159771 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00351283 Page 1 of 1
ONE CIVIC SQUARE AMERICAN WIRE ROPE AND SLING
CHECK AMOUNT: $42.97
CARMEL, INDIANA 46032 Po sox 10720
FORT WAYNE IN 46853 CHECK NUMBER: 159771
a >o co
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NU INVOICE NU MBER AMO D ESCRIPTION
2201 4237000 174004 42.97 REPAIR PARTS
'elb INVOICE
r' 3122 ENGLE ROAD
FORT WAYNE, IN 46809
WIRE ROPE AND SLING A Finance Charge of 1 -112% per
l Number: 174004
month which is an annual perceni
1717 W. 10th Street age rate of 18 will be applied
Indianapolis, IN 46222 to your unpaid past due balance. Date: 05/05/08
Tel: (317) 634 -2545 Fax: (317) 637 -3950
www.awrsling.com email: indysales @awrsling.com FEDERAL ID NUMBER: 20- 8214111 Page: 1
Bill To: CITY OF CARMEL Ship To: CITY OF CARMEL
530505 WATER UTILITIES 00 3400 WEST 131 ST. STREET
760 3RD AVENUE SOUTHWEST WESTFIELD, IN 46074
CARMEL IN 46032
Reference Shipped Salesperson Terms Tax Code Doc It wh Freight Ship Via
JEFF STEWART 05/02/08 501 TIM YORK NET 30 DAYS 000 801613 05 PRE /ADD UPS
LN I Item Description Ordered Shipped Backordered um Price I Extension
O dered By JEFF STEWAR 733 -2001
01 16 -37116 7/32 X 30 FT W /THIMBLE EYE ONE 1 1 0 EA 36.26 36.26
END 7X19 GAC
i
I
I
We hereby certify that these goods were produced in Merchandise Misc Discount Tax Freight Total Due
compliance with all applicable requirements of Sections
6,7,and 12 of the Fair Labor Standards Act, as amended
and of regulations and orders of the United States 36.26 .00 .00 6.71 42.97
Department of Labor issued under Section 14 thereof.
American Wire Rope and Sling Thanks You
PLEASE PAY FROM INVOICE, NO STATEMENT WILL BE SENT
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
1Payee I lYl �,r l a t� t-1 n C Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
}o �a ��l �to80q
q l
ON ACCOUNT OF APPROPRIATION FOR
pa
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
3 200
0WI u,: M L4
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund