184712 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00351011 Page 1 of 1
ONE CIVIC SQUARE CLARK TRUCK EQUIPMENT
i 0 CHECK AMOUNT: $111.00
�+a CARMEL, INDIANA 46032 105 W 580 N
CRAWFORDSVILLE IN 47933 CHECK NUMBER: 184712
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 38825 111.00 REPAIR PARTS
INVOICE NUMBER
DATE OF ORDER CUSTOMER ORDER NO. TERMS
04/09/10 NET 30 38825
DATE SHIPPED SHIP VIA PPD ADD COLL
4/21/10 CTE TO DELIVER
SHIP I
C(7. �LN-\\
TO
TRUCK EQUIPMENT CO., INC.
J 105 W 580 N
CRAWFORDSVILLE, IN 47933
PHONE 765- 362 -4101
SOLD CARMEL STREET DEPT WATTS 1- 800 -382 -0873
TO 3400 W 131 ST FAX 765 362 -4103
WESTFIELD, IN 46074
QUANTITY QUANTITY
OR DERED BACKORDR DESCRIPTION PART NO. UNIT PRICE AMOUNT
1 84765
1 84768 REAR CORNER POST ASSY. 95.00
1 80411 D/S
SUBTOTAL $95.00
FREIGHT /SHPG 16.00
LABOR
TERMS: NET 30 DAYS, 1 112% INTEREST PER MONTH TAX #ON FILE
ON UNPAID BALANCE AFTER 30 DAYS TOTAL INVOICE $111.00
V NO. WARRANT NO.
ALLOWED 20
Clark Truck Equipment
IN SUM OF
105 W. 580 N.
Crawfordsville, IN 47933
$111.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# l Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 38825 42- 370.00 $111.00 1 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
;Friday, Ail 23, 2010
Street CommissioW
Street rnmmiecir)nPr
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, 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))
04/21/10 38825 $111.00
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