174203 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 008050 Page 1 of 1
ONE CIVIC SQUARE ACTION EQUIPMENT INC
CARMEL, INDIANA 46032 5801 S HARDING ST CHECK AMOUNT: $132.35
INDIANAPOLIS IN 46217
CHECK NUMBER: 174203
CHECK DATE: 71812009
DEPARTM ACCOUNT P NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
••2201 4237000 -s PS /09 -4953 T 132.35 REPAIR PARTS
Remit to:
S. Harding Street
Inds Invoice
r i Indianapolis, IN 46217
(317) 788 -9781 INDIANAPOLIS
EOUtPMENT SALES CO.,INC. (812) 423 -7974 EVANSVILLE (502) 964 -4464 LOUISVILLE
INVOICE NUMBER: PS109 -4953
INVOICE DATE: 06/12/09
PAGE: 1
SOLD CARMEL STREET DEPARTMENT SHIP CARMEL STREET DEPT WESTFIEL
TO: 3450 W 131 ST STREET TO: 3400W. 131ST STREET
WESTFIELD, IN 46074 CARMEL, IN 46074
CUSTOMER I.D.: CARM01
SHIP VIA: UPS P.O. NUMBER.
SHIP DATE: P.O. DATE. 06/12/09
DUE DATE: 06/22/09 OUR ORDER NO.: S009 -4764
TERMS: Net 10 days SALESPERSON: LAURIE
ITEMIDESCRIPTION UNIT ORDER QTY TQUANTITYf UNIT PRICE TOTAL PRICE
YG4000 GUN, TRIGGER 5000PS1, 10GPM EACH 1 1 37.85 37.85
4- 011142 VAR. PRESSURE WAND EACH 1 1 85.00 85.00
SHIPPING AND HANDLING EACH 1 1 9.50 9.50
AMOUNT SUBJECT AMOUNT EXEMPT CSUBTOTAL 3
TO SALES TAX FROM SALES TAX 132.35
i INVOICETDISCOUNT, i
SALES TAX t
0.00 132.35 0.00
INVOICE TOTAL
132.35
PAST DUE ACCOUNTS SUBJECT TO 1.5% SERVICE CHARGE PER MONTH
Prescribed by State Board of Accounts City Form No. 201 ft�!v. 1995)
i
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))
06/12/09 PS /09 -4953 $132.35
I 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.
Action Equipment ALLOWED 20
IN SUM OF
5801 S. Harding Street
Indianapolis, IN 46217
$132.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 PS /09 -4953 42- 370.00 $132.35 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
VV nes dj
r July 01, 2009
,f
Street CommissOner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund