165271 10/29/2008 f CITY OF CARMEL., INDIANA VENDOR: 357702 Page 1 of 1
ONE CIVIC SQUARE HYDRAULIC COMPONENT SPECIALISTI AMOUNT: $1,062.52
?o CARMEL, INDIANA 46032 13595 LANDSER PLACE
CARMEL IN 46033 CHECK NUMBER: 165271
CHECK DATE: 10/29/2008
DEPARTMENT AC PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
?2201 4351000 4913A 1,062.52 AUTO REPAIR MAINTEN
s
p
A
Hydraulic Components Specialists, LLC Invoice
13595 Landser Place
Carmel, IN 46033 Date Invoice
10/16/2008 4913A
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
f: SEcwart. Net 30 25G 167 2G7
Qty Item Description Unit Price Amount
Reseal /Repair 3 Stage Hydraulic Hoist Cylinder
I Seal Kit 108.80 108.80
1 Parts large stage rod 596.32 59632
1 Parts gland /head 81.40 81.40
1 Enviromental Fee 20.00 20.00
Labor 228.00 228.00
Freight 28.00 28.00
Sales Tax (7.0 $0.00
Total $1,062.52
Shop: 5438 Barker Lane Indianapolis, Indiana 46236 Payments /Credits $0.00
Phone (317) 895 -6916,
Fax (317) 895 -6927 Balance Due
$1,062.5
Conditional limited warranty as determined by
Hydraulics Component Specialists LLC
Prescribed by State Board of Accounts City Form Nn. 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))
10/16/08 4913A $1,062.52
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.
ALLOWED 20
Hydraulic Components Specialists, LLC
IN SUM OF
13595 Landser Place
(,armel, IN 46033
$1,062.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member
2201 4913A 43- 510.00 $1,062.52 I hereby certify that the attached invoice(s), or
bifl(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
r Thursday, October 23, 2008
3
`Sheet Co _,r�/
,f
Title ,s
Cost distribution ledger classification if
claim paid motor vehicle highway fund