175694 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00351198 Page 1 of 1
ONE CIVIC SQUARE FLANNEGAN WESTERN
L, CARMEL, INDIANA 46032 1004 MAIN ST CHECK AMOUNT: $131.00
PO BOX 487
CHECK NUMBER: 175694
EMMETSBURG IA 50536
CHECK DATE: 8/612009
DE PARTME NT ACCO PO NUMBER IN VOICE NUMBER AMO UNT D ESCRIPTION
2201 4237000 2159 131.00 REPAIR PARTS
F
l
FlANNIEGAN Invoice
WESTERN
SINCE 3990
�/IISB�COlhp181L'�'/IJI�!lfsri� Date Invoice
7/14/2009 2159
Mail Payments to:
PO Box 487
Emmetsburg, Iowa 50536
Bill To Ship To
City of Carmel City of Carmel Street Dept.
3400 West 131 st Street 3400 West 131 st Street
Westfield, IN 46074 Westfield, IN 46074
P.O. Number Terms Due Date Ship Via F.O.B. Project
Verbal Jeff N15 7/29/2009 7/14/2009 FED EX GR Emmetsburg
Quantity Item Code Description Price Each Amount
1 48020 Parts Repair Handheld 112.50 112.50T
1 48040 Shipping Shipping Handling 18.50 18.50
Sales Tax 0.00% 0.00
Total $131.00
712.852.3996 (T) 712.852.3997 (F)
Please Visit our Website
www.FWcrane.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Flannegan Western
IN SUM OF
P. O. Box 487
Emmetsburg, Iowa 50536
$131.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 2159 42- 370.00 $131.00 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
Thursday, Jyly,,,30, 2009
Y p
Street Commissioner//
it
Title'
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/14/09 2159 $131.00
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
20
Clerk- Treasurer