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170915 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 357911 Page 1 of 1 ONE CIVIC SQUARE INDUSTRIAL HYDRAULICS INC CARMEL, INDIANA 46032 1005 WESTERN DRIVE CHECK AMOUNT: $329.28 INDIANAPOLIS IN 46241 CHECK NUMBER: 170915 CHECK DATE: 4116/2009 DEPARTMENT AC COUNT P O NUMB INVOICE NUMB AMOUNT DESCRIPTION 651 5023990 0163505 329'.28 OTHER EXPENSES INVOICE PAGE: 1 INVOICE NUMBER: 0163505 —IN INDUSTRIAL HYDRAULICS, INC. 1005 WESTERN DRIVE INVOICE DATE: 04/06/09 INDIANAPOLIS, IN 46241 ORDER DATE: 03/26/09 (317) 247 -4421 SALESPERSON: IHI CUSTOMER NO: CAR29 SOLD TO: SHIP TO: CITY OF CARMEL 9609 HAZEL DELL PARKWAY WATER WASTEWATER UTILITIES INDIANAPOLIS, IN. 46280 760 THIRD AVENUE SW, CARMEL IN 46032 CUSTOMER PO: S 11660 TERMS: NET 45 DAY'S MANAGER: TP JOB NUMBER: 0116557 REPAIR ONE JCB CYLINDER LABOR 250.00 PARTS 62.28 FREIGHT 12.00 SHOP SUPPLIES 2.50 EPA CHARGE 2.50 MODEL: 1400B SERIAL NO. 361573 THANK YOU Remit To: Industrial Hydraulics Inc. SUB TOTAL: 329.28 1005 Western Drive Indianapolis, IN. 46241 RETURNED MATERIAL SUBJECT TO HANDLING CHARGE MATERIAL CANNOT BE RETURNED WITHOUT AUTHORIZATION We hereby certify that these goods were produced in compliance with all applicable requirements of Sections 6, 7, and 12 of the Fair Labor Standards INVOICE TOTAL 329.28 Act, as amended, and of regulations and orders of the United States Department of Labor issued under Section 14 thereof. 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 4/9/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/9/2009 0163505 $329.28 iereby certify that the attached invoice(s), or bill(s) is (are) true and >rrect and I have audited same in accordance with IC 5- 11- 10 -1.6 /w�... Date Officer 'JOUCHER 095451 WARRANT ALLOWED 357911 IN SUM OF .1 NDUSTRIAL HYDRAULICS INC 1005 WESTERN DRIVE NDIANAPOLIS, IN 46241 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members 'O INV ACCT AMOUNT Audit Trail Code 0163505 01- 7502 -06 $329.28 e Voucher Total $329.28 I :;ost distribution ledger classification if -laim paid under vehicle highway fund