188823 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 355368 Page 1 of 1
f ONE CIVIC SQUARE HABEGGER CORPORATION CHECK AMOUNT: $58.32
CARMEL, INDIANA 46032 PO BOX 631453
L roX `o r CINCINNATI OH 45263 -1453 CHECK NUMBER: 188823
CHECK DATE: 8/1812010
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 71523600 58.32 BUILDING REPAIRS MA
F EG I•
2310 W. TOWNL ROAD
PEORIA, IL 61615
PH: (309) 691 -4328 06/10 8/ 0 5 1.0 7 1-5 3 6 0 0
8219 NORTHWEST BLVD SUITE 400
THE HABEGGER CORPORATION INDIANAPOLIS, IN 46278 O NAME
habeggercorp.com PH: (317) 875-9966
520 2ND STREET 3 QUEST DRIVE #108 4105 HAGGERTY LN., SUITE A 1304 SAOLIER CIRCLE WEST DR. S HO P
ROCK ISLAND, IL 81201 BLOOMINGTON, IL 61705 AJAY� TIIE N y97905 INDIANAPOLIS, IN 46278
PH: (109) 793 -4328 PH: (309) 828 -4822 �H_(?55}A$329 N PH: (317) 357 -2665
SALESMAN
SHIP CITY OF CARMEL STREET DEPARTMENT PATRICK 109 081.059
TO 3400 W 231ST ST SPECIAL INSTRUCTIONS
WESTFIELD, IN 46074
BILL CITY OF CARMEL STREET DEPARTMENT PAGE 1
TO 3400 W 131ST ST PLEASE REMIT TO.
WESTFIELD. IN 45074 TH-E HABEGGER CORPORATION
P.O.. BOIK 631453
CINCINNATI,. OH 45263 -1.453
NUMBER/DESCRIPTI ORDERED SHIPPED B/O ITEM
UNIT
1Z 12 0 1aI- P4216L4 W 4,86 58..3
PLEATED FILTER 16X24-"'Lz EA
TERMS: 1% 10TH PROX NET 11TH, 1 1 /2% PER MONTH SERVICE CHARGE ON ALL PAST DUE AMOUNTS (18% ANNUAL RATE)
IF PAYMENT IS MADE WITHIN
OUR TERMS YOU MAY $15.00 MINIMUM BILLING TAX PLEASE PAY
10% RESTOCKING CHARGE ON RETURNS
DEDUCT THIS AMOUNT
20% ON SPECIAL ORDERS.
.58. IF PAID BY 9,/101/10 58.32
i
VOUCHER NO. WARRAN N O.
ALLOWED 20
Habegger Corporation
IN SUM OF
P. O. Box 631453
Cincinnati, OH 45263 -1453
$58.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 71523600 43- 501.00 $58.32 1 hereby certify that the attached invoice(s), or
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
/f Thur day ngust 12, 2010
Street CommijidXer
��I,IGGt �ivtcuiiia lull i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate Board of Accounts I 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))
08/06/10 71523600 $58.32
1 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