182413 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 363349 Page 1 of 1
ONE CIVIC SQUARE JACKS SMALL ENGINE GENERATOR LLLLB�
CARMEL, INDIANA 46032 GFiECK AMOUNT: $88.34
1745 W JARRETTSVILLE ROAD
JARRETTSVILLE MD 21084 CHECK NUMBER: 182413
«ON
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1217814 88.34 OTHER EXPENSES
JACKS SMALL ENGINE GENERATOR, LLC
1745 W JARRETTSVILLE RD
JARRETTSVILLE, MD 21084
1(877)737-2787
Date.'... 1/28/10 Invoice 1217814
Customer. Q57819 Salesman......: 011/011
Special info. P.O. AUTOFILL
Ship Via......: UPS GROUND Packing Slip 804959
SOLD TO SHIP TO
CARMEL WASTERWATER UTILITIES CARMEL WWTP
760 THIRD AVE SW 9609 HAZEL DELL PARKWAY
SUITE 110 INDIANAPOLIS, IN 46280
CARMEL, IN 46032
VISIT US AT WWW.JACKSSMALLENGINES.COM
NO RETURNS ON SPECIAL ORDER OR ELECTRICAL PARTS.
RETURNS ARE SUBJECT TO A 20% RESTOCK FEE.
Page 1 of 1
Ord Ship B/O Line `Part Number Description List Net Amount
I T 337227MA RETAINER RNG INNER B 10.70 10.70
B.O. INV. 1214782 P.O. DATE: 1121/10
50 1 MUR 585193MA RETAINER RING OUTER B 17 50 17
B.O. INV. 1214782 P.O. DATE: l/21/1N
1 MUR 585195MA BRKT NORM MTG BLACK 7.35 7.35
B. 0. INV. l214782 P.O. DATE: 1/21/1N
1 MUR 585196MA WORMGEAR,CHUTE ROTATE 6.25 6.25
8.O. INV. 1214782 P.O. DATE: 1/21/l0
MA COLLAR,CHUTE ROTATE 1 11.60 11.60
B.O. INV. 1214782 P. D. DATE: 1/21/1N
l MUR 76222 ASSY CHUTE Cl 653BLK 24.95 24.95
.O. INV. 1214782 P.O. DATE: 1/21/1W
l l FREIGHT 9.99 9.99
1 3 INV. 1214782 P.O. DATE: 1/21/10
SUB TOTAL 88.34
CHARGE GALE MISC. 0.00
LABOR 0.00
TAX Of. 001 0.00
Received By INVOICE TOTAL 88.34
e�
VOUCHER 497243 WARRANT ALLOWED
363349 IN SUM OF
JACKS SMALL ENGINE GENERTOR
1745 W JARRETTSViLLE ROAD
JARRETTSVILLE, MD 210884
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1217814 01- 7-50T-06 $88.34
Voucher Total $88.34
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
363349
JACKS SMALL ENGINE GENERTOR LLC Purchase Order No.
1745 W JAR R ETTSVI LLE ROAD Terms
JARRETTSVILLE, MD 210884 Due Date 218!2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/2010 1217814 $88.84
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
Date Officer.