165970 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
ONE CIVIC SQUARE SUNBELT RENTALS
r� CARMEL, INDIANA 46032 PO BOX 409211 CHECK AMOUNT: $205.20
ATLANTA GA 30384 -9211 CHECK NUMBER: 165970
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
902 4460802 17096513 -007 205.20 PEDCOR
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INVOICE
SEND ALL PAYMENTS TO:
SUMBELTO SUNBELT RENTALS 17096513 -002
PO BOX 409211
RENTALS ATLANTA, GA 30384 -9211 a @@9WM 72372
10/13/08
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
ru 1oz- 7232 -7421 COOPER, CALVIN 17096513
N CARMEL, CITY OF WASTEWATER UTI PURCHASE ORDER NO.
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 -2935 NR
IiInIillnnlillnlJlnn�I�II�InnIInI�I�ILnlili�iil�ll JOB NO.
1 CARMEL, CITY OF
JOB ADDRESS BRANCH
CARMEL, CITY OF WASTEWATER UTI INDIANAPOLIS PUMP POWER
3RD AND CITY CENTER 11220 ALLISONVILLE RD
CARMEL, IN 46032 FISHERS, IN 46038 -1837
317 571 -2645 317 572 -1180
QTY EQUIPMENT Min Day Week 4 Week Amount
1 4" X 6" SEWER PLUG 24.00 24.00 60.00 180.00 180.00
No rope kit needed
RENTAL PROTECTION PLAN 25.20'
BILLED FOR FOUR WEEKS 9/25/08 THRU 10/22/08.
Equipment. Service. Guaranteed. 205.20
REMIT TO: NET DUE UPON RECEIPT 14.36
SUNBELT RENTALS Invoices not paid within 30 days may be subject 219.56
PO BOX 409211 to a 1 per month charge.
ATLANTA, GA 30384 -9211
4 WEEK BILL
Prescribed by Sta3g 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
5 Lc 1 4 R Purchase Order No.
"P. B 4 o f Z Terms
G,,¢ 3o) 84 12 1 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 2 ?o
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in 4c�rdance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
(4 R Q.,L-, i IN SUM OF
Pa (3d qoSzr
20
ON ACCOUNT OF APPROPRIATION FOR
If �p2
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20s ze 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
11 �o 0 Og
Sign re C
V 1 C o f r 14ACC
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund