163745 09/17/2008 f CITY OF CARMEL, INDIANA VENDOR: 00351836 Page 1 of 1
ONE CIVIC SQUARE GASOLINE EQUIPMENT
CARMEL, INDIANA 46032 PO sox 10474
CHECK AMOUNT: $51.53
FORT WAYNE IN 46852
CHECK NUMBER: 163745
CHECK DATE: 9/17/2008
DEP ARTMENT ACCOUNT PO N UMBER I NVOI C E NUMBER AMOUNT DESCRIPTION
T 651 5023990 12986501 51.53 MATERIALS SUPPLIES
L
INVOICE
INVOICE
NUMBER 129865 -01
INVOICE
4422 EARTH DRIVE FORT WAYNE, INDIANA 46809 (260) 747 5088 DATE ()8/29/2008
REMIT TO: P.O. BOX 10474 FORT WAYNE, IN 46852
F 1 F
S City of Carmel S City of Carmel
O Waste Water Utilites H Waste Water Utilites
D 760 3rd Ave Suite 110 P 760 3rd Ave Suite 110
Carmel, IN 46032 Carmel, IN 46032
T T
O O
e
0828 PU NET 10 DAYS
999999
NO PCD PART NUMBER LC DESCRIPTION ORDERED SHIPPED
PRICE DISC UNIT COST UM COST
1 HYN 0087 2 1 +VI —T 1" SWIVEL 1 1
51.53 .0000 51.53 EA 51.53
MATERIAL TOTAL 51.53
JNDIANA SALES TAX
AMOUNT DUE 55.14
PAGE 1
MINIMUM BILLING $10.00
A FINANCE CHARGF nF 1 112% PER MONTH /1R% ANNUAL RATFI WII I RF AnnFn T(l Al I PART nl IF A(.CC11 INTR
VOUCHER 086252 WARRANT ALLOWED
00351836 IN SUM OF
GASOLINE EQUIPMENT
P.O. Box 10474
Ft. Wayne, IN 46852
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
12986501 01- 7202 -05 $51.53
Voucher Total $51.53
s�
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
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.
Payee
00351836
GASOLINE EQUIPMENT Purchase Order No.
P.O. Box 10474 Terms
Ft. Wayne, IN 46852 Due Date 9/8/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2008 12986501 $51.53
hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer