181153 01/13/2010 VOIDED CITY OF CARMEL, INDIANA VENDOR: 00351011 Page 1 of 1
r o 9 ONE CIVIC SQUARE CLARK TRUCK EQUIPMENT CO CHECK AMOUNT: $33.45
L� CARMEL, INDIANA 46032 PO BOX 27
c, o LINDEN IN 47955 CHECK NUMBER: 181153
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 38223 33.45 REPAIR PARTS
INVOICE NUMBER
DATE OF ORDER CUSTOMER ORDER NO TERMS
12/09/09 MIKE NET 30 38223
DATE SHIPPED SHIP VIA PPD ADD COLL
12/14/09 SHIPPED DIRECT FROM EAGLELIFT
SHIP
TO
TRUCK EQUIPMENT CO., INC.
105 W 580 N
CRAWFORDSVILLE, IN 47933
PHONE 765 -362 -4101
sow CARMEL STREET DEPT. WATTS 1- 800 382 -0873
TO 3400 W. 131 ST FAX 765- 362 -4103
WESTFIELD, IN 46074
ACCOUNTS PAYABLE
QUANTITY QUANTITY
ORDERED BACKORDR DESCRIPTION PART NO. UNIT PRICE AMOUNT
421 b0'b3 TOP COVER -19 700
SUBTOTAL $19.00
TAX
LABOR
TERMS: NET 30 DAYS, 1 1/2% INTEREST PER MONTH FREIGHT /SHPG 14.45
ON UNPAID BALANCE AFTER 30 DAYS TOTAL INVOICE $33.45
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clark Truck Equipment
IN SUM OF
105 W. 580 N.
Crawfordsville, IN 47933
$33.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 38223 42- 370.00 $33.45 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
Thu fsd'ay, January 07, 2010
L Zu r
Street Commissioner
Stroot ,Title ier
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))
12/09/09 38223 $33.45
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