191001 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364391 Page 1 of 1
ONE CIVIC SQUARE WAITT EQUIPMENT SALES INC
CHECK AMOUNT: $955.66
s1 CARMEL, INDIANA 46032 24220 us 31
CICERO IN 46034 CHECK NUMBER: 191001
CHECK DATE: 10113/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 095169 955.66 REPAIR PARTS
WAITT EQUIPMENT SALES INC. DATE: 09/29/10
24220 U.S. 31
CICERO, IN 46034 ORDER 095169
(317) 758 -4413 Fax: (317) 758 -4322 INVOICE
BILL TO: CAR470 SHIP TO: 000 CUSTOMER COPY
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
CITY OF CARMEL CITY OF CARMEL
3400 W 131st STREET 3400 W 131st STREET
WESTFIELD, IN 46074 WESTFIELD, IN 46074
(317)773 -2001 Tax Juris: 0101 INDIANA SALES TAX 0031201550
St Ord Date Shp Date Ship Via Sub Acct Cust Ord Slsman Clk Terms CpPg
01 09/20/10 09/20/10 0 12 NET 10 0301
Item Ordered Shipped D e s c r i p t i o n Unit Prc
22- 050 -210 1.00 1.00 ORK 200 90 DEGR GALVAN 804.00 804.00
EA
99- 114 -666 2.00 2.00 OK 200 HD WELD 28.00 56.00
EA
22 -050 -150 2.00 2.00 OK 200 QUICK RELEASE 30.00 60.00
EA GALVANIZED CLAMPS Q -P
CPU
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
920.00 35.66 955.66
PARTS HOURS 7:30 5:00 M -F SAT 7:30 12:00
HAVE A GOOD DAY!
A FINANCE CHARGE OF 1 1 /2o PER MONTH PERIODIC RATE
WHICH IS AN ANNUAL RATE OF 180
WILL BE INCURRED ON ALL PAST DUE AMOUNTS
NO RETURNS WITHOUT PRIOR AUTHORIZATION
VOUCHER NO. WARRANT NO.
ALLOWED 20
Waitt Equipment Sales Inc.
IN SUM OF
24220 U. S. 31
Cicero, IN 46034
$955.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel _Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 095169 42- 370.00 $955.66 a 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
b Thur ;day, O�;tober 07, 201C
Street Commission r
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))
09/29/10 095169 $955.66
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