185662 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00352178 Page 1 of 1
ONE CIVIC SQUARE BOBCAT OF ANDERSON CHECK AMOUNT: $800.00
CARMEL, INDIANA 46032 2075 EAST STATE ROAD 67
ANDERSON IN 46017 CHECK NUMBER: 185662
CHECK DATE: 5126/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 R016770 800.00 EQUIPMENT REPAIRS M
INVOICE
j :R `4"A,o Si 4 ",0.1 VA
36,4Le.co-y
Fax 765-643-5119
y
.E QUIPME I NT REPAIREQ
1 427 :AST 11.61 h STREET 519028263
4{1722, EARfYfEL, IN 46032 BOBCAT 81.95 51902 692
f 1.0 �i:l6770 177 ,44 23376
WIN t DESCRIPTION
***.**$50. $50. 00 FEE E ON ALL. RE°TURNE"D C:HECA/% CHA ROE
:INSTALL 4 IJEW TIRES. 70. 00
C'II§'lLGAi? 10X16.5 LIFEI'lAS ER TIRE NEW4' 9 1.62. 50 7 30. 1,30
TOTAL. Iz fR Tr 730. 00
C HARGE SALE $800. 00
Purcha
Description 1
G.L# 00 �[yy
urchaser bats M 8 201
1,
I hsreeby cart ondar thn mury thip e rsonal tty puf ttsw
by tho use 0 this exompow Gertty to 11 t* DIRELY used in the
DIRECT Pf* !UobW Of agkWiu for re"te.
Res 4
RNANCE 04ARGE is computed by a perWc rate of 1 112% Per monthly billing qe;;o wncch is an ANNUAL
PERCENTAGE RATE nt 18% eppiled to the prWous balance after raedurting 11i payments and credits during tho
Pvrct�sotitBy
biiLft cycio. To &uuki FINANCE CHARGES pay this amount vaithin ,30 days from the date of sale. All acmunts
wain hQ r.4aewA no r'. n D
,ROVA4'2000`"""' PRINTED IN USA
ACCOUNTS PAYABLE VOUCHER
y CITY OF CARMEL
An invoice of 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.
00352178 Bobcat of Anderson Terms
2075 East County Road 67
Anderson, IN 46017
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5112/10 R016770 Replacement tires 23376 800.00
Total 800.00
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
Voucher No, Warrant No.
00352178 Bobcat of Anderson Allowed 20
2075 East County Road 67
Anderson, IN 46017
In Sum of
800.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 R016770 4350000. 800.00 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
20 -May 2010
Signature
800.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund