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160387 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350752 Page 1 of 1 f ONE CIVIC SQUARE HOLT EQUIPMENT COMPANY, LLC CARMEL, INDIANA 46032 3673 RELIABLE PARKWAY CHECK AMOUNT: $334.95 'tip CHICAGO IL 60686 -0036 CHECK NUMBER: 160387 CHECK DATE: 6/1012008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 2201 4351000 1409979 334.95 AUTO REPAIR MAINTEN I HOLT EQUIPMENT COMPANY LLC 3673 RELIABLE PARKWAY Service Invoice CHICAGO, IL 60,386 -0036 Phone: (502) 254 -0758 JOHN DEERE INVOICE DATE BRANCH INVOICE NO. 27MAY08 0 1409979 SOLD TO: CITY OF CARMEL STREET DEP PAGE s 3400 WEST 131ST STREET 1 H I SALE TYPE P WESTFIELD, IN 46074 CHARGE T CUSTOMER NO. 0 502970 PURCHASE ORDER NO. PHONE NUMBER WORK ORDER NO. SEG. DATE OPENED SALES PRN 317 571 -2452 1409979 0 2 MAKE MODEL SERIAL NO. EQUIP. NO. METER AUTHORIZED BY JD _6.2_4_J D.W_6.24JH.5.9 -09.50 LOADER 1535.0 DESCRIPTION AMOUNT TRANSMISSION WILL NOT SHIFT COMPLAINT: MACHINE WILL NOT SHIFT WHEN IN FORWARD. HYDRAULIC LEAK. CAUSE: AUTO SHIFT WAS TURNED OFF. FAILED 0 -RING ON RIDE CONTROL. CORRECTION: SERVICE CALL TO JOBSITE. AUTOMATIC SHIFT SWITCH WAS SHUT OFF. TURNED SWITCH TO ON POSITION AND MACHINE WORKED FINE: REPLACED 0 -RING ON RIDE CONTROL VALVE. TOTAL LABOR 220.00 45 MILEAGE SERVICE 2.25 101.25 1 0 -RING .50 .50 ENVIRON. SUPPLIES 13.20 13.20 SEG# 01 PRT .00 LAB 220.00 MSC 114.95 TOTAL 334.95 lkve with it DESCRIPTION AMOUNT TOTAL PARTS 0 00 TOTAL LABOR 2 2 0: 0 0 MISC. CHARGES 114 95 SALES TAX 0 0 0 PLEASE PAY THIS TOTAL 334 9 5 LF -1152 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)) 05127108 1409979 $334.95 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 1 20 Clerk- Treasurer VOUCHER NO. WARRANT N ALLOWED 20 Holt Equipment Company IN SUM OF 3673 Reliable Parkway Chicago, IL 60686 -0036 $334.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 1409979 43- 510.00 $334.95 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 Frid June 06, 2008 1 Street Commi si ner Strfiigt Title Cost distribution ledger classification if claim paid motor vehicle highway fund