183950 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $141.08
CARMEL, INDIANA 46032 Po BOX 409211
ATLANTA GA 30384 -9211 CHECK NUMBER: 183950
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2424463600 141.08 OTHER EXPENSES
�t
INVOICE
SEND ALL PAYMENTS TO:
SUNBELT RENTALS, 24244636 -001
PO BOX 409211
UM ��U ATLANTA, GA 30384 -9211 0 182286
RENTALS
u!)@o M ofg 3/08/10
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO,
1 oz 2418 2515 GREG, GREG 24244636
CITY OF CARMEL PURCHASE ORDER NO.
ru
1 CIVIC SQ
CARMEL IN 46032 -2584 GREG
LliililliilL�iiill�Eilijn {ililililulululllnnnll�lilil JOB NO.
1 CITY OF CARMEL
JOB ADDRESS BRANCH
CITY OF CARMEL FISHERS
1 CIVIC SQUARE 11120 ALLISONVILLE RD
CARMEL, IN 46032 FISHERS, IN 46038 -1837
317- 575 -0841 317 -849 -2119
Qty Item number Unit Price Amount
4 V- BELT: 3VX400 EA 17.56 70.24
541201331
1 BELT, A -52 EA 22.01 22.01
046220
1 BRG, .625 2 -BOLT FLANGE, BB EA 21.23 21.23
043321
1 2112XXX060 PARTS OUTBOUND FREIG EA 27.60 27.60
FREIGHT- OUTBOUND
Freight for all 3 orders, they were
ordered at different times and were
individual shi ments from MFG
Order placed by Greg at
Phone 317- 716 -3929
EgWp ent. SerAc s. Guaranteed. 141.08
REMIT TO: NET DUE UPON RECEIPT
SUNBELT RENTALS 141.08
Invoices not paid within 30 days may be subject u W�
PO BOX 409211 to a l /z% per month charge.
ATLANTA, GA 30384 -9211
SALES INVOICE
VOUCHER 101194 WARRANT ALLOWED
352369 IN SUM OF
SUNBELT RENTALS
po box 409211
Atlanta, GA 30384 -9211
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
24244636 -00' 01- 6200 -06 $141.08
1
Voucher Total $141.08
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
352369
SUNBELT RENTALS Purchase Order No.
po box 409211 Terms
Atlanta, GA 30384 -9211 Due Date 3/24/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2010 24244636 -00 $141.08
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