192884 12/15/2010 ARM CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32
ZIONSVILLEIN 46077 CHECK AMOUNT: $61.90
CHECK NUMBER: 192884
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 109591 40.00 REPAIR PARTS
2201 4237000 109923 21.90 REPAIR PARTS
NORTHSIDE TRAILER LLC PREVIOUS BALANCE
DATE DESCRIPTION CHARGES CREDITS BALANCE
11/01/10 BAL FWD BALANCE FORWARD 139.95 139.95
11/01/10 109591 40.00 40.00
11/29/10 109923 RANDY 21.90 21.90
TOTAL AMOUNT DUE
0 30 30 60 60 90 Over 90
61.90 139.95 0.00 0.00 201.85
MESSAGES I COMMENTS
PRODUCT 13035(3 USE WITH 771C ENVELOPE NESS To Reorder: 1- 800- 225 -6380 or www.nebs.com PRINTED IN UZ A. A
A 0
0-
NOR THSIDE TRAIL LLC
SALES PARTS SERVICE
INVOICE N0109591
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317 -769 -2460
317 769 -2463 FAX
14235
BILL TO: CITY OF CARMEL STREET DEPT. SHIP TO:
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571 -2400
Page:l
INVOICE DATE ORDER NO. TERMS SALESPERSON
77�Tj 10 J EFF STEWART NET 3U DAYS KAY KAY
QUANTITY DESCRIPTION UNIT PRIDE AMOUNT
50 461600 03252 1.00 50.00
2 WIRE 12ga DUPLEX, 500' ROLL
Su -Total 50.00
Discount 10.00
Shipping Handling 0.00
Tax[ O] EXEMPT*
Total 40.00
L
Am ount Paid 0.00
Received By: �Cd�1 Amount Due 40.00
Change 0.00
`�J /�2%Ilffi �GCIi
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 109923
ZIONSVILLE, IN 46077
317 769-2460
317 -769 -2463 FAX
BILL TO: 14235 SHIP TO:
CITY OF CARMEL STREET DEPT.'
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571 -2400
Pagel
INVOICE DATE ORDER NO. TERMS SALESPERSON
10 RAN PY- TOM TOM
'QUAN TTY DESCRIPTION UNIT PRICE AMOUNT
2 435800 426KR 10.95 21.90
STOP, TURN, TAIL LIGHT, SEALED
Su -Total 21.90
Discount
Shipping Handling 0.00
Ta 01 EXEMPT*
Total 21.90
Amount Paid 0.00
Received By: Amount Due 21.90
Change 0.00
VOUCHER NO. WARRA NO.
Northside Trailer ALLOWED 20
IN SUM OF
11985 East St. Rd. 32
Zionsville, IN 46077
$61.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 109591 42- 370.00 $40.00 1 hereby certify that the attached invoice(s), or
2201 109923 42- 370.00 $21.90 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
4 Friday' Declrn%er 10, 2010
Street Commissioner
TiVe
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 showy 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))
11/01/10 109591 $40.00
11/29110 109923 $21.90
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