190823 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 357703 Page 1 of 1
F, ONE CIVIC SQUARE GARY JONES
CARMEL, INDIANA 46032 856 S. 8TH STREET CHECK AMOUNT: $10.40
NOBLESVILLE IN 46060
CHECK NUMBER: 190823
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
2201 4237000 10.40 REPAIR PARTS
4nvof 0116712
Metric S Inc. 912 9/201 o
17030 Westfield Park Rd. P.O. Box 292 Pa a 1
Westfield, IN 46074-0292
3.17 -896 -3555 or 1- 866- 2MET121C
Fax: 317 -867 -2(100
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Bill To: Ship To:
CASH SALE CASH SALE
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Customer IDS. „Purchaseztrclei;No e a,; Sales
CNIS MIKE PICKUP Cash-
i Fror Nr, a� X a"
'Ordered :Shi etl��BIO ,,,n..Desc�i "tion.�__+"� Unit�Price_. Ext:uPrlcer
20 20 0 17.17 X 1.78 V F55 $0.5200 $1,Q;40
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TERMS OF SALE: The urchase rice, together with freight and tax, is $10.40
P P 9 9 '$Ubtotale�
due at the office of Seller in Westfield, Indiana within thirty (30) days of 9 $0.00
the date on this invoice. The balance of the rice remaining u on
P g P
the thirty first (31st) day following the date of this invoice shall bear a k'! $0.00
service charge at the rate of one and one -half percent (1 -112 per *.66 1 $0.00
month. The Annual Percentage Rate (APR) is eighteen percent (18 4 1 ra de'DI`s coutit $0.00
Buyers account shall be considered delinquent if the balance of the s
purchase price is not paid in full within sixty (60) days of the date of this TOt81�rg ".33" a a`. $1 0.40
invoice. Seller shall be entitled to recover all costs of collection,
including reasonable attorneys fees, as to a delinquent account.
APPLICABLE LAW, JURISDICTION, and VENUE: This transaction
shall be governed by the laws of the State of Indiana. Jurisdiction and THANK
venue shall be Hamilton County, Indiana, for collection and all other
purposes.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gary Jones
c/o Carmel Street Department IN SUM OF
$10.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE I AMOUNT Board Member:
2201 0116712 42- 370.00 $10.40 I 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
,n Thursday, October 07, 201 C 1/
Street Commissioner�
Street iti�' "ssioner
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))
09/29/10 0116712 $10.40
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