172728 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 020500 Page 1 of 1
ONE CIVIC SQUARE BBC PUMP EQUIP CO. INC
CARMEL, INDIANA 46032 777 N TIBBS AVE CHECK AMOUNT: $526.00
PO BOX 22098
CHECK NUMBER: 172728
INDIANAPOLIS IN 46222
CHECK DATE: 5/27/2009
DEPARTM ACCOUNT P NUMBER INVOI N UMBER AMOUNT DESCRIPTION
2201 4237000 077798 526.00 REPAIR PARTS
BBC
II" ump and EgWp�r1i enW co It p cai ny, &n DATE NUMBER
777 N. Tibbs Ave. P.O. Box 22098 •Indianapolis, IN 46222
S 1�...:: KK
(317) 631,1`' J x {317) 636 -5467 S INVOICE
0 CARMEL STREET DEPARTMENT H CARMEL STREET DEPART
L I
D P
3400 W. 131ST STREET CUSTOMER PI UP
p W ST I ELD, IN 46074 0
,E f=
ATTN JASON FORCE
TAX JURISDICTION N O.1 DESCRIPTION TAX EXEMPT
OCH T M EXEM
LOG. DATE ORDERED DATE SHIPPED SHIP VIA JOB NO. CUST. ORDER NO. SALESPERSON CLK TERMS COPY PAGE
0105/11/0905/12709 REFLECT I NGPOOL 15 28 NET 0101
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n
_BACKORD_EAED�� ClnLlrlrLyJ o N11Yf17
y Wua f a
Il t7� INVOICE VIlTL:CCF
01 AURORA 2 2 47 6- -0253 1544 SEAL KIT. 2E' 3. 00 526.00
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526.00 526. LqQq
f
i
I
SALESAMOUNT SALESTAX SHIPPINGCHG. CODE DEPOSIT CASH CODE
A FINANCE CHARGE OF 1'/:% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18%
WILL BE INCURRED ON ALL PAST DUE AMOUNTS.
ALL CLAIMS FOR DAMAGES AND SHORTAGES MUST BE
REPORTED WITHIN SEVEN DAYS OF INVOICE DATE,
RECEIVED BY
Prescribed by State Board of Accounts City Form Nq. 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. s
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/12/09 077798 $526.00
I 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
2Q
Clerk- Treasurer
VOUCHER NO. W N
ALLOWED 20
BBC Pump and Equipment Company
IN SUM OF
P. O. Box 22098
Pidianapolis, IN 46222
$526.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 077798 42- 370.00 $526.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
t ThiursdMay 21, 2009
Pt_ f l(f.G161f�
Street Commis$' ner
Title
4 Cost distribution ledger classification if
claim paid motor vehicle highway fund