HomeMy WebLinkAbout200363 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC
CHECK AMOUNT: $269.73
CARMEL, INDIANA 46032 PO BOX 9799
FT WAYNE IN 46899 -9799 CHECK NUMBER: 200363
CHECK DATE: 8117/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 21521 269.73 REPAIR PARTS
21521
Brown Equipment Co., Inc. I n voi ce
P O Box 9799 F Date 7/26/2011 l
Fort Wayne, IN 46899 -9799 1
Phone 260/ 747 -2312
Bill To Ship To
CARMFL S`I'REI "I' DEPT. CARMEL STREE 'I' DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST STREF -7
WESTFIELD, IN 46074 WESTFIELD. IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
5114 NET 10 JOE 7/26/2011 UPS
Quantity Item Code Description Price Each Amount
1 281777 -1 LONG REAR DOOR SEAL, 260.45 260.45
1 FREIGHT 9.28 9.28
c
Sales Tax (7.0 $0.00
Tota 5269.73
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brown Equipment Co. Inc.
IN SUM OF
P. O. Box 9799
Fort Wayne, IN 46899 -9799
$269.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Oept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
2201 21521 42 370.00 $269.73 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
1 Thursday�A� gust 11, 2011
X 11
SAM Commis
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounis City Form No. 201 (Rev. 199
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))
07/26/11 21521 $269.73
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