188743 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $1,238.51
CARMEL, INDIANA 46032 PO BOX 9799
FT WAYNE IN 46899 -9799 CHECK NUMBER: 188743
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 19554 749.56 REPAIR PARTS
2201 4237000 19555 364.50 REPAIR PARTS
2201 4237000 19564 124.45 REPAIR PARTS
Brown Equipment Co., Inc. Invoice 19564
P O Box 9799 Date 8/4/2010
Fort Wayne, IN 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 WESTFIFLD. IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
5523 NET 10 .IOE 8/4/2010 2ND DAY UPS
Quantity Item Code Description Price Each Amount
1 21216 -12 CABLE 104.63 104.63
1 FREIGHT 19.82 19.82
Sales Tax (7.0 $0.00
Total 8124.45
Brown. Equipment Co., Inc. Invoice 19555
P O Box 9799 Date 7/30/2010
Fort Wayne, TN 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMEL STRFFT DEPT'. CARMEL STREET DEPT.
3400 W. 131 S "1 STREET 3400 W. 131 ST STREET
WESTPiELD, IN 46074 WESTFIELD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
5498 JEFF NET 10 JOE 7/30/2010 2ND DAY UPS
Quantity Item Code Description Price Each Amount
1 94990 -1 4.75" INTAKE SEAT 293.48 293.48
1 FREIGHT 71.02 71.02
Sales Tax (7.0 $0.00
Total $364.50
Brown Equipment Co., Inc. Invoice 19554
P O Box 9799 Date 7/30/2010
Fort Wayne, M 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
WISTFIELD, IN 46074 WESTFIELD, IN 46074
Packing List P.Q. Number Terms Salesperson Ship Date Ship Via
5505 .IRFF NE[' 10 JOE 7/30/2010 UPS
Quantity Item Code Description Price Each Amount
1 93404 -1 Seal- Rubber Nozzle to Body 45.90 45.90
1 280694 -1 INTAKE DUCT 534.69 534.69
1 FREIGHT 168.97 168.97
Sales Tax (7.0 $0.00
Total $749.56
VOUCHER NO„ WARRANT NO.
Brown Equipment Co. Inc. ALLOWED 20
IN SUM OF
P. O. Sox 9799
Fort Wayne, IN 46899 -9799
$1,238.51
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 19554 42- 370.00 $749.56 1 hereby certify that the attached invoice(s), or
2201 19555 42- 370.00 $364.50
bill(s) is (are) true and correct and that the
2201 19564 42- 370.00 $124.45
materials or services itemized thereon for
which charge is made were ordered and
received except
Thur o y, Est 12, 201 C
I-W §treet Commission r
Street QmmicO^
Title
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))
07/30/10 19554 $749.56
07/30/10 19555 $364,50
08104/10 19564 $124.45
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