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155513 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 359704 Page 1 of 1 d�lr ONE CIVIC SQUARE SMITH IMPLEMENTS INC CHECK AMOUNT: $934.00 CARMEL INDIANA 46032 1111 W THIRD ST RUSHVILLE IN 46173 CHECK NUMBER: 155513 CHECK DATE: 1/1012008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 11.25 R4232000 17959 362520 934.00. TIRES SMITH INC. 1111 West 3rd Street Parts I nv oice Rushville, IN 46173 765 932 -2977 or 800-332-3337 JOHN DEERE 0 CARMEL CLAY PARKS REC PAGE H CARMEL CLAY PARKS REC L 760 THIRD AVE SW, SUITE 1 I 1427 E 116TH STREET D CASH CHG. OTHER P CARMEL IN 46032 US x CARMEL IN 46032 T ACCT. NO T 0 0 18788 SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO. 21 00044968 317 571 -4144 17DEC07 12:05 03 362520 QUANTITIES w PRh ES ORDER SHIPPED ,B /O. PART NUMBER M D RIPTION M LIST NET` EXTENSION.., MAKE: JD MODEL: SERNO: HRS: 1 N TIRES NSTK 934.00 934.00 934.00 TIRES FOR SKID STEER JAN Q 6 :00S I u 2 j0 g wa.. c6D EPA Y D Esc 46f Uv�pdw DESCRIPTION ACCOUNT AMOUNT SHIP VIA PARTS TAXABLE PARTS NONTAXBLI 934.00 MISC TAXABLE MISC NONTAXABL SALES TAX RECEIVED BY PLEASE PAY THIS TOTAL 9'3 4 0 0 LF -1137 CUSTOMER COPY ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by swhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Smith Implements, Inc. Terms 1111 W. 3rd St. Rushville, IN 46173 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/17/07 362520 Tires -skid steer 934.00 Total 934.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Smith Implements, Inc. Allowed 20 1111 W. 3rd St. Rushville, IN 46173 In Sum of 1934.00 ON- ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 17959F 362520 4232000 934.00 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 4 -Jan 2008 0 Sig ature 934.00 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund