161578 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $741.00
4 CARMEL, INDIANA 46032 PO Box 409211
ATLANTA GA 30384 -9211 CHECK NUMBER: 161578
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1205 4462000 15661639 -001 741.00 OTHER STRUCTURE IMPRO
INVOICE
SEND ALL PAYMENTS TO:
SUNBELT RENTALS
SUMBELTO PO BOX 409211 15661639 -001
RENTALS ATLANTA, GA 30384 -9211 182286
5/30/08
PAGE
1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
m 1oz- 7958 -8175 FAUCETT, JOSEPH 15661639
L a o CITY OF CARMEL PURCHASE ORDER NO.
1 CIVIC SQ
CARMEL IN 46032 -2584 WILL UPDATE
JOB NO.
1 CITY OF CARMEL
JOB ADDRESS BRANCH
CITY OF CARMEL INDIANAPOLIS PUMP POWER
1 CIVIC SQUARE 11220 ALLISONVILLE RD
CARMEL, IN 46032 FISHERS, IN 46038 -1837
317- 575 -0841 317- 572 -1180
QTY EQUIPMENT Min Day Week 4 Week Amount
1 MISCELLANEOUS N/C
Billed from 5/27/08 thru 5/30/08
Caps for flow through plugs
3 30' ROPE AND KIT 8.00 8.00 20.00 60.00 60.00
i
1 20' ROPE AND HOSE KIT 8.00 8.00 20.00 60.00 20.00
1 8" X 12" SEWER PLUG 48.00 48.00 120.00 360.00 120.00
3 8" X 12" SWR PLG W/ 4" FLOW THROUGH 60.00 60.00 150.00 450.00 450.00
RENTAL PROTECTION PLAN 91.00
FINAL BILL: 5/27/08 03:42 PM THRU 5/30/08 12:58 PM.
i
Equipment. Se rvac'ee Guaranteed. 741.00
REMIT TO: NET DUE UPON RECEIPT 51.88
SUNBELT RENTALS 792.88
PO BOX 409211 Invoices not paid within 30 days maybe subject
ATLANTA, GA 30384 -9211 to a 1-/2% per month charge.
RENTAL RETURN
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Sunbelt Rentals Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
07./.07/08
ALLOWED 20
Sunb Rentals
IN SUM OF
P.O. Box 409211
Atlanta, GA 30384 -9211
$741.00
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 Administration
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 .00 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Ate_
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund