181021 12/30/2009 1,..„. CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
t N ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $244.38
;I. CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32
-,'4,,,„„ ZIONSVILLE IN 46077 CHECK NUMBER: 181021
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238000 433 244.38 SMALL TOOLS MINOR E
DEC -21 -2009 10:47 FROM:NORTHSIDE TRAILER 317 -769 -2463 70:95712615 P.2
NORTHSIDE T
R, ILERLLC
SALES PARTS SERVICE
11385 EAST STATE ROAD 32 INVOICE NO, 433
ZIONSVILLE, IN 46077
317- 769 -2460
19237 317 769.2463 FAX
CITY OF CARMEL FIRE DEPT.
DILLTOTWO CIVIC SQUARE
CARMEL, IN 46032 SHIP TO:
TWO CIVIC SQUARE
(317) 571-2400 CARMEL, IN 46032
Pagel
INVOICE DATE ORDER NO. TERMS
Dec2 s
A. SALESP 1
QUANTITY DESCRIPTION
1 6 1400 WB100B UNIT PRICE AMOUNT
S, T SPREADER,WALK BH,P.COAT 219.38 219.38
S b -Total 219.38
miscount
Shipping andling 25.00
T -x[ 0] EXEMPT*
Total 244.38
Amo nt Paid 0.00
Received By: Am•unt Due 0.00
Change 0.00
<Mal 9/0(.4*
VOUCHER N,O. WARRANT NO.
ALLOWED 20
Northside Trailer
IN SUM OF
11985 East State Road 32
Zionsville, I N 46077
$244.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO ACCT /TITLE AMOUNT Board Members
1120 433 42- 380.00 $244.38 I hereby certify that the attached invoice(s), or
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
DEC 2 1 700
.r4P_Mismi.w—wailli
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
433 $244.38
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
Clerk- Treasurer