179720 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 357911 Page 1 of 1
ONE CIVIC SQUARE INDUSTRIAL HYDRAULICS INC
CARMEL, INDIANA 46032 1005 WESTERN DRIVE CHECK AMOUNT: $744.41
INDIANAPOLIS IN 46241 CHECK NUMBER: 179720
CHECK DATE: 11/24/2009
DE PARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION
651 5023990 511885 0120397IN 744.41 OIL
1
i
Invoice Page: 1
i Industrial Hydraulics, Inc. INVOICE NUMBER: INVOICE DATE:
1005 Western Drive 0120397 -IN 11/10/2009
Indianapolis, IN 46241
(317) 247 -4421 TERMS: NET 30
DISC DATE DUE DATE
11/10/2009 12/10/2009
ORDER DATE SHIP DATE
BILL TO: CARMEL UTILITIES
WATER WASTEWATER 11/3/2009 11/3/2009
760 THIRD AVE SW, SUITE 110 CUSTOMER P.O.: SI 188
t CARMEL, IN 46032
SHIP VIA CUSTOMER
SALESPERSON: IHI
SHIP TO: CARMEL UTILITIES
WATER WASTEWATER PLEASE IPAY FROM MI THIS INVOICE
ORDER NUMBER: 760 THIRD AVE SW, SUITE 110
0044994 CARMEL, IN 46032
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
311365 EACH 8.00 8.00 0.00 91.00 728.00
FILTER
THANK YOU
Net Invoice: 728.00
Remit To INDUSTRIAL HYDRAULICS, INC. Less Discount: 0.00
X 1005 WESTERN DRIVE
'Ale hereby certify that these goods were produced in compliance INDIANAPOLIS, /t\' 46241 Freight: 16.41
with all applicable requirements of Section 6, 7 and 12 of the Fair Labor Standards Act RETURNED MATERIAL SUBJECT TO HANDLING CHARGE Sales Tax: 0.00
as amended, and of regulations and orders of the United States Department Of Labor
issued under Section 14 thereof. MATERIAL CANNOT BE RETURNED WITHOUT AUTHORIZATION Invoice Total: 744.41
1 1/2% MONTHLY SERVICE CHARGE ADDED ON ALL PAST DUE INVOICES
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
.Payee
357911
INDUSTRIAL HYDRAULICS INC Purchase Order No.
1005 WESTERN DRIVE Terms
INDIANAPOLIS, IN 46241 Due Date 11/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/18/2005 01203971N $744.41
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
Date Officer
7
VOUCHER 096794,- WARRANT ALLOWED
357911 IN SUM OF
INDUSTRIAL HYDRAULICS INC
1005 WESTERN DRIVE
INDIANAPOLIS, IN 46241
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0120397IN 01- 7202 -06 $728.00
0120397IN 01- 7202 -06 $16.41
V
Voucher Total $744.41
Cost distribution ledger classification if
claim paid under vehicle highway fund