184419 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK AMOUNT: $101.88
ZIONSVILLE IN 46077 CHECK NUMBER: 184419
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 105528 101.88 REPAIR PARTS
NORTHSIDE TRAILER LLC PREVIOUS BALANCE
DATE DESCRIPTION CHARGES CREDITS BALANCE
AL FWD BALANCE FORWARD 140.4.4 0.00
03/01/10 105156 MIKE HENRICKS 5.76 0.00
03%02/10 105173 63.54 0.00
03/22/10 Payment Check 183402 82.66
105133 02/25/10 $40.00
105138 02/26/10 $100.99
105156 03/01/10 $5.76
105173 03/02/10 -63.59
03/23/10 105528 101.88 101.88
TOTAL AMOUNT DUE
0 30 30 60 60 90 Over 90
101.88 0.00 0.00 0.00 101.88
MESSAGES /COMMENTS
C jhatlk lJou r
PRODUCT 13035G USE WITH 771C ENVELOPE NEBS To Reorder: 1- 800- 225 -6380 or www.nebs.com PRINTED IN U.S.A. A
0350 A 0 0
NORTHS TRAILER L�LC
SALES PARTS SERVICE
INVOICE NO. 105528
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317- 769 72460
317.769 -2463 FAX
14235
31LL TO: CITY OF CARMEL STREET DEPT. SHIP T0:
3400 WEST 131ST STREET
WESTFIELD, IN 46074 3400 WEST 131ST STREET
WESTFIELD, IN 46074
(317) 571 -2400
Page.-1
INVOICE DATE ORDER N0, TERMS SALESPERSON
Mar23'10 NET 30 DAYS TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 283825 171412 101.88 101.88
BD SWIVEL JACK,TW,5K,15 "SNAPRG
S b -Total 101.88
D iscount
Shipping 4andling 0.00
Ta x[ 0] 'EXEMPT
Total... 101.88
Amo nt Paid 0.0.0
Receive By: 4" Amount Due 101.88
Change. 0.00
VOUCHER 1`16. WARRANT NO.
ALLOWED 20
Northside Trailer
IN SUM OF
11985 East St. Rd. 32
Zionsville, IN 46077
$1 01.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 105528 42- 370.00 $101.88 i! 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
I I /Monday, April 05, 2010
p
Street Comm ss'l &er
Street C ,rr,,;Tit►eicr er
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))
03/23/10 105528 $101.88
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