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163242 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 357702 Page 1 of 1 ONE CIVIC SQUARE HYDRAULIC COMPONENT SPECIALIST!HECK AMOUNT: $586.53 CARMEL, INDIANA 46032 13595 LANDSER PLACE CARMEL IN 46033 CHECK NUMBER: 163242 CHECK DATE: 913/2008 DEPARTMENT e. ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC 2201 4237000 5207 586.53 REPAIR PARTS t Hydraulic Components .Specialists, LLC Invoice 1.3595 Landser Place Carmel, IN 46033 Date Invoice 8/22/2008 5207 Bill To Ship To Carmel Street Department Carmel Street Department 3400 W. 131st Street 3400 W. 131 st Street Westfield, IN 46074 Westfield, IN 46074 P.O. No, Terms Account Job Description Jeff Stewart Net 30 250167 John Deere 310 Qty Item Description Unit Price Amount Reseal/Repair John Deere 310SE Clam Bucket Cylinder 1 Seal Kit 88.90 88.90 1 Rechrome Service 265.00 265.00 1 Enviromental Fee 10.00 10.00 Labor 208.00 208.00 Freight 14.63 14.63 Sales Tax (7.0 $0.00 Total $586.53 Shop: 5438 Barker Lane Indianapolis, Indiana 46236 Payments /Credits $0.00 Phone (317) 895 -6916, Fax (317) 895 -6927 Balance- $586:53 Conditional limited warranty as determined by Hydraulics Component Specialists LLC 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)) 08/22108 5207 $586.53 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 2a Clerk- Treasurer VOUCHER CVO. WARRANT NO. ALLOWED 20 Hydraulic Components Specialists, LLC IN SUM OF 13595 Landser Place Carmel, IN 46033 $586.53 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 5207 42- 370.00 $586.53 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 T ursd y, August 28, 2008 Street C rrimissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund