181649 01/20/2010 41 CITY OF CARMEL, INDIANA VENDOR: 276475 Page 1 of 1
ONE CIVIC SQUARE ROUDEBUSH EQUIPMENT INC
1� CARMEL, INDIANA 46032 MASSEY- FERGUSON CHECK AMOUNT: $1,351.40
o 2911 ST RD 32 E CHECK NUMBER: 181649
cro WESTFIELD IN 46074 -9512
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4351000 21411 086961 1,351.40 REPAIRS
ROUDEBUSH EQUIPMENT INC. INVOICE
Sales Service
2911 STATE ROAD 32 EAST
V WESTFIELD, IN 46074 15001 No. 086961
MASSEY FERGUSON 317 896 2753
www.roudebushequipment.com
BILLTO: (::LTY OF (.fil'2P'll:a... STREET DEPT. SHIP TO: YEAR t;:1.998
CARMl:::l... rr� T I"hi I'.E g tii 3f� :'r I I�:1 (:jl.Js:3(:)INI
131ST STREET c:3 460/4
r Iniihi 4 �7C 0 2:3
I••1(:llY(i::: g ;:31.'7 733 200 1. WORK": tt 111 SCr i:.`:' 6 HOURS
I i :r. (a :f. l 1 i l 1.. c:3 I::: R :I: C: I::: R i is :I: 1::' I •r4 •ii•
INVOICE DATE OURORDER NO YOUR ORDI R NOt TERMS`.:' r SALESPERSON:.':
C.1 :I. /:L4 /i'(t) :[(r) :1.C) ?)`.1...3 OI'I:::hl ACCOUN ,JR
QUANTITY 17ESCRIP..TION UNIT T?RICE::.
i:.'.,, (i)(r) 70926957 R :i :I >IC7., 1:ZE :•T•f I :I :I +1 :1 /B(- AS :1: II; :I... {I >3., 98
•TF:'---- XtI:.:?(?')i.. BUSHING $0. 39 $0.78
2.00 (•F:'....I:tR:l.l:t{... BUSHING $0. 29 $0.58
1.00 /1..5 15001. W001 LABOR DT $70.00 $'7C).. (.)Q)
2.00 /I... "e' 150")1 W001 LABOR 313 $70.00 $1.401.. F)C)
6.00 /1..4 15001. WOLF 1 L..Alf1Ok III $70.00 $42.(1.. &)P)
1.00 r.:?•44 7KF'' INJECTION F•'(.JIYIF' RI::.l••'f•17. $698.66 $698.66
TOT FOR I:)ARTS 7i:} :1... •�4C)
T(:) I't11... FOR I...f1BOR 63(). C)C)
x. t SLJEI TOTAL. -x*•a': 1351 40
11....i.: 8 AM 5 PM SATURDAYS Y':? Ely APPOINTMENT
9
EFC: :T:):Vi:.: JAN 'I' 4C 1-1 2009 :;L.,( :)i F. :1) SATURDAYS L4 2
'rt x IIt)I1BER;t* 3:L2(.') :L,`.1::(j7(:)i:'( SIGNATURE::
ACCOUNT NL.JM})E :R;,:I.:1:1 7C) :I:NV( :J :l ::E: N(.11Y BRIU4 f' a AMOUNT DUI:: $1.3'5 :1.., 4C)
I hereby certify under the penalties of perjury that the personal property purchased TERMS: Net 10th of month following purchase. A charge of 1.5% per
by the use of this exemption certificate will be DIRECTLY used in the DIRECT month (18% per annum) will be added to all past due accounts. No goods
production of agricultural products for resale.
Sale to Retailer, Wholesaler or Manufacturer for Resale Only. returnable after 10 days. All returned goods and claims must be accom-
Sales to Not For Profit Organizations, claiming exempt purchases pursuant panied by this invoice. Special order goods are not returnable. Returned
to bulletin #10. t` goods are subject to a handling charge.
CI Sales to Governmental units. g g g
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roudebush Equipment
IN SUM OF
2911 State Road 32 East
Westfield, IN 46074
$1,351.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
21411 086961 43 -51 0.00 $1,351.40 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
,f
1 (7) 1 Thu �9�y, Ja'r �ary�1,4
P
SfreeF Com missionerer
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))
01/14/10 086961 $1,351.40
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