205155 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $274.78
CARMEL, INDIANA 46032 PO BOX 9799
«p FT WAYNE IN 46899 -9799 CHECK NUMBER: 205155
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 22570 59.11 REPAIR PARTS
2201 4237000 22571 71.62 REPAIR PARTS
2201 4237000 22572 63.77 REPAIR PARTS
2201 4237000 22573 80.28 REPAIR PARTS
Brown Equipment Co., Inc. Invoice 22572
P O Box 9799 Date 12/28/2011
Fort Wayne, IN 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMEL STREET DEPT. 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
6690 GARY NET 10 JOE 12/28/2011 UPS
Quantity Item Code Description Price Each Amount
1 Allianz Parts 241 -150 SPEED CONTROL VALVE 57.79 57.79
1 FREIGHT 5.98 5.98
Sales Tax (7.0 $0.00
Total $63.77
Brown Equipment Co., Inc. Invoice 225"
P O Box 9799 Date 12/28/2011
Fort Wayne, M 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMEL S "rREI"I' DEPT. CARMI?L STREET' DI?1'T.
3400 W. 131 ST STREET 3400 W. 131 S "I STREET
WESTFIELD. IN 46074 WESTFII LD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
6685 NE I' 10 JOE 12/28/2011 UPS
Quantity Item Code Description Price Each Amount
6 Allianz Parts 538 -3 AIR I iTTINGS 10.94 65.64
1 FREIGHT 5.98 5.98
Sales Tax (7.0 $0.00
Total l 71.62
Brown Equipment Co., Inc. Invoice 22570
P O Box 9799 Date 12/28/2011
Fort Wayne, M 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W. 131 ST sTREE'r 3400 W. 131 Sr STREET
WESTFIELD. IN 46074 WESTFIELD. IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
5951 NIT 10 JOE 12/28/2011 UPS
Quantity Item Code Description Price Each Amount
1 29149 -2 CLEVIS PIN 51.46 51.46
2 39624 Spring Retaining Clip 1.02 2.04
1 FREIGI -IT 5.61 5.61
Sales Tax (7.0 $0.00
Total $59.11
Brown Equipment Co., Inc. Invoice 22573
P O Box 9799 Date 12/28/2011
Fort Wayne, IN 46899 -9799
Phone 260/ 747 -2312
Bill To Ship To
CARMI7L STREET DEPT. 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
5920 GARY NI "T 10 JOE 12/28/2011 UPS
Quantity Item Code Description Price Each Amount
I Allianz Parts AIR LINE 41.72 41.72
2 Allianz Parts LINE MENDERS 11.90 23.80
1 Allianz Parts 552 -3 ELBOW 7.93 7.93
1 FREIGHT 6.83 6.83
Sales Tax (7.0 $0.00
Total $80.28
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))
01/03/12 $274.78
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
VOU NO. WARRANT NO.
Brown Equipment Co. Inc. ALLOWED 20
IN SUM OF
P. O. Box 9799
Fort Wayne, IN 46899 -9799
$274.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 42- 370.00 $274.78 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
57Z— 7 materials or services itemized thereon for
which charge is made were ordered and
57 `7 received except
a 570
1 Tuesday, January 03, 2012
Street Commiss o r
Street Cofp1 pissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund