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180462 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 357911 Page 1 of 1 0 ONE CIVIC SQUARE INDUSTRIAL HYDRAULICS INC CHECK AMOUNT: $273.81 CARMEL, INDIANA 46032 1005 WESTERN DRIVE INDIANAPOLIS IN 46241 CHECK NUMBER: 180462 CHECK DATE: 12/16/2009 r DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION ,1120 4351000 0118666 273.81 AUTO REPAIR MAINTEN Invoice Industrial Hydraulics, Inc. Job: 0118666 1005 Western Drive Indianapolis, IN 46241 P.O. Number R -45 Phone: 317- 247 -4421 Comments: Fax: 317- 240 -4384 Date: 12/8/2009 E -Mail: info @ihi- indy.com Terms: NET 45 DAYS Website: www.industrialhydraulicsinc.com Ship Via: CUSTOMER Sold To: Ship To: CITY OF CARMEL CARMEL FIRE DEPARTMENT WATER WASTEWATER UTILITIES 760 THIRD AVENUE SW, CARMEL IN 46032 CARMEL IN 46032 MATERIAL LABOR TO REPAIR YOUR KOVATCH PUMP POWER UNIT. REPLACE SHAFT SEAL ON PUMP ASSY. INSPECT MOTOR FOUND IT TO BE VERY QUESTIONABLE. MOTOR RUNS, BUT SUGGEST REPLACEMENT OR REBUILD IN NEAR FUTURE. Material: 9.95 Shop Supplies: 8.00 Labor: 235.00 EPA: 4.00 Inspection Fee: 0.00 Core Charge: 0.00 NET 45 DAYS Freight: 16.86 Sales Tax: 0.00 Received By: All claims must be presented within 5 days after receipt of merchandise and must be Total: 273.81 accompanied by this packing list 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)) 0118666 $273.81 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. WARRANT NO. ALLOWED 20 Industrial Hydraulics IN SUM OF 1005 Western Drive Indianapolis, IN 46241 $273.81 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 0118666 43- 510.00 $273.81 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 DEC 1 20 1 VW Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund