183352 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363349 Page 1 of 1
ONE CIVIC SQUARE JACKS SMALL ENGINE GENERATOR LLB
CHECK AMOUNT: $88.69
CARMEL, INDIANA 46032 1745 W JARRETTSVILLE ROAD
oM `o JARRETTSVILLE MD 21084 CHECK NUMBER: 183352
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 12354444 88.69 OTHER EXPENSES
J
JACKS SMALL ENGINE GENERATOR, LLC
1745 W JARRETTSVILLE RD
JARRETTS'VILLS, MD c10 4
1 737-
Date........... /E4/10 Invoice........ 1':35444
Customer........ 857819 Salesman....... of l iol l
Special info..: P.O. AUTOEILL
Ship Via......: UPS GROUND Packing Slip 820790
SOLD TO SHIP TO
CARMEL WASTERWATER UTILITIES CARMEL WWTP
760 THIRD AVE SW '3609 HA7EL DELI_ PARKWAY
SUITE 110 INDIANAPOLIS, IN 46280
CARMEL, IN 460.12'
VISIT US AT WWW. JACKSSI +IALLENGINES. COM
NO RETURNS ON SPECIAL ORDER OR ELECTRICAL PARTS.
RETURNS ARE SUBJECT TO A 2'0/ RESTOCK FEE.
Pa 1 of
Ord Ship B�'O Line Part Number Description List Net Am(_.�nt
C MUR 5799 PELT 8.20 16.40
P.O. IN'Y. 1232778 P.O. DATE:
L 10
MUR 58154011A PAD, AUGER IMPELLER 10. 60 10.64.E
L.O. INV. 12'3.-778 P.O. DATE: 2/2-2/ 10
MUR 585437MA PELT x:5.65 51.70
B. 0. INV. 1'2''776' P. 0. DATE: ciEci 10
1 1 FRT SH FREIGHT 9. 9, 99
P.O. INV. 1223 78 p'. 0. DATE: iv'/22/
F6 ?9f0
SUB TOTAL 88.69
CHARGE SALE MISC. 0.00
LABOR 0.00
TAX 0.001 -1 0.00
Received 8,y— INVOICE TOTAL 88.69
,,VOUCHER 105013 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
12354444 01- 7202 -06 $88.69
Voucher Total $88.69
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
r
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 JARRETTSVILLE ROAD Terms
JARRETTSVILLE, MD 210884 Due Date 3/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
315/2.010 12354444 $88.69
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