156249 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 00350691 Page 1 of 1
ONE CIVIC SQUARE MACHINE DRIVE COMPANY
t r CARMEL, INDIANA 46032 PO BOX 710931 CHECK AMOUNT: $431.74
ow �o CINCINNATI OH 45271 -0931 CHECK NUMBER: 156249
CHECK DATE: 2/6/2008
DEPARTMEN AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 43385 431.74 OTHER EXPENSES
1 ®I A I E DR IVE INVOICE
C O M P A N Y Page: 1
8919 ROSSASH ROAD CINCINNATI, OHIO 45236 -1291 513/793 -7077 FAX 513- 793 -1015
15402 STONY CREEK WAY NOBLESVILLE, IN 46060 -4383 317 776 -2900 FAX 317- 776 -2908
502 INDUSTRIAL DRIVE WAPAKONETA, OH 45895 419 739 -7613 FAX 419 739 -7616
Remit To:
Machine Drive Company
P.O. Box 710931
Cincinnati, OH 45271 -0931
Your Purchase Order:
TERMS: NET 30 DAYS
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
3450 W. 131ST STREET S 3450 W. 131ST STREET
L: ATTN: PAULA WILLIAMS /AP I TIM VANDERGRIFF
Q: P:
WESTFIELD, IN 46074 WESTFIELD, IN 46074
A ccgUN F INVOICE:: IN VOIc S SHIP
NUMBER ;NUMBER 1)ATI BATE VIA
$N'I P E3tOM
194040 F- 43385 -0 01/15/08 01/15/08 FEDX2NDDAY VARIOUS LOCATIONS CK
ORDER:: SH1P is BACK PART UNIT P tEET
QUANTIJ, QUANZITY.: ;ORDERED Q :S.GRiPTI:QN PRIGS. AM T
3 3 0 1CD7 CE15FN3TB 135.58 406.74
ORDERED BY: TIM VANDERGRIFF
SU$ TDT� TAX T(7TNf`::
HANDLING PLEASE
REMIT THIS
1.00 IS OUR MINIMUM BILL 406.74 0.00 25.00 431.74
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
350691
MACHINE DRIVE COMPANY Purchase Order No.
PO BOX 710931 Terms
CINCINNATI, OHIO 45271 -0931 Due Date 1/28/2008,
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/28/2008 43385 -0 $431.74
t
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
44 ///Op
Date Officer
'�VO61-IER 074534 WARRANT ALLOWED
350691 IN SUM OF
MACHINE DRIVE COMPANY 1
PO BOX 710931 ®�EFt�'�
f� CINCINNATI, OHIO 45271 -0931
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
r
PO INV ACCT AMOUNT Audit Trail Code
43385 -0 01- 6200 -04 $406.74
A
43385 -0 01- 6200 -04 $25.00
Voucher Total $431.74
Cost distribution ledger classification if
claim paid under vehicle highway fund