183822 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00353413 Page 1 of 1
ONE CIVIC SQUARE HARBOR FREIGHT TOOLS
CHECK AMOUNT: $96.89
CARMEL, INDIANA 46032 3491 MISSION OAKS BLVD
CAMARILLOCA 93011
CHECK NUMBER: 183822
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 02370609 96.89 OTHER EXPENSES
REMIT TO: HARBOR FREIGHT TOOLS BILL TO:
PO BOX 6010 CITY OF CARMEL WASTEWATER
3491 MISSION OAKS, -BLVD ACCOUNTS! PAYABLE
CAMARILLO CA 93012 760 THIRD =AVE SW STE •110'
CARMEL IN 46032
Please return copy with your remittance
CUSTOMER CTYF460E
INVOICE 02 370609
DUE DATE: 04/04/10
TOTAL DUE: 96.89
Billing inquiries: (800) 652 -8665 Accounts Receivable
i1a HARBOR FREIGHT Wv'"Olu""E
.�w 61ialot.5 R PAGE: 1
3491 MISSION OAKS
BLVD. INVOICE 02 -370609
CAMARILLO, CA 93012
(800) 652 -8665 INVOICE DATE: 03/05/10
DUE DATE: 04/04/10
TERMS: Net 30 days
CUSTOMER CTYF460E
BILL TO:
CITY OF CARMEL WASTEWATER
ACCOUNTS PAYABLE
760 THIRD AVE SW STE 110
CARMEL IN 46032
ORDER 366876
CUSTOMER PO jeff
rs-° ffi =i srn ,v'' ,°3 Ty �a .A s l'
�R a Uzs t� L i
,.LINE ITEM d OESCRIPTIQN,.'r fr q� °QUANTITY y a UNIT?PRICE, z r.z TO TAL'«
.A.,�.3,+.,,.,.._xi°
1 098940 AIR HOSE SWIVEL 3 /8INX2- 1 EA 4.99 4.99
2 098940 AIR HOSE SWIVEL 3 /8INX2- 1 EA 4.99 4.99
3 098944 AIR HOSE SWIVEL 1 /4INX5F 1 EA 5.99 5:99
4 098944 AIR HOSE SWIVEL 1 /4INX5F 1 EA 5.99 5.99
5 093340 4PC H.D. 12IN HAND FILE S 1 EA 9.99 9.99
6 095950 LENS COVER FOR SKU 91214 1 EA 9.99 9.99
7 039535 PLIERS -11 LOCKING S *012 1 EA 4.99 4.99
8 039535 PLIERS -11 LOCKING S *012 1 EA 4.99 4.99
9 039535 PLIERS -11 LOCKING S *012 1 EA 4.99 4.99
10 039'53 PLIERS_ -7: 1, .T,Oc_'- TCi�?�' 0:'_2_
11 095211 AUTO REWIND- AIR, HOSE REEL 1 EA 'c 34.99 34.99
r i Z
REMIT T0: HARBOR FREIGHT TOOLS
PO BOX 6010
3491 MISSION OAKS BLVD
CAMARILLO CA 93012 TOTAL DUE: 96.89
VOUCHER It 105103 WARRANT ALLOWED
00353413 IN SUM OF
HARBOR FREIGHT TOOLS
3491 MISSION OAKS BLVD
CAMARILLO, CA 93011
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
02370609 01- 720T -06 $96.89
i
i
Voucher Total $96.89
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) Y
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
00353413
HARBOR FREIGHT TOOLS Purchase Order No.
3491 MISSION OAKS BLVD Terms
CAMARILLO, CA 93011 Due Date 3/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/2212010 02370609 $96.89
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