161495 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
CHECK AMOUNT: $75.90
CARMEL, INDIANA 46032 969 N RANGELINE RD
off `off CARMEL IN 46032 CHECK NUMBER: 161495
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
651 5023990 95565 75.90 OTHER EXPENSES
r
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE NO.
95565
969 NORTH RANGELINE ROAD
CARMEL, INDIANA 46032
(317) 846 -5839
Fax (317) 846 -5614
5455
13ILLTO: CITY OF CARMEL SHIP TO:
ONE CIVIC SQUARE
CARMEL, IN 46032 ONE CIVIC SQUARE
CARMEL, IN 46032
(317).571 -2400
Page:l
INVOICE DATE ORDER NO. TERMS SALESPERSON
Junl3'08 EWER NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 00600 BUY1802200 69.95 69.95
RI -BALL INSERT
1 300149 BUYHP6253WC 5.95, 5.95
IN CLIP, CLASS III
Sub-Total 75.90
Discount
Shipping Handling 0.00
Tax 0] EXEMPT*
Total 75.90
Amount Paid 0.00
Received By: Amount Due 75.90
Change 0.00
L
Prescribed by State Board of Accounts City Form No. 201 (Rev 19951
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
y
Payee
228000
NORTHSIDE TRAILER INC. Purchase Order No.
969 N RANGELINE RD Terms
CARMEL, IN 46032 Due Date 6/26/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2008 95565 $75.90
hereby certify that the attached invoice(s), or bill(s) is (are) true and ;G
Drrect and I have audited same in accordance with IC 5- 11- 10 -1.6 L
Date Officer
i
VO!JCHER 085794 WARRANT ALLOWED
228000
IN SUM OF
NORTHSIDE TRAILER INC.
969 N RANGELINE RD
CARMEL, IN 46032
n,
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
95565 01- 7500 -02 $75.90
Voucher Total $75.90
•-Cost distribution ledger classification if
claim paid under vehicle highway fund