155341 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 357702 Page 1 of 1
of ONE CIVIC SQUARE HYDRAULIC COMPONENTS PECIALISTS
CARMEL INDIANA 46032 13595 LANDSER PLACE CHECK AMOUNT: $12Q.70
CARMEL IN 46033 CHECK NUMBER: 155341
CHECK DATE: 1/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 4833 120.70 REPAIR PARTS
Hydraulic Components Specialists, LLC Invoice
13595 Landser Place
Carmel, IN 46033
Date Invoice
12/17/2007 4833
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
Jeff Stewart Net 30 250167
Qty Item Description Unit Price Amount
Reseal /Repair Snow Plow Blade Angle Cylinder
1 Seal Kit 32.50 32.50
1 Enviromental Fee 5.00 5.00
Labor. 75.00 75.00
Freight 8.20 8.20
Sales Tax (6.0 $0.00
Total $120.70
Shop: 5438 Barker Lane Indianapolis, Indiana 46236 Payments /Credits $0.00
Phone (317) 895 -6916,
i Fax (317) 895 -6927 balance Due
$120.70
Conditional limited warranty as determined by
Hydraulics Component Specialists LLC
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
R 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))
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.
ALLOWED 20
SUM O
C'ak Wj- On
1 6,7o
ON ACCOUNT OF APPROPRIATION FOR
ktal t_k Qaktts
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT ere certi that the attached invoices
DEPT. I her Y Y
Or
.3 "1p �Q bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
JAN 200 20
Sig ature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund