187725 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC
0
CARMEL, INDIANA 46032 PO BOX 9799 CHECK AMOUNT: $1,979.46
+y 4'op.`6 FT WAYNE IN 46899 -9799 CHECK NUMBER: 187725
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 19410 838.51 REPAIR PARTS
2201 4237000 19411 1,140.95 REPAIR PARTS
Brown Equipment Co., Inc. Invoice
19410
P O Box 9799 Date 6/3012010
Fort Wayne,lN 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST STREET
WESTFIELD, IN 46074 WESTFIELD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
5433 JEFF NET 10 JOE 660/2010 UPS
Quantity Item Code Description Price Each Amount
1 6003 -8 FEMALE COUPLING 494.07 494.07
1 15917 -1 EXTENSION HOSE 316.98 316.98
1 FREIGHT 27.46 27.46
Sales Tax (7.0 $0.00
Total $838.51
Brown Equipment Co., Inc. Invoice 19411
P O Box 9799 Date 6/30/2010
Fort Wayne, IN 46899 -9799
Phone 2601747-2312
Bill To Ship To
CARMEL STREET DEPT, CARMEL STREET DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST STREET
WESTFIELD, IN 46074 WESTFIELD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
5428 MIKE NET 10 JOE 6/30/2010 UPS
Quantity Item Code Description Price Each Amount
2 40442 -12 SHAFT 367.17 734.34
2 282577 -1 Flap 129.58 259.16
4 40516 -1 Clip 27.60 110.40
1 FREIGHT 37.05 37.05
Sales Tax (7.0 $0.00
Total $1,140.95
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brown Equipment Co. Inc.
IN SUM OF
P. O. Box 9799
Fort Wayne, IN 46899 -9799
$1,979.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 19411 42- 370.00 $1,140.95 1 hereby certify that the attached invoice(s), or
2201 19410 42- 370.00 $838.51 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
Thursday, July 15, 2010
4
d
W SfZet Com s olie
Title
Street Commissioner
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))
06/30/10 19411 $1,140.95
06/30/10 19410 $838.51
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
,20
Clerk- Treasurer