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166140 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1 ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CARMEL, INDIANA 46032 PO BOX 9799 CHECK AMOUNT: $246.86 10222 AIRPORT DRIVE CHECK NUMBER: 166140 FT WAYNE IN 46899 -9799 CHECK DATE: 11/24/2008 DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 16280 246.86 REPAIR PARTS rh T i Brown Equipment Co., Inc. InvoICe 16280 P O Box 9799 Date 11/5/2008 Fort Wayne, IN 46899 -9799 Phone 260/ 747 -2312 Bill To Ship To CARMEL STREET DEPT. CARMEL STREET DEPT. 3400 W. 131 ST STREET 3400 W. 131 ST STREET WESTFIELD, IN 46074 WESTFIELD, IN 46074 Packing List P.O. Number Terms Salesperson Ship Date Ship Via 8001 JEFF NET 10 JOE 11/5/2008 UPS Quantity Item Code Description Price Each Amount 2 72 -28 Bowl Lubricator 120.66 241.32 1 FREIGHT 5.54 5.54 Sales Tax (7.0 $0.00 Total $246.86 VOUCHER NO. WARRANT N ALLOWED 20 Brown Equipment Co. Inc. IN SUM OF P. O. Box 9799 Fort Wayne, IN 46899 -9799 $246.86 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 16280 42- 370.00 $246.86 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 Thursday, November 20, 2008 n l Street Com Issloner 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)) 11/05/08 16280 $246.86 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