179595 11/24/2009 \�f CITY OF CARMEL, INDIANA VENDOR: 355831 Page 1 of 1
•is,� ONE CIVIC SQUARE BRICKYARD INTERNATIONAL CHECK AMOUNT: $77,574.04
ro, CARMEL, INDIANA 46032 5730 FORTUNE CIRCLE DR W
INDPLS IN 46241 CHECK NUMBER: 179595
CHECK DATE: 11/24/2009
DEP ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4465001 21389 STREET 77,574.04 TRUCK
r
i'
INTERNaTIoNAL n Brickyard International Trucks LLC
5730 Fortune Circle Dr. Indianapolis, IN 46241
INVOICE
Customer Number 707353
Name City of Carmel Date 11/16/09
Address One Civic Square Proposal#
City Carmel State IN Sales Rep Noble Jackson
Zip 46032 F.O.B. Carmel, Indiana
Contact Dave Huffman P.O.#
Quantity Description Unit Price Extended Price
1 2011 International 7400 6X4 Chassis 77,574.04 77,574.04
1 HTWGAZT8BJ315170
Sub Total 77,574.04
Less Down Payment
Less Net Allowance
State Tax Exempt
X Cash Federal Excise Tax Exempt
Navistar Financial Title /Plates
Other Misc.
Misc.
Total Invoice 77,574.04
Accepted By: Date:
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))
11/16/09 $77,574.04
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
20
Clerk- Treasurer
VOUCHER N %NARRANT N
ALLOWED 20
Brickyard International Trucks
IN SUM OF
2335 W. Raymond
Indianapolis, IN 46241
$77,57
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
21389 2201 650.01 $77,574.04 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
Thyr ay, ember 19, 2009
Street Comm'IsPoner
Street ComrntivLLoner
Cost distribution ledger classification if
claim paid motor vehicle highway fund