192517 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $54.60
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32
ZIONSVILLE IN 46077 CHECK NUMBER: 192517
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 109953 54.60 TRANSPORTATION EXPENS
NO RTH SIDE TRAILER L
SALES PARTS SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 109953
ZIONSVILLE, IN 46077
317- 769 -2460
317 769 -2463 FAX
14234
BILLTO: CITY OF CARMEL UTILITIES SHIP TO:
WATER /SEWAGE DEPTS.
760 THIRD AVE. S. W. 760 THIRD AVE. S. W.
CARMEL, IN 46032 CARMEL, IN 46032
(317) 571 -2400
Pa e:1
INVOICE DATE ORDER NO. TERMS SALESPERSON
NQIQL� NET 39 PAYS
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
5 426200 143R 3.95 19.75
ED CLEARANCE LIGHT, SEALED, 2
1 428200 136 -3R 12.95 12.95
ED 3 LIGHT IDENTIFICATION BAR
2 36800 421KR 10.95 21.90
TOP, TURN, TAIL LIGHT, SEALED
VD
�e
Sul 54.60
Discount
Shipping Handling 0.00
Tax[ 01 EXEMPT*
Total 54.60
1
Amount Paid 0.00
Received Amount Due 54.60
Change 0.00
zwd w
VOUCHER 103462 WARRANT ALLOWED
228000 IN SUM OF
NORTHSIDE TRAILER INC.
969 N RANGELINE RD WATER
CARMEL, IN 46032 OPERATI[ONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO INV ACCT AMOUNT Audit Trail Code
109953 01- 6500 -05 $54.60
I
Voucher Total $54.60
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 12/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2010 109953 $54.60
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 Officer