166713 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 003507 52 Page 1 of 1
s 0 ONE CIVIC SQUARE HOLT EQUIPMENT COMPANY, LLC CHECK AMOUNT: $692.35
CARMEL, INDIANA 46032 3673 RELIABLE PARKWAY
+4- CHICAGO IL 60686 -0036 CHECK NUMBER: 166713
ETON
CHECK DATE: 12/10/2008
'DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 01- 1346254 692.35 REPAIR PARTS
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HOLT EQUIPMENT COMPANY LLG Parts Invoice
3673 RELIABLE PARKWAY
(INICAGO, 1[- 60696-0036
Phone: X502) 254-07Yi JOHN DEERE
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7. I.4 4 4 G 00 5139£30 13980 317-5/1-2452 0 4 1) F C 0 8 10 0 8 1, 1.
QUANTITIES PRICES
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M AKE=: J 1) M 0 D E L S E- I? N 0 HRS:
2 I I N T1. C U 1 T I N G L'D G C R 1. 5 87 36 87 36 174 .72
17 N 1 7 5 0 5 0 H 0 1- T V 1, 0 Ll 1. 2_ .07 2 07 24.84
2 N 1'] DURA-MAX I 24 24 6) .4 0 492
1 1 'S AN ALL NEW 13RFI- OF D
ASK A SALESMAN Ali 0 U L I N E W J S E R I E S L A 1) F- R S
1 L"I" IS NOW AVAILABLI: TO YOU 24 1IOU11S A DAY I DAYS A
W F I, K FO F A S T E F F .1. C I F N T SE R V 1. C I N G OF A1.1- �OUR PAR �s
SE N E E 0 S P C A L L (800) 595 1. 0 8 1,
VISIT US ONL fN 17 AT http://www,holtequipm(
DESCRIPTION ACCOUNT AMOUNT
I III VIA
PARTS T A X A 13 L F
PARTS NONTAX131-1. 69
MISC TAXABLF
MISC NONTAXA131 I
I
SALES TAX
PLEASE PAY Tills 1 AL 692 36
W.GFIVI D Ily
LF-I 1 :3 7 CUSTOMER COPY
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))
12/04/08 011346254 $692.35
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
VOUCE-lER KO. WARRANT NO.
Holt Equipment Company ALLOWED 20
IN SUM OF
3673 Reliable Parkway
Cihicago, IL 60686 -0036
$692.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #1TiTLE AMOUNT Board Members
2201 01 1346254 42- 370.00 $692.35 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, December 04, 2008
Street Co missioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund