190306 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 360022 Page 1 of 1
0 ONE CIVIC SQUARE THE HOOSIER CO INC
CARMEL, INDIANA 46032 P 0 BOX 681064 CHECK AMOUNT: $3,308.25
INDIANAPOLIS IN 46268
CHECK NUMBER: 190306
CHECK DATE: 9/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4467099 69646 11.25 OTHER EQUIPMENT
2201 4467099 21448 69646 3,297.00 SURFACE PATROL SYSTEM
The Hoosier Co., Inc.
P.O. BOX 681064
INDIANAPOLIS, IN 46268
(317) 872 -8125 FAX(317) 872 -7183
Invoice 69646
Bill to: Job: 200773
CITY OF CARMEL CITY OF CARMEL
3400 W. 131ST ST.
WESTFIELD, IN 46074
Invoice 69646 Date: 09/13/10 Customer P.O. 21448
Payment Terms: UPON RECEIPT Salesperson: TODD D. THURSTON
Customer Code: 915
Remarks: ATTN: DAVID HUFFMAN
Quantit Description Unit Pride, Extension
3.00 SURFACE PATROL SYSTEM. EA 1,099.00 3,297.00
0.00 FREIGHT 0.00 11.25
Subtotal: 3,308.25
Total: 3,308.25
Less Retention:
Current Due: 3,308.25
CREDIT REGULATIONS: 1 112% Interest Per Month On Past Due Accounts
VOUCHER NO. WARRANT N
ALLOWED 20
The Hoosier Co., Inc.
IN SUM OF
P. O. Box 681064
Indianapolis, IN 46268
$3,308.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 69646 2201-670.99 $11.25 1 hereby certify that the attached invoice(s), or
21448 69646 2201-670.99 $3,297.00 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
4 �7hursday, September 23, 2010
Street Commissioner
StrRpt f:rtimrwtc�,
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))
09/13/10 69646 $11.25
09/13/10 69646 $3,297.00
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