190685 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $1,074.87
s` �J CARMEL, INDIANA 46032 PO BOX 9799
•w FT WAYNE IN 46899 -9799 CHECK NUMBER: 190685
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 19918 1,074.87 REPAIR PARTS
Brown Equipment Co., Inc. Invoice 19918
P O Box 9799 Date 9/30/2010
Fort Wayne, IN 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMEL S 'FREE 'I' DEPT. CARMEL STREET DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST SPREE'
WES "1'I IELD. IN 46074 WESTFIELD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
5666 JEFF NET 10 JOIE 9/30/2010 UPS
Quantity Item Code Description Price Each Amount
1 282061 -1 COMPLETE PENDANT 1,066.80 1,066.80
1 FREIGHT 8.07 8.07
Sales Tax (7.0 $0.00
Total S 1.074.87
VOU NO. WARRANT N
ALLOWED 20
Brown Equipment Co. Inc.
IN SUM OF
P. O. Box 9799
Fort Wayne, IN 46899 -9799
$1,074.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member;
2201 19918 42- 370.00 $1,074.87 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
Thpr day tober 07, 2010
Street Comm i s' ner
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))
09/30/10 19918 $1,074.87
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