188069 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
ONE CIVIC SQUARE SUNBELT RENTALS
CHECK AMOUNT: $191.13
CARMEL, INDIANA 46032 11120ALLISONVILLE ROAD
y raN FISHERS IN 46038 -1837 CHECK NUMBER: 188069
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 25209180 -001 191.13 MATERIALS SUPPLIES
SU NBELT
Page 1
RENTAII.S
VVork;Order.. 25209.180 -001
PC 394 Created .7109110
FISHERS PC394 Entered By .BSORR>"LS <Mamtaned By: BSORREL5.::;
11120 ALLISONVILLE RD Authoriz66:13
y
FISHERS, IN 46038 -1837 Opened: 511:8!10 Closed 7109/10
317 -849 -2119 Terms NET DUE.UPON.RECEIPT
WORK ORDER INVOICE
Job Slte OUR SHOP I f I f
CITY OF CAR MEL WATER &SEWER I I IIIIIIIIIIIII I III IIIII�II III
11:1:20 ALLISONV RD
FISHEERS IN 14603$ 1837! Job 5; CITYpF CRR W PO SEWER COLLECTION.
Job LocfOUR SHOP
Warranty N Expires: Claim #t
Current Meter
Last Corit /Gust ..124:14518
Service Call N Mechanic 3942
Bill TO Account:: 241451 8'< Date Acquired Date In Rent
CITY:OF CAR MEL WATER:::& SEWER
760 AV,E SW`,:. Current)Location;, 394 Owning Locavon
CARMEL IN!46032 Equipment Status A q!/AILABLE
w
ork Order Des cnption ;CUSTOMER OWNED. EQUIPMENT'
REMOVE!FAULTTSEALS:AND INSTALL NEW'SEALSAND
BOLTS 0
TS WASHER SEALS
Engine Model Air Reg
Engine Serial Air Reg Expires a
Equ� Make> Model.:: Serial DeSC:ri Lion
.0025392 HONDA WT30X 0025392 3" GAS TRASH PUMP
ORK PERFORMED:
U nit has seals out of pump check the impeller and wear plate and get complete
parts list on order
ARTS:
Qty Part Number Description U/M Price Extended
1 78115 -YB9 -003 SEAL, MECHANICAL EA 94.224 94.22
4 90501 -YB1 -003 WASHER SEAL EA 3.220 12.88
4 92101- 08025 -OA 92101- 08025 -OA EA 1.008 4.03
ABOR:
echanic Hours Work Rate Extended
9424760 1.00 LABOR FOR REPAIRS 80.00 80.00
Total Parts Materials 111.13
Total Labor Hours /Rate
1.00 HR 80.00
Total Labor 80.00
Sub total: 191.13
Total Amount 191.13
Comments:
Mechanic Signature Date A
wwwsunbelVentals.00m wooeor'xT ie ioi�r�
J
VC7UCHER 105820 WARRANT ALLOWED
00352369 IN SUM OF
SUNBELT RENTALS
PO BOX 409211
ATLANTA, GA 303849211
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
25209180001 01- 7200 -02 $111.13
25209180001 01- 7360 -02 $80.00
Voucher Total $191.13
Cost distribution ledger classification if
claim paid under 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 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 7/12/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2010 2520918000' $191.13
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