186175 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 008050 Page 1 of 1
rj ONE CIVIC SQUARE ACTION EQUIPMENT INC CHECK AMOUNT: $27.09
CARMEL, INDIANA 46032 5801 S. HARDING ST
ion INDIANAPOLIS IN 46217 CHECK NUMBER: 186175
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10 -4316 27.09 OTHER EXPENSES
A
Remit to:
5801 S. Harding Street Invoice
f Indianapolis, IN 46217
(317) 788 -9781 INDIANAPOLIS
EoUIPMENT SALES CO.,INC. (812) 423 -7974 EVANSVILLE (502) 964 -4464 LOUISVILLE
INVOICE NUMBER: PS110 -4316
INVOICE DATE: 05/20/10
PAGE: 1
SOLD CARMEL STREET DEPARTMENT SHIP CARMEL WASTE WATER TREATMEN
TO: 3450W 131ST STREET TO: 9609 HAZEDELL PARKWAY
WESTFIELD, IN 46074 CARMEL, IN 46280
CUSTOMER I.D.: CARM01
SHIP VIA: UPS P.O. NUMBER: ,Jeff Cooper
SHIP DATE: P.O. DATE: 05
DUE DATE: 05/30/10 OUR ORDER NO.: S010 -4430
TERMS: Net 10 days SALESPERSON: LAURIE
ITEM /DESCRIPTION UNIT ORDER QTY QUANTITY UNIT PRICE TOTAL PRICE
615413 BOX, PLASTIC FRONT EACH 1 1 6.67 6.67
615414 BOX, PLASTIC BACK EACH 1 1 9.26 9.26
630649 CHANNEL, CONTROL BOX EACH 2 2 2.33 4.66
SHIPPING AND HANDLING EACH 1 1 6.50 6.50
AMOUNT SUBJECT AMOUNT EXEMPT SUBTOTAL:
TO SALES TAX FROM SALES TAX INVOICE DISCOUNT: 27.09
SALES TAX: 0.00
0.00 27.09 0.00
INVOICE TOTAL:
27.09
PAST DUE ACCOUNTS SUBJECT TO 1.5% SERVICE CHARGE PER MONTH
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
8050
ACTION EQUIPMENT INC Purchase Order No.
5801 S. HARDING ST Terms
INDIANAPOLIS, IN 46217 Due Date 5/27/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bili(s)) Amount
5/27/2010 10 -4316 $27.09
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
VOUCHER .10558 WARRANT ALLOWED
8050 IN SUM OF
ACTION EQUIPMENT INC
5801 S. HARDING ST
INDIANAPOLIS, IN 46217
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
10 -4316 01- 7202 -06 $27.09
Voucher Total $27.09
Cost distribution ledger classification if
claim paid under vehicle highway fund