156199 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 00350752 Page 1 of 1
ONE CIVIC SQUARE HOLT EQUIPMENT COMPANY, LLC
CARMEL, INDIANA 46032 3673 RELIABLE PARKWAY CHECK AMOUNT: $323.20
CHICAGO IL 60686 -0036 CHECK NUMBER: 156199
CHECK DATE: 2/6/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 1409564 323.20 AUTO REPAIR MAINTEN
I
I
HOLT EQUIPMENT COMPANY LLC
3673RtLiABLEPARKWAY Service Invoice
CHICAGO, IL 60686 -0036
Phone: (502) 254 -0758
JOHN D EERE
INVOICE DATE BRANCH INVOICE NO.
15JAN08 01 1409564
SOLD TO:
CARMEL WATER DEPARTMENT PAGE s
3450 W 131ST ST 1 H
I
SALE TYPE P
WESTFIELD, IN 46074 -8267 CHARGE
CUSTOMER NO. T
O
501992
PURCHASE ORDER NO. PHONE NUMBER WORK ORDER NO. SEG. DATE OPENED SALES PRN
317 571 -2643 140956.4 01
t1h/1F(C� Scnir:i_ iv V. �4Ui�.ir.f. iv��: Gi`
JD 6441 DW624JH590950 720.0
1 s DESCRIPTIQN� A AMO „UNTO
T. H
FUEL PROBLEMS
CAUSE:
MACHINE COMING UP WITH CODES.
CORRECTION:
CODES IN MACHINE WERE BECAUSE OF FUEL
QUALITY. DIESEL FUEL WAS GELLED.
TOTAL LABOR 220.00
40 MILEAGE SERVICE 2.25 90.00
ENVIRON. SUPPLIES 13.20 13:24
SEG# 01 PRT 00 LAB 220.00 MSC 103.20 TOTAL 323.20
.5 .6
j
y
4�
DESCRIPTION', d r =AMOUNT V, "d
TOTAL PARTS 0 0 0
TOTAL LABOR 220 00
MISC. CHARGES 103 20
SALES TAX 0 00
F LEASE PAY
IS TOTAL 323 2 0
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
=•lV ��t -O Vn� Ll�� 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.
l ALLOWED 20
�t ti1t� �1 C(J IN SUM OF
Qo
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
Nog 5 (p q 5 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
Si nat de
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund