158812 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
0 ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $127.02
CARMEL, INDIANA 46032 PO BOX 9799
0 10222 AIRPORT DRIVE CHECK NUMBER: 158812
FT WAYNE IN 46899 -9799
CHECK DATE: 4130/2008
DEPARTME`N7 ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 15187 127.02 REPAIR PARTS
I
Brown Equipment Co., Inc. Invoice
15187
P O Box 9799 Date 4/15/2008
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
6983 NET 10 JOE 4/15/2008 UPS
Quantity Description Price Each Amount
2 ALLIANZ 211 -34 LATCH 60.74 121.48
I FREIGHT 5.54 5.54
Sales Tax (6.0 $0.00
Total $127.02
i
Prescribed by Stale 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.
Payee
,y n
6r cw Q L,lL YYlu't 1 �0 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 0 Cl U� Q 1 a-7,
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
�rQ��� O IN SUM OF
F+, kla i ti bEgg- g'7�s
Lo o
ON ACCOUNT OF APPROPRIATION FOR
Board Members
.PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 51 S'� 3"i 0 11_l 0L, 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
APR 2 8 zoos 20
Signatu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund