183213 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $1,392.55
CARMEL, INDIANA 46032 P O BOX 9799 T DRIVE
CHECK NUMBER: 183213
FT WAYNE IN 46899 -9799
CHECK DATE: 3!16!2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 18574 796.75 REPAIR PARTS
2201 4237000 18679 595.80 REPAIR PARTS
i.
Brown Equipment Co., Inc. InvoiCG'
18574
P O Box 9799 Date 2/24/2010
Fort Wayne, IN 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST STREET
WESTFIELD, IN 46074 WESTFIELD. IN 46074
Packing List P.O. dumber Terms Salesperson Ship Date Ship Via
5114 GARY NET 10 .JOE 2/2412010 NDA
Quantity Item Code Description Price Each Amount
1 281729 -12 THROTTLE ACTUATOR ASSY. 744.11 744.11
1 FREIGHT 52.64 52.64
Sales Tax (7.0 $0.00
Total $796.75
VOUCHER NO. W.. NO.
ALLOWED 20
Brown Equipment Co. Inc.
IN SUM OF
P. O. Box 9799
Fort Wayne, IN 46899 -9799
$1,392.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member
2201 18574 42- 370.00 $796.75 1 hereby certify that the attached invoice(s), or
2201 18679 42- 370.00 $595.80
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
ThOr day rch 11, 201(
Street Commis o er
h
Ll liVl l- VIIIIIII JI
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, b,,r
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))
02/24/10 18574 $796.75
03/09/10 18679 $595.80
1 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