HomeMy WebLinkAbout203381 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $135.42
CARMEL, INDIANA 46032 PO BOX 9799
FT WAYNE IN 46899 -9799 CHECK NUMBER: 203381
CHECK DATE: 11/912011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 22144 109.83 REPAIR PARTS
2201 4237000 22151 25.59 REPAIR PARTS
Brown Equipment Co., Inc. Invoice 22144
P O Box 9799 Date 10/26/2011
Fort Wayne, IN 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMEL S'I'RII "I' DEP "f. CARMEL STREET DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST STREET
WESTFIELD, IN 46074 WESTFIELD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
5626 CURT NIA I' 10 JOE 10/26/2011 UPS
Quantity Item Code Description Price Each Amount
2 93404 -1 Seal- Rubber Nozzle to Body 51.46 102.92
I FREIGHT 6.91 6.91
Sales Tax (7.0 $0.00
Total $109.83
Brown Equipment Co., Inc. Invoice 22151
P O Box 9799 Date 10/28/2011
Fort Wayne, IN 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEP 'I'.
3400 W. 131 ST STREET 3400 W. 131 ST STREET
WESTFIELD, IN 46074 WESTFIELD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
5586 NE"I' 10 JOE 10/28/2011 UPS
Quantity Item Code Description Price Each Amount
4 418 -12 Nut Dome Steel M 12C 4.69 18.76
1 FREIGHT 6.83 6.83
Sales Tax (7.0 $0.00
Total $25.59
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))
10/26/11 22144 $109.83
10/28/11 22151 $25.59
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. WARRANT NO.
ALLOWED 20
Brown Equipment Co. Inc.
IN SUM OF
P. O. Box 9799
Fort Wayne, IN 46899 -9799
$135.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 22144 42- 370.00 $109.83 1 hereby certify that the attached invoice(s), or
2201 22151 42 370.00 $25.59
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 �hursday, Novemb 03, 2011
Street Commissio fl�l
Street CTStlmrr,issioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund