177548 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 008050 Page 1 of 1
ONE CIVIC SQUARE ACTION EQUIPMENT INC CHECK AMOUNT: $101.76
CARMEL, INDIANA 46032 5801 S. HARDING ST
o INDIANAPOLIS IN 46217 CHECK NUMBER: 177548
CHECK DATE: 9/29/2009
DEPARTM ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESC
651 5023990 PS109 -7581 101.76 OTHER EXPENSES
Remit to:
S. Harding Street
Inds Invoice
Indianapolis, IN 46217
(317) 788 -9781 INDIANAPOLIS
EQUIPMENT SALES CO., INC. (812) 423.7974 EVANSVILLE (502) 964 -4464 LOUISVILLE
INVOICE NUMBER: PS109 -7581
INVOICE DATE: 09/09/09
PAGE: 1
SOLD CARMEL STREET DEPARTMENT SHIP CARMEL WASTE WATER TREATMEN
TO: 3450 W 131ST STREET TO: 9609 HAZEDELL PARKWAY
WESTFIELD, IN 46074 CARMEL, IN 46280
CUSTOMER I.D.: CARM01
SHIP VIA: UPS P.O. NUMBER:
SHIP DATE: P.O. DATE. 09/04/09
DUE DATE: 09/19/09 OUR ORDER NO.: S009 -7353
TERMS: Net 10 days SALESPERSON: LAURIE
ITEMfDESGRIPTION UNIT' ORDER OTY TQUANTITY UNIT CE TOTAL PRICE
YG4000 GUN, TRIGGER 5000PS1, 10GPM EACH 2 2 37.85 75.70
826176 0 DISC CPLR 3/8 FNPT 3500 WP EACH 2 2 6.28 12.56
826169 0 DISC CPLR 1/4 FNPT 5500 WP EACH 2 2 3.00 6.00
SHIPPING AND HANDLING EACH 1 1 7.50 7.50
AMOUNT SUBJECT AMOUNT EXEMPT SUBTOTAL
TO SALES TAX FROM SALES TAX 1' qV
101 .76
INVOICE D SCOUNT
SALES TAJC 0.00
0.00 101.76 0.00
INVOICE TOTAL
r 101.76
PAST DUE ACCOUNTS SUBJECT TO 1.5% SERVICE CHARGE PER MONTH
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL 1
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
8050
ACTION EQUIPMENT INC Purchase Order No.
5801 S. HARDING ST Terms
INDIANAPOLIS, IN 46217 Due Date 9/17/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/2009 PS109 -7581 $101.76
h,
n,
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096414 WARRANT ALLOWED
8050 IN SUM OF
ACTION EQUIPMENT INC
5801 S. HARDING ST
INDIANAPOLIS, IN 46217
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
PS109 -7581 01- 7202 -06 $101.76
Voucher Total $101.76
Cost distribution ledger classification if
claim paid under vehicle highway fund