173868 06/24/2009 a 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: $1,655.00
row co CHICAGO IL 60686 -0036 CHECK NUMBER: 173868
CHECK DATE: 6/24/2009
D EPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 01 1348656 1,020.00 REPAIR PARTS
2201 4237000 01 1348659 635.00 REPAIR PARTS
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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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))
06/17/09 011348659 $635.00
06/17/09 011348656 $1,020.00
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
20
Clerk- Treasurer
VOUCHER NO. `VARRANT NO.
ALLOWED 20
Holt Equipment Company
IN SUM OF
3673 Reliable Parkway
Qhicago, IL 60686 -0036
$1,655.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member;
2201 01 1348659 42- 370.00 $635.00 1 hereby certify that the attached invoice(s), or
2201 011348656 42- 370.00 $1,020.00
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
F' d y j e 19, 200`
V U C47 "-ItT//
Stre
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund