193249 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1
ONE CIVIC SQUARE W A JONES TRUCK BODIES EQUIPM CHECK AMOUNT: $220.80
O
CARMEL, INDIANA 46032 1171 S WILLIAMS STREET
COLUMBIA CITY IN 46725 CHECK NUMBER: 193249
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 54973 220.80 REPAIR PARTS
MC Equipment, INC. Invoice
W A JONES
TRUCK BODIES EQUIPMENT
1171 S. WILLIAMS DR,
COLUMBIA CITY, IN 46725
Phone (260) 244 -7661
Fax(260)244 -7662
CITY OF CARMEL STREE 'I' DEP 'I'
3400 W. 131 ST STREET
Carmel, IN 4 &074..
Customerfax-
P.O.Numbpr
Net 30 IPW 12/15/2010 UPS
Description
122050 DBI- SPRING ROD 110.40 2 220.80
i
Sa @S
$220.80
VOUCHER NO. WARR NO.
ALLOWED 20
W. A. Jones.
IN SUM OF
1171 S. Williams Drive
Colunbia City„ IN 46725
$220.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TiTLE AMOUNT
Board Member
2201 54973 42- 370.00 $220.8+) 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
firiday, De 2010
Street Commissioney
S ree- mmissioner
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))
12/15/10 54973 $220.80
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