164358 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $31.45
,60; CARMEL, INDIANA 46032 969 N RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 164358
CHECK DATE: 9!3012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
1125 4237000 97349 31.45 REPAIR PAR'T'S
I
y=.
NORTHSIDE TRAILER LLC
SALES PARTS S ERVICE
INVOICE 9-7349
969 NORTH RANGELINE ROAD
CARMEL, INDIANA 46032
(317) 846 -5839
Fax (317) 846 -5614
4092
81U.TO: CARMEL CLAY PARKS RECREATION SHIPTO:
1411 EAST 116TH STREET
CARMEL, IN 46032 1411 EAST 116TH STREET
CARMEL, IN 46032
(317) 571 -2695
Pagel
INVOICE DATE ORDER NO. TERMS SALESPERSON
Se 08'08 VIN83108 NET 30 DAYS MIKE L TOM
QUANTITY DESCRI UNIT PRICE AMOUNT
HICLE IDENTIFICATION
6LK TA FLATBED 12 UT W /TOOL BOX AND WATER TANK
VIN# 1SSU510251N383108
1 00850 009008 1.45 1.45
D rive pin,5k,7k sidewind jacks
1 L 30.00 30.00
,AB
REPAIR JACK.
*REPLACED BROKEN DRIVE PIN ON JACK HANDLE. GEAR
_F D
SEP 1 2 08
[B
Description
Sub-Total 31.4.5
D scount
r P.O.0 PorF Shipping Handling 0.00
G.L# el- J/ ye2370c)o Ta 0] EXEMPT*
Buda �et `p
Une escx Total 31.45
Purchaser Date�.�.
Approval Date /0 -6 1S Amount Paid 0.00
Received By: Amount Due 31.45
Change 0.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
228000 Northside Trailer, LLC Terms
969 N Rangeline Road Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
918/08 97349 New jack stand for water trailer 31.45
Total 31.45
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. Warrant No.
228000 Northside Trailer, LLC Allowed 20
969 N Rangeline Road
Carmel, IN 46032
In Sum of
31.45
i
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 97349 4237000 31.45 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
15 -Sep 2008
Signature
31.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund