HomeMy WebLinkAbout198566 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 357702 Page 1 of 1
ONE CIVIC SQUARE HYDRAULIC COMPONENT SPECIALIST
CARMEL, INDIANA 46032 13595 LANDSER PLACE HECK AMOUNT: $174.43
CARMEL IN 46033
CHECK NUMBER: 198566
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 6716 174.43 REPAIR PARTS
Hydraulic Components Specialists, LLC Invoice
13595 Landser Place
Carmel, IN 46033 Date Invoice
6/6/2011 6716
Bill To Ship To
Carmel Street Department Carmel Street Department
3400 W. 131 st Street 3400 W. 131 st Street
Carmel, IN 46074 Westfield, IN 46074
P.O. No. Terms Account Job Description
Jeff Stewart Net 30 250i67' C/L104 -1027
Qty Item Description Unit Price Amount
Reseal/Repair Char -Lynn 104 -1027 Hydraulic Motor
I Seal Kit 89.33 89.33
1 Enviromental Fee 5.00 5.00
Labor 74.00 74.00
Freight 6.10 6.10
Sales Tax (7.0 $0.00
Total $174.43
Shop: 5438 Barker Lane Indianapolis, Indiana 46236 Payments /Credits $0.00
Phone (317) 895
Fax (317) 895 -6927 Balance Due.. $1741,43
Conditional limited warranty as determined by
Hydraulics Component Specialists LLC
VOUCHER NO. WARRANT N
ALLOWED 20
Hydraulic Components Specialists, LLC
IN SUM OF
13595 Landser Place
Carmel, IN 46033
$174.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 6716 42- 370.00 $174.43 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
y e
Thurs6yd1t) 16, 2011
Street Commissianer
ti ct r i, r +ssio� er
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))
06/06/11 6716 $174.43
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