline Road An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
Carmel, In 46302 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$670.36 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Street Department
Date Due
Invoice Invoice Description Amount
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s))
2201 299020 43 510.00 $670.36 I hereby certify that the attached invoice(s), or 12/18/09 299020 $670.36
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
Tu �sday, Decemb 2, 2009
aVti
Street Commissioner/ y
Title
Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5- 11- 10 -1.6
20
Clerk- Treasurer