203566 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $54.62
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32
ZIONSVILLE IN 46077 CHECK NUMBER: 203566
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 114952 15.36 REPAIR PARTS
2201 4237000 115263 39.26 REPAIR PARTS
NORTHSIDE TRAILER LLC PREVIOUS BALANCE
DATE DESCRIPTION CHARGES CREDITS BALANCE
10 /01 /11 BAL FWD BALANCE FORWARD 206.85 206.85
10/05/11 14952 JEFF STEWART 15.36 15.36
10/24/11 115263 MIKE 39.26 39.26
TOTAL AMOUNT DUE
0 30 30 60 60 90 Over 90
54.62 0.00 0.00 206.85 152.23
MESSAGES /COMMENTS
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PRODUCT 13035G USE WITH 7710 ENVELOPE Deluxe For Business 1- 800 225 -6380 or www.nebs.com PRIMED IN U.S.A. A
r
0080 A
NuRTHSIDE TRA LLC
SALES PARTS SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 114 952
ZIONSVILLE, IN 46077
317 769 -2460
317 769 -2463 FAX
BILL T0:14235 SHIP TO:
CITY OF CARMEL STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571 -2400
INVOICE DATE ORDER NO. TERMS SALESPERSON
Oct05'11 JEFF STEWART NET 30 DAYS KAY KAY
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 04600 DR10 -3 -4 15.36 15.36
D RING, DROP FORGED, W /MTG BRK
Sub Total 15.36
Discount
Shipping Handling 0.00
Tax[ 01 EXEMPT*
Total 15.36
T D
Received A ount Paid 0.00
y: ount Due 15.36
Change 0.00
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 115263
ZIONSVILLE, IN 46077
317- 769 -2460
317- 769 -2463 FAX
BILL TO: 14235 SHIP TO:
CITY OF CARMEL STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571 -2400
INVOICE DATE ORDER NO. TERMS SALES ERSON
Oct24'11 MIKE NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT-PRICE AMOUNT
4 404300 DRB12 25 7.5 30.00
D -RING W /BOLT -ON MTG BRKT, 112
1 404400 DR58 -3 9.25 9.26
D RING, DROP FORGED, W /MTG BRK
Sub 39.26
Discoun
Shipping Handlinj 0.00
Tax[ 01 EXEMPT*
TotaL 39.26
Amount Paid 0.00
Receive By: Amount Du 39.26
v Chang 0.00
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))
10/05/11 114952 $15.36
10/24/11 115263 $39.26
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
Northside Trailer
IN SUM OF
11985 East St. Rd. 32
Zionsville, IN 46077
$54.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 114952 42- 370.00 $15.36 1 hereby certify that the attached invoice(s), or
2201 115263 42 370.00 $39.26
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
Friday, NbUmber 04, 2011
Street Commissioner
Gt Feet TiTii�1�1IVI
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund