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205411 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1 ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $2,462.15 CARMEL, INDIANA 46032 PO Box 9799 FT WAYNE IN 46899 -9799 CHECK NUMBER: 205411 CHECK DATE: 1/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 22657 2,462.15 REPAIR PARTS Brown Equipment Co., Inc. Invoice 22657 P O Box 9799 Date 1/9/2012 Fort Wayne, IN 46899 -9799 Phone 260/ 747 -2312 Bill To Shio To CARMEL STREET DEPT. CARMEL STREET DEP'r. 3400 W. 131 ST STREET 3400 W. 131 ST STREET WESTFIELD. IN 46074 WESTI'IELD_ IN 46074 Packing List P.O. Number Terms Salesperson Ship Date Ship Via 6577 JEFF NET 10 JOE 1/9/2012 UPS Quantity Item Code Description Price Each Amount 2 281777 -1 LONG REAR DOOR SEAL 146.35 292.70 2 281778 -1 REAR DOOR SEAL 36.73 73.46 2 94992 -2 Nozzle Trunking 393.58 787.16 4 282538 -1 RUBBER NOZZLE SET V650 137.12 548.48 2 15917 -I EXTI?NSION HOSE 357.41 7;14.82 1 FREIGHT 45.53 45.53 Sales Tax (7.0 $0.00 s L- Total $2.462.15 e Board of Accounts City Form No. 20 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. r� Payee Purchase Order No. Terms Date Due t Invoice Invoice Description ArnOO 5 Date Number (or note attached invoice(s) or bill(s)) $2 X62 01/09/12 22657 n' l I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in acc 0r :::7# with IC 5- 11- 10 -1.6 ,20 gr VOUC N(J WARRANT NO. co ownE9UipmF9t Co. Inc. ALLOWED P. 0 go IN SUM OF or, W aYne' 1��46899 -9799 $2,462.15 ON AOCOU tiT OF APPROPRIATION FOR Carmel Street De artment 'NV ClCE NO. ACCT #/TITLE AMOUNT Board Members 2 2657 42- 370.00 $2,462.15 I hereby certify that the attached invoice(s), or MROW Aar 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 /i Thursday, January 12 2012 v Q, i Title 1::: "Ution ledger classification if nnotor vehicle highway fund