190400 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $47.22
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32
ZIONSVILLE IN 46077 CHECK NUMBER: 190400
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 108879 47.22 MATERIALS SUPPLIES
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE NOI08879
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317- 769 -2460
317 -769 -2463 FAX
14234
BILL T0: CITY OF CARMEL UTILITIES SHIP T0:
WATER /SEWAGE DEPTS.
760 THIRD AVE. S. W. 760 THIRD AVE. S. W.
CARMEL, IN 46032 CARMEL, IN 46032
(317) 571 -2400
Page:1
INVOICE DATE ORDER N0. L TERMS SALESPERSON
ep 1b'10 W=R DEPT. N ET 30 D YS KAY KAY
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 475400 5425Y 12.50 12.50
4 WIRE 25' HARNESS, BOTH ENDS
1 268200 80071 34.72 34.72
ATWOOD 2" COUPLER FOR A -FRAME
Su -Total 47.22
Discount
Shipping Handling 0.00
Ta 01 EXEMPT*
Total 47.22
Amou t Paid 0.00
Received By Amount Due 47.22
Change 0.00
VOUCHER 102808 WARRANT ALLOWED
223000 IN SUM OF
NORTHSIDE TRAILER INC.
969 N RANGELINE RD c�
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
108879 01- 6200 -04 $47.22
Voucher Total W.22
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
228000
NORTHSIDE TRAILER INC. Purchase Order No.
969 N RANGELINE RD Terms
CARMEL, IN 46032 Due Date 9/20/2010
Invoice Invoice Description
Date Number (or note attached invoice {s) or bill(s)) Amount
9/20/2010 108879 $47.22
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
Date icer