196928 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 276475 Page 1 of 1
e ONE CIVIC SQUARE ROUDEBUSH EQUIPMENT INC CHECK AMOUNT: $628.73
CARMEL, INDIANA 46032 MASSEY- FERGUSON
2911 ST RD 32 E CHECK NUMBER: 196928
WESTFIELD:N 46074 -9512
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 105144 59.22 REPAIR PAR'I'S
2201 4237000 SP105085 569.51 REPAIR PARTS
ROUDEBUSH EQUIPMENT INC. ��v ®IC�
Sales Service
2911 STATE ROAD 32 EAST
WESTFIELD, IN 46074 S�rP I. 050 8091256
MASSEY FERGUSON 317 -896 -2753
www.roudebushequipment.com
BILL TO: CITY OF (.(1Ft1`ll:: L STREE T DEPT. SHIP TO: YEAR::
C.AI•tIYII::.L lYlAl'.I::.
::3400 W. 131ST T S: >TREE T MODEL.-
CARMEL IN. 46074
I°IOME:: ;:3:1.7 733 E:.'.001 WORK:;
o MIT, ALISJOSID
04/1:3=1 1. 10010 (:31 'I:::hl At:;t::C ?t.lNT c :I.:I 1 71i) JR
DESCRIPIO
.}.1 JL::l6 ul l" r.. ,:y °I::.I• VI::. >.LtS.:�. :S `•I >:L J. S,i., ,:S
:I... r14c3 >::IPI -•500c-'l3:I 40 ELECTRIC t: :I..UT(:H $340.56
1.00 0 I:tF-I•• 97,:3:12 PUMP IDLER $18. $18..21.
1. 00 Jf:f1..I....5002756 3 PI.JI'P DRIVE S:tl:" {...'T $22.19 $2 2.19
19
1.00 X:;i••I•• ;S00i:}Flr`.t }t." 8 TURNED EYE ]13(:3LT tl 2.82 $2. 82
T T AI... I° OR PARTS $569. 51
AMOUNT T" DUE:: $569.. 5:1.
AMOUNT TENDERED D {I ;0.. [f 0
iC www.. eilflt:'C)I: }art:t:i1:)C }I•rs. n) 3i
SERVING YOU SINCE NC:E 1961.
sl>
THANK YO I"(:lR YOUR BUSINESS NE::S: S :I>
IYI....F* 8 AN 1:: SATURDAYS T l.lEtDAYS:s t3._.12 l: 00 7
WWW.. RC3UDE• DUf:3Hl:::OU I:F'MI:::N T'. f:`OI WS:32
CHARGE $569.51
I hereby certify under the penalties of perjury that the personal property purchased TERMS: Net 10th of month following purchase. A charge of 1.5% per
by the use of this exemption certificate will be DIRECTLY used in the DIRECT month (18% per annum) will be added to all past due accounts. No goods
production of agricultural products for resale.
Sale to Retailer, Wholesaler or Manufacturer for Resale Only. returnable after 10 days. All returned goods and claims must be accom-
Sales to Not•For- Profit Organizations, claiming exempt purchases pursuant panied by this invoice. Special order goods are not returnable. Returned
to bulletin, #10. goods are subject to a handling charge.
3 Sales 5 Governmental units.
RQUDEBUSH EQUIPMENT INC. I��®I��
Sales Service
irr 2911 STATE ROAD 32 EAST No. U r 7
WESTFIELD, IN 46074 :1.LK'5 1 44 U G
MASSEY FERGUSON 317 896 2753
www.roudebushequipment.com
BILL TO: (;:I:'T "Y Of" (:faltilYll:::I... ISTFI 1 :::I ::'T' X)I :I =''T., SHIP TO: Yl:rlli
.340f'J W., 1.319T
I••IOIYII* II ;:3:I.7 7133 i. ?00 1. WORK
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I hereby certify under the penalties of perjury that the personal property purchased TERMS: Net 10th of month following purchase. A charge of 1.5% per
by the use of this exemption certificate will be DIRECTLY used in the DIRECT month (18% per annum) will be added to all past due accounts. No goods
production of agricultural products for resale.
Sale to Retailer, Wholesaler or Manutacturerfor Resale Only, returnable after 10 days. All returned goods and claims must be accom
Sales to Not For Profit Organizations, claiming exempt purchases pursuant panied by this invoice. Special order goods are not returnable. Returned
t bulletin N10. goods are subject to a handling charge.
Governmental units.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roudebush Equipment
IN SUM OF
2911 State Road 32 East
Westfield, IN 46074
$628.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 105144 42- 370.00 $59.22 1 hereby certify that the attached invoice(s), or
2201 SP105085 42- 370.00 $569.51
bill is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
n
Th ursda�!� Aril 21, 2011
KVV
Strce�et �f i ll 81 Rr
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))
04/13/11 105144 $59.22
04/13/11 SP105085 $569.51
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
20
Clerk- Treasurer