182737 03/03/2010 ,ate CITY OF CARMEL, INDIANA VENDOR: 008050 Page 1 of 1
ONE CIVIC SQUARE ACTION EQUIPMENT INC CHECK AMOUNT: $316.84
CARMEL, INDIANA 46032 5801 S. HARDING ST
INDIANAPOLIS IN 46217 CHECK NUMBER: 182737
CHECK DATE: 31312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 PS /10 -1245 316.94 REPAIR PARTS
Remit to:
S. Harding Street
Inds Invoice
Indianapolis, IN 46217
(317) 788 -9781 INDIANAPOLIS
EQUIPMENT SALES CO., INC. (812) 423 -7974 EVANSVILLE (502) 964 -4464 LOUISVILLE
INVOICE NUMBER: PSII O -1245
INVOICE DATE: 02/16/10
PAGE: 1
SOLD CARMEL STREET DEPARTMENT SHIP CARMEL STREET DEPT WESTFIEL
TO: 3450 W 131 ST STREET TO: 3400 W. 131 ST STREET
WESTFIELD, IN 46074 CARMEL, IN 46074
CUSTOMER I.D.: CARM01
SHIP VIA: P.O. NUMBER:
SHIP DATE: P.O. DATE: 02/16/10
DUE DATE: 02/26/10 OUR ORDER NO.: S010-1287
TERMS: Net 10 days SALESPERSON: MIKE FOLICH
ITEM /DESCRIPTION UNIT T ORDER QTY QUANTITY UNIT PRICE TOTAL PRICE
SERVICE SERVICE HOURS H0104 -74621 1 1
992SS -208 HOTSY NAT GAS HWW
MIKEF MICHAEL J FOUCH HOURS 1.5 1.5 69 -50 104.25
MIKEF SERVICE CALL HOURS 1 1 89.25 89.25
971555 HAWK UNLOADER EACH 1 1 107.94 107.94
SUPPLIES /ENVIRONMENTAL /FUEL EACH 1 1 15.50 15.50
AMOUNT SUBJECT AMOUNT EXEMPT SUBTOTAL
TO SALES TAX FROM SALES TAX
INVOE ISCOUNT f- 316.94
ICD 0.00
SALES TAX
0.00 316.94 0.00
'INVOICE TOTAL
316.94
PAST DUE ACCOUNTS SUBJECT TO 1.5% SERVICE CHARGE PER MONTH
VOUCHER NO. WARRANT NO.
ALLOWED 20
Action Equipment
IN SUM OF
5801 S. Harding Street
Indianapolis, IN 46217
$316.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 PS /10 -1245 42- 370.00 $316.94 1 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
Yonday,4March 01, 2010
ly
Street Commissioner
Street C,on1r'nis�,'r 0r
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))
02/16/10 PSl10 -1245 $316 -94
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