159254 05/14/2008 *R CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC
CHECK AMOUNT: $128.37
CARMEL, INDIANA 46032 Po aox 9799
10222 AIRPORT DRIVE CHECK NUMBER: 159254
FT WAYNE IN 46899 -9799
CHECK DATE: 5/1412008
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
;2201 4237000 15302 128.37 REPAIR PARTS
i
I
Brown Equipment Co., Inc. Invoice Is3o2
P 0 Box 9799 Date 4/30/2008
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
7000 MIKE NET 10 JOE 4/30/2008 UPS
Quantity Description Price Each Amount
2 BADGER FEED ROLLER SPRINGS B0515 -270 60.50 121.00
1 FREIGHT 7.37 7.37
Sales Tax (6.0 $0.00
Total $128.37
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.
fa Q Payee
h�9 II A 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
oy-
W(���4- �i'�9�
ON ACCOUNT OF APPROPRIATION FOR
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
MAY 1 2 2008
0
i nat
Yl.
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund