157600 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
0 CHECK AMOUNT: $37.00
CARMEL, INDIANA 46032 969 N RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 157600
CHECK DATE: 3/19/2008
DE PARTMENT A PO NUMBER INVOICE NUMBER AMOUNT bESCRIPTION
2201 4237000 92852 37.00 REPAIR PARTS
NOR'THSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE NO.
92852
969 NORTH RANGELINE ROAD
CARMEL, INDIANA 46032
(317) 846 -5839
Fax (317) 846 -5614
5455
BILLTO: CITY OF CARMEL SHIPTO:
ONE CIVIC SQUARE
CARMEL, IN 46032 ONE CIVIC SQUARE
CARMEL, IN 46032
(317) 571 -2400
Pagel
INVOICE DATE .ORDER NO. TERMS SALESPERSON
Feb06'08 STREET DEPT NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
2 600566 BUYRT25806 18.50 37.00
6" RECEIVER TUBE
Sub-Total 37.00
Discount
Shipping Handling 0.00
Tax[ 0] EXEMPT*
Total 37.0
CQ Amount Paid .0.00
Received By: Amount Due 37.00
Change 0.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 'I
0 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
cL,3 oo
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
tf' IN SUM OF
`3�, oo
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
1Signat r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund