199230 07/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 355824 Page 1 of 1
ONE CIVIC SQUARE VERMEER OF INDIANA INC
%a CARMEL, INDIANA 46032 13402 BRITTON PARK ROAD CHECK AMOUNT: $157.28
FISHERS IN 46038 CHECK NUMBER: 199230
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 024888 171.15 REPAIR PARTS
2201 4237000 024912 -13.87 REPAIR PARTS
Vermeer of Indiana, Inc.
13402 Britton Park Rd..
Fishers, IN 46038
Ph 317 842 1040
Vermeer rM
Midwest FX 317 577 1179
Branch
PICKED UP Fishers IN *REPRINT* CNNYYY
o Date Time Page
06/27/11 14:03:56 O 01
u� Account No. Phone No. Invoice No,
CARME001 317 7332001 P25689
Ship Via Purchase Order
6 Carmel Street Dept PICK UP
3400 W 131st St
c
Westfield IN 46074 -8267
Salesperson
NWN
PARTS INVOICE
ORDER 024912
Part# DESCRIPTION Bin ORD ISS SHP B/O UTT Price Amount
296260800 FUEL FILTER R2G5 1- 1- 1- 40.65 40.65CR
154978001 FILTER FUEL R1B4 1 1 1 26.78 26.78
CHARGE ON ACCOUNT 13.87CR
armel Stre4R @a8iV gy
Payment for all services rendered shall be due within (30) days from the date on the invoice from Vermeer of Indiana,inc. Interest shall accrue on all
amounts at the rate of one and one -half percent (1112 monthly (eighteen percent [18 per annum) to any outstanding amounts more than (30) days
past due. You agree to pay all of Vermeer of Indiana, Inc. costs of collection or attempted collection, including, but not limited to, reasonable attorneys'
fees made necessary by your nonpayment pursuant to these terms. All Merchandise returned is subject to a 15% restocking charge and must be
returned within 30 days of receipt. Some safety equipment may not be returnable.
Vermeer of Indiana, Inc.
erMeerCR 13402 Britton Park Rd..
Fishers, IN 46038
Ph 317 842 1040
Tnn
M idwest FX 317 577 1179
Branch
PICKED UP
6 Date Time Page
L 06/27/11 10:09:40 O 1 01
cn Account No. Phone No. Invoice No.
CARME001 317 7332001 P25681
Ship Via Purchase Order
o Carmel Street Dept KEVIN BC1000XL
v 3400 W 131st St
c
Westfield IN 46074 -8267
Salesperson
NWN
PARTS INVOICE
ORDER 024888
Part# DESCRIPTION Bin ORD ISS SHP B/O UTT Price Amount
296260800 FUEL FILTER R2G5 1 1 1 40.65 40.65
154908001 OIL FILTER CU R1B4 1 1 1 14.45 14.45
2683001 ELEMENT RlA4 1 1 1 7.23 7.23
274255001 ELEMENT- PRIMARY R1H2 1 1 1 72.89 72.89
274256001 ELEMENT SAFETY R1H2 1 1 1 35.93 35.93
CHARGE ON ACCOUNT 171.15
Carmel Str et7De
Received By
Payment for all services rendered shall be due within (30) days from the date on the invoice from Vermeer of Indiana,lnc. Interest shall accrue on all
amounts at the rate of one and one -half percent (1112 monthly (eighteen percent [18 per annum) to any outstanding amounts more than (30) days
past due. You agree to pay all of Vermeer of Indiana, Inc. costs of collection or attempted collection, including, but not limited to, reasonable attorneys'
fees made necessary by your nonpayment pursuant to these terms. All Merchandise returned is subject to a 15% restocking charge and must be
returned within 30 days of receipt. Some safety equipment may not be returnable.
Prescribed by State Board of Accounts City Form No. 261 (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))
06127/11 024888 $171.15
06/27/11 024912 ($13.87)
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
20
Clerk- Treasurer
VOUCHER NO. WARR NO.
Vermeer of Indiana ALLOWED 20
IN SUM OF
13402 Britton Park Drive
Fishers, IN 46038
$157.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #1TITLE AMOUNT Board Members
2201 024888 42- 370.00 $171.15 1 hereby certify that the attached invoice(s), or
2201 024912 42- 370.00 ($13.87) 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
Thurgd6y, June 30, 2011
Street Com sioner
t
Street Commi:ij,�iener
Cost distribution ledger classification if
claim paid motor vehicle highway fund