189370 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364487 Page 1 of 1
0 f l ONE CIVIC SQUARE HOISTS DIRECT CHECK AMOUNT: $360.30
CARMEL, INDIANA 46032 123 CHARTER STREET
ALBEMARLE NC 28001 CHECK NUMBER: 189370
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 S026291 -1 360.30 MATERIALS SUPPLIES
INVOICE
Hoists D iriect Inc.
Raising Thb Standard for Quality Industrial Hoists Invoice Number: S026291-1
Hoists Direct Inc. Invoice Date: 8/6/2010
123 Charter Street Terms: Net 30
Albemarle NC 28001 Due Date: 9/5/2010
Phone 704- 985 -1110 Invoice Amount: $360.31
Fax 704 -985 -1122
SILL TO SHIP TO
City of Carmel Water Wastewater Utilities City of Carmel Water- Wastewater Utilities
Kerri Loveall Kerri Loveall
3450 W 131st St 3450 W 131st St
Carmel IN 46074 Carmel IN 46074
USA USA
Attn:
Ship Via:
YOUR ORDER NO. DESCRIPTION
W09349 City of Carmel Water Wastewater Utilities
Item ID /Description Unit Weight Quantity UM Price Amount
1564 -0000 2 Ea. $85.00 $170.00
Wallace Main Leg Swivel Pin
1541 -0080 1 Ea. $171.00 $171.00
Wallace Leg Brace Assembly
Freight 1 Ea. $19.31 $19.31
Freight Charges
Page 1 of 1 Subtotal: $360.31
Shipping
Sales Tax: $0.00
Total: $360.31
VOUCHER 102488 WARRANT ALLOWED
36.,4487 IN SUM OF
HOISTS DIRECT INC►�
123 CHARTER STREET
ALBEMARLE, NC 28001.
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5026291 -1 01- 6200 -04 $360.31
Voucher Total $360.31
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
364487
HOISTS DIRECT INC Purchase Order No.
123 CHARTER STREET Terms
ALBEMARLE, NC 28001 Due Date 8123/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/23/2010 S026291 -1 $360.31
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