188284 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00351011 Page 1 of 1
ONE CIVIC SQUARE CLARK TRUCK EQUIPMENT CO
CARMEL, INDIANA 46032 PO BOX 27 CHECK AMOUNT: $223.12
LINDEN IN 47955
CHECK NUMBER: 188284
CHECK DATE: 8/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 39130 223.12 OTHER EXPENSES
INVOICE NUMBER
DATE OF ORDER CUSTOMER ORDER NO. TERMS
07/20/10 JIM NET 30 39130
DATE SHIPPED SHIP VIA PPD ADD COLL
7/20/10 SHIPPED DIRECT FROM HARS'
SHIP J
TO
TRUCK EQUIPMENT CO., INC.
105 W 580 N
CRAWFORDSVILLE, IN 47933
PHONE 765 362 -4101
SOLD CARMEL WATER WATTS 1- 800 -382 -0873
TO 3450 W. 131 ST ST FAX 765 362 -4103
WESTFIELD, IN 46032
ACCOUNTS PAYABLE �J
QUANTITY QUANTITY
ORDERED BAC DESCRIPTION PART NO. UNIT PR ICE_ A MOUNT
2 4437 SOLENOID S 40.04 80.08
2 07164 COIL BLOCKS S 65.52 131.04
SUBTOTAL $211.12
FREIGHT /SHPG 12.00
LABOR
TERMS: NET 30 DAYS, 1 1/2% INTEREST PER MONTH TAX #ON FILE
ON UNPAID BALANCE AFTER 30 DAYS TOTAL INVOICE $223.12
VOUCHER 102257 WARRANT ALLOWED
00351011 IN SUM OF
CLARK TRUCK EQUIP CO INC
PO BOX 27
LINDEN, IN 47955
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
39130 01- 6500 -05 $223.12
Voucher Total $223.12
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
00351011
CLARK TRUCK EQUIP CO INC Purchase Order No.
PO BOX 27 Terms
LINDEN, IN 47955 Due Date 7/27/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/27/2010 39130 $223.12
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
7A jVl..�
Date Officer