191000 10/13/2010 *f CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1
ONE CIVIC SQUARE W A JONES TRUCK BODIES 8, EQUIPMWECK AMOUNT: $23.80
CARMEL, INDIANA 46032 1171 S WILLIAMS STREET
COLUMBIA CITY IN 46725 CHECK NUMBER: 191000
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 53204 23.80 REPAIR PARTS
MC Equipment, INC. I nvoice
W.A. JO
TRUCK BODIES EQUIPMENT
1171 S. WILLIAMS DR. 'x (gip a
COLUMBIA CITY, IN 48725
��;•:t 9/29/2010 53204
Phone(260)244 -7661
Fax (260) 244 -7662
CITY OF CARMEL S 'fREI:= I' DEPT
3400 W. 131 STSTRF 1
WESTFIELD. IN 46074
Customer Fax )733-2005 Cust omer Phone (3 17) 733 -2001
P. Number s r
Net 30 .IPW 9/29/2010 UPS Ship Point
Item C ode Descriptio
12 SI3M -02 SINTERED BRONZE MUFFLER 1.15 13.80
1 FREIGHT FREIGHT CHARGE 10.00 10.00
FINANCE CHA Invoices that remain unpaid 30 days af!'er invoice date- will be Sales Tax (7.0 $0.00
assessed a finance charge of 18% per annum or approximately 1.5% per month.
h.
monthly finance charge is S2. $23.80
VOUCHER NO. WARRAN NO.
ALLOWED 20
W. A. Janes
IN SUM OF
1171 S. Williams Drive
Colunbia City„ IN 46725
$23.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT
Board Members
2201 53204 42- 370.00 $23.80 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
Thursday October 07, 2010
v y. �Sfreet Commis ner/
r
Street (Lt eimissioner
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 53204 $23.80
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