187446 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
t ONE CIVIC SQUARE SUNBELT RENTALS
CARMEL, INDIANA 46032 PO BOX 409211 CHECK AMOUNT: $99.00
ATLANTA GA 30384 -9211 CHECK NUMBER: 187446
Roy c
CHECK DATE: 717!2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 25677187001 99.00 MATERIALS SUPPLIES
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INVOICE
`a SEND ALL PAYMENTS TO:
SUNBELT RENTALS INVO ICE NO 25677187 -001
PO BOX 409211
SUMiELTO ATLANTA, GA 30384 -9211 l am" 2414518
RENTALS
6122/10
PAGE
1of1
INVOICE TO RECEIVED BY CONTRACT NO.
a log -2771 -2902 COOPER, JEFF 25677187
CITY OF CARMEL WATER SEWER PURCHASE ORDER NO.
ru 760 3RD AVE SW
CARMEL IN 46032 -2072 J EFF COOPER
JOB NO.
IIlill��lln�nllri�lili�l�llln�lnllill�liil�li�illnl
4 CITY OF CARMEL W
JOB ADDRESS BRANCH
CITY OF CARMEL WATER -WASTE UTI FISHERS PC394
901 N. RANG LIN ROAD
CARMEL, IN 46032 -1361 11 ,LLISvIVVILLE RD
FISHERS, IN 46038 -1837
317- 571 -2645 317- 849 -2119
Qty item number Unit Price Amount
100 18INX27IN SAND BAGS WHT EA .99 99.00
3007297
SHIP TO: CITY OF CARMEL WATER -WASTE UTI
901 N. RANGE LINE ROAD
CARMEL, IN 46032 -1361
EgWpment. SerAceo Guaranteed. 99.00
REMIT T0: NET DUE UPON RECEIPT
SUNBELT RENTALS Invoices not paid within 30 days may be subject 99.00
PO BOX 409211
ATLANTA, GA 30384 9211 to a 1 /z %per month charge.
SALES INVOICE
s VOUCHER 105734,. WARRANT ALLOWED
400352369 IN SUM OF
SUNBELT RENTALS
PO BOX 409211
ATLANTA, GA 30384 -9211
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
25677137001 01- 7202 -06 $99.00
Voucher Total $99.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) y--
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
00352369
SUNBELT RENTALS Purchase Order No.
PO BOX 409211 Terms
ATLANTA, GA 30384 -9211 Due Date 6/30/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30/2010 2567718700' $99.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with 1C 5- 11- 10 -1.6
Date Officer