182133 02/03/2010 fl CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1
ONE CIVIC SQUARE W A JONES TRUCK BODIES EQUIPMENT
i. CARMEL, INDIANA 46032 1171 S wILUAMS STREET
CHECK AMOUNT: $491.00
COLUMBIA CITY IN 46725
CHECK NUMBER: 182133
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 50036 134.40 REPAIR PARTS
2201 4237000 50037 242.40 REPAIR PARTS
2201 4237000 50063 114.20 REPAIR PARTS
•a.4A
MC Equipment, INC. invoice
W.A. JONES 1
TRUCK BODIES EQUIPMENT fit E, �p'a
1 11, Date Invoice
1171 S. WILLIAMS DR
COLUMBIA CITY, 1N 46725 1/14/2010 50037
Phone (260) 244 -7661
Fax (260) 244 -7662
Ala
Bill To Ship To
CITY OF CARMEL STREET DEPT
3400 W. 131ST STREET
WESTFIELD, IN 46074
Customer Fax 733 -2005 Customer Phone (317) 733 -2001
P.O Number Terms Rep Ship Via F.O.B. VIN
VERBAL JEFF Net 30 RAM 1/14/2010 UPS Ship Point
Quantity Item Code Description Price Each Amount
2 150205 INDY ROLLER LATCH PIN EA 121.20 242.40
Sales Tax (0.0 so.00
TOTAL $242.40
MC Equipment, INC. Invoice
W.A. JONES
TRUCK BODIES EQUIPMENT i pp i Date Invoice
1171 S. WILLIAMS DR E E� �iitF.,. I It`-
I 1/14/2010 50036
COLUMBIA CITY, IN 46725��°'°'
Phone (260) 244 -7661
A Fax (260) 244 -7662
Bill To Ship To
CITY OF CARMEL STREET DEPT
3400 W. 131ST STREET
WESTFIELD, IN 46074
Customer Fax 733 -2005 Customer Phone (317) 733 -2001
P:0. Number Terms Rep Ship Via F.O.B. VIN
VERBAL JEFF Net 30 RAM 1/14/2010 UPS Ship Point
Quantity Item Code Description Price Each Amount
1 1 50210 INDY ROLLER KIT SET FOR TRIP PLOWS SET OF 2 134.40 134.40
Sales Tax (0.0 $0
TOTAL $134 40
MC Equipment, INC. Invoice
W.A. JONES
TRUCK BODIES EQUIPMENT I a Date Invoice
1171 S. WILLIAMS DR.
COLUMBIA CITY IN 46725 �4 1 /15 /2010 50063
Phone (260) 244 -7661
Fax (260)244 -7662
Bill To Ship To
CITY OF CARMEL STREET DEPT
3400 W. 131ST STREET
WESTFIELD, IN 46074
Customer Fax 733 -2005 Customer Phone (317) 733 -2001
P.O. Number Terms Rev. Ship .Via F.O.B. VIN
Net 30 RAM 1/15/2010 Pick up IGDT8E4C53F520067
Quantity Item Code Description Price Each Arnount
1 LABOR CC CHECK PUMP PRESSURE AND VOLUME AND 65.00 65.00
PRESSURE RELIEF SYSTEM ALL CHECKED OK.
RELIEF IS OPENING AT 1800 LBS VOLUME OK
1 LABOR CC DISASSEMBLE QDL VALVE AND INSPECT REPLACE 48.00 48.00
BOTH O -RINGS ON (ON -OFF) VALVE ASSY AND
REASSEMBLE TEST. ALL OK NOW
2 17007 INDY NITRITE'RUBBER O -RING 1/2EA 3 -1/4 0.60 1.20
Sales Tax (0.0 sa.aa
TOTAL 5114.20
VOUCHER NO. WARRANT NO.
ALLOWED 20
W. A. Jones
IN SUM OF
1171 S. Williams Drive
Colunbia City„ IN 46725
$491.00
r
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
2201 50036 42 370.00 $134.40 I hereby certify that the attached invoice(s), or
2201 50037 42 $242.40 bill(s) is (are) true and correct and that the
2201 50063 42- 370.00 $114.20
materials or services itemized thereon for
which charge is made were ordered and
received except
Thgsday, i a� ua fyR 201C
IV 4
Street Commissioner
Sti—ta Commissioner
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 50036 $134.40
01/14/10 50037 $242.40
01/15/10 50063 $114.20
i
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer