166250 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 357702 Page a of 1
1 ONE CIVIC SQUARE HYDRAULIC COMPONENT SPECIALIST
ti CARMEL, INDIANA 46032 13595 LANDSER PLACE HECK AMOUNT: $1,090.60
CARMEL IN 45033 CHECK NUMBER: 166250
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
:1201 4237000 3539A 1,090.60 REPAIR PARTS
Hydraulic Components Specialists, LLC Invoice
13595 Landser Place
Carmel, IN 46033 Date Invoice
11!612008 3539A
Bill To Ship To
Carmel Street Department Carmel Street Department
3400 W. 131 st Street 3400 W. 131 st Street
Westfield, IN 46074 Westfield, IN 46074
P.O. No. Terms Account Job Description
ici Stewart Net 3v ZSir i 67 �undsirand
Qty Item Description Unit Price Amount
Supply new 15 -2034 Pump assembly
I Pumps 15 -20XX New pump 1,006.60 1,006.60
Freight 84.00 84.00
Sales Tax (7.0 $0.00
Total $1,090.60
Shop: 5438 Barker Lane Indianapolis, Indiana 46236 Payments/Credits
$0.00
Phone (317) 895 -6916
Fax (317) 895 -6927 Balance Due $1 ,090.60
Conditional limited warranty as determined by
Hydraulics Component Specialists LLC
Prescribed by Slate Board of Accounls 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 bili(s))
11/06/08 3539A $1,090.60
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
VOU N WARRANT NO.
ALLOWED 20
Hydraulic Components Specialists, LLC
IN SUM OF
13595 Landser Place
Carmel, IN 46033
$1,090.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 3539A 42- 370.00 $1,090.60 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, November 20, 2008
sr�
Street COC(rnl'ISsioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund