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173705 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 008050 Page 1 of 1 .,I ONE CIVIC SQUARE ACTION EQUIPMENT INC CHECK AMOUNT: $132.35 CARMEL, INDIANA 46032 5801 S. HARDING ST INDIANAPOLIS IN 46217 CHECK NUMBER: 173705 CHECK DATE: 612412009 DEPAR TMENT ACCOUNT PO NUMBER INV OICE NUMBER AM OUNT DESCRIPTION 2201 4237000 PS /09 -4855 132.35 REPAIR PARTS Remit to: S. Harding Street Inds I nv oi ce Indianapolis, IN 46217 (317) 788 -9781 INDIANAPOLIS EQUIPMENT SALES CO.,INC- (812) 423 -7974 EVANSVILLE (502) 964 -4464 LOUISVILLE INVOICE NUMBER: PS109 -4855 INVOICE DATE: 06/10/09 PAGE: 1 SOLD CARMEL STREET DEPARTMENT SHIP CARMEL STREET DEPT WESTFIEL TO: 3450 W 131 ST STREET TO: 3400 W, 131ST STREET WESTFIELD, IN 46074 CARMEL, IN 46074 CUSTOMER I.D.: CARM01 SHIPVIA: UPS P.O. NUMBER: SHOP SHIP DATE: P.O. DATE: 06 DUE DATE: 06/20/09 OUR ORDER NO.: S009 -4664 TERMS: N 10 days SALESPERSON: LAURIE ITEM /DESCRIPTION UNIT T ORDER Q TY QUANTITY 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 I': SUBTOTAL TO SALES TAX FROM SALES TAX J 1 32.35 INVOICE'DISCCUNT: lkSALESTAX I 0 0.00 132.35 I' 0.00 IIVV ©ICE TOTAL I E 132.35 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 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)) 06/10/09 PS /09 -4855 $132.35 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. WARR NO. ALLOWED 20 Action Equipment 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 Member: 2201 PS /09 -4855 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 n 17 T u day J ne 18, 200 i y eq Street Commissior r S treet CO3 Cost distribution ledger classification if claim paid motor vehicle highway fund