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168514 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350752 Page 1 of 1 ONE CIVIC SQUARE HOLT EQUIPMENT COMPANY, LLC CARMEL, INDIANA 46032 3673 RELIABLE PARKWAY CHECK AMOUNT: $57.75 CHICAGO IL 60686 -0036 CHECK NUMBER: 168514 CHECK DATE: 2/4/2009 DEPARTMENT ACCOUNT PO NUMBE INVO N UMBER AMOUNT DESCRIPTION 2201 4237000 01 1346574 32.25 REPAIR PARTS 2201 4237000 01 1346597 51.00 REPAIR PARTS 2201 4237000 01 1346646 -25.50 REPAIR PARTS HOLT EQUIPMENT COMPANY LLC P a rts 9 nv i ce 3673 RELIABLE PARKWAY CHICAGO, IL 60686 -0036 Phona (502) 254 -0758 JOHN DEERE 0. CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D L' 3400 WEST 131ST STREET 1 D CASH CHG. OTHER P WESTFIELD IN 46074 US T ACCT. NO T 0 502970 SALESMAN ORDER NO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO. 114 24J 00517311 317 571 -2452 05JAN09 14:23 01 1346574 QUANTITIES PRICES OFFICE BIN ORDERED;. SHIPPED "B /0- "t PART NUMBER DESCRIPTION LIST• NET EXTENSION,, USE MAKE: JD MODEL: SERNO: HRS: 1 N AT309550 LAMP V3I2 25.50 25.50 25.50 IC 1 N FREIGHT AND HANDLING 6.75 6.75 6.75 CL IT'S AN ALL NEW BREED OF DEERE!. ASK A SALESMAN ABOUT THE NEW J- SERIES L HOLT IS NOW AVAILABLE TO YOU 24 HOURS. A DAY! 7 DAYS A WEEK! FOR FAST, EFFICIENT SERVICING Q F ALL YOUR PARTS SERVICE NEEDS, PLEASE CALL (800) 595 1081. VISIT US ONLINE AT http: /www.holtequipm nt eb ay I i GROUND DESCRIPTION I ACCOUN AMOUNT SHIP VIA PARTS T AXABLE TAXABLE^ PARTS NONTAXBL 25.50 M_ISC TAXABLE MISC NON 6.75 SALES TAX RECEIVED BY PLEASE PAY THIS TOTAL 32 25 LF -1137 ORIGINAL COPY HOLT EQUIPMENT COMPANY LLC Parts Invoice 3673 RELIABLE PARKWAY CHICAGO, IL 60686 -0036 Phone: (502) 254 -0758 JOHN DEERE Q CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D L 3400 WEST 131ST STREET 1 1 D CASH CHG. Dl'HER P WESTFIELD IN 46074 US T ACCT. NO T 0 502970 SALESMAN ORDER NO. RO. NO. FHONf"- INVOICE DATE: llME= INVOICE NO. 114_ 24.J 0.0517841..31.7 571 2452_ 09JAN09 1.2:40 0.1 1.34.66._46 QUANTITIES> PART NUMBER DESCRIPTION BIN LIST PRICES EXTENSION OFFICE ORDERED SHIPPED B/O USE MAKE: JD MODEL: SERNO- IRS: 1- N AT309550 LAMP V3I2 25.50 2.5.50 25.50- IC IT'S AN ALL NEW BREED OF DEERE! ASK A SALESMAN ABOUT THE NEW J- SERIES I_ ADERS. HOLT IS NOW AVAILABLE TO YOU 24 HOURS A.DAYI 7 DAYS A WEEK! FOR FAST, EFFICIENT SERVICING ALL YOUR PARIS SERVICE NEEDS, PLEASE CALL.(800)-595i1081. VISIT,.US ONLINE AT http: /www..holtequipment.net 'C R E D I T M 'E M 0 D 0 N 0 T P A Y i I �I DESCRIPTION ACCOUNT AMOUNT SHIP VIA, RETURN PARTSTAXABLE i PARTS NONTAXBI_Ei. 25.50- 7 MISC. TAXABLE.{,, �a MISC NONTAXABLE- SALES TAX RECEIVED BY PLEASE PAY THIS TOTAL B> 25 5 0 I -1137 ORIGINAL COPY HOLT EQUIPMENT COMPANY LLC P a rts I 3673 RELIABLE PARKWAY CHICAGO, IL 60686 -0036 Phone: (502) 254 -0758 ,JOHN DEERE 0. CITY OF CARMEL STREET D PAGE H CITY OF CARMEI_ STREET D L 3400 WEST 131ST STREET 1 D CASH CHG. OTHER P WESTFIELD IN 46074 US T ACCT. NO T O 502970 SALESMAN ORDER NO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO. 114 0.05.17470 317- 571 -2452 06JAN09 15:47 01 1346597 QUANTITIES PR OFFICE ICES BIN, USE ORDERED SHIPPED B /O_ 4 ER PART NUMB' `DESCRIPTION LIST NET EXTENSION MAKE: JD MODEL: SERNO: HRS: 1 N AT324484 SIDE LIGHT GH1 51.00 51.00 51.00 IC IT'S AN ALL NEW BREED OF DEERE! ASK A SALESMAN ABOUT THE NEW J- SERIES LOADERS. HOLT IS NOW AVAILABLE TO YOU 24 HOURS A DAYI 7 DAYS A WEEK! FOR FAST, EFFICIENT SERVICING OF ALL YOUR PAR S SERVICE NEEDS, PLEASE CALL (80 0) 59511081.. VISIT US ONLINE AT http /www.holt'equipment.net 7 4. SHIP VIA G_R 0 U N D DESCRIPTION ACCOUNT AMOUNT PARTS T A X A B L I PARTS NONTAXBL 51.00 MISC TAXABLE MISC NONTAXA`BL.!: SALES TAX RECEIVED BY PLEASE PAY THIS TOTAL 51 Do I -P -1137 ORIGINAL COPY 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)) 01/05/09 011346574 $32.25 01/06/09 01 1346597 $51.00 01/09/09 011346646 ($25.50) 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 VOUC NO. WARRANT NO. ALLOWED 20 Holt Equipment Company IN SUM OF 3673 Reliable Parkway Chicago, IL 60686 -0036 $57.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 01 1346574 42- 370.00 $32.25 1 hereby certify that the attached invoice(s), or 2201 01 1346597 42- 370.00 $51.00 bill(s) is (are) true and correct and that the 2201 011346646 1 42- 370.00 ($25.50) materials or services itemized thereon for which charge is made were ordered and received except /)'Thursdayi Jan ar 29, 2009 !1 i I V h1 s Street CommissioKe� etrf. r ....Title ,,.,,,I�I1GP Cost distribution ledger classification if claim paid motor vehicle highway fund