170441 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 357911 Page 1 of 1
ONE CIVIC SQUARE INDUSTRIAL HYDRAULICS INC CHECK AMOUNT: $57.59
CARMEL, INDIANA 46032 1005 WESTERN DRIVE
INDIANAPOLIS IN 46241
CHECK NUMBER: 170441
CHECK DATE: 4/1/2009
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
`651 5023990 116600 57.59 OTHER EXPENSES
Invoice Page: 1
Industrial Hydraulics, Inc. INVOICE NUMBER: INVOICE DATE:
1005 Western Drive
0116600 -IN 3/20/2009
Indianapolis, IN 46241
(317) 247 -4421 TERMS: NET 45 DAYS
DISC DATE DUE DATE
3/20/2009 5/4/2009
ORDER DATE SHIP DATE
BILL TO: CITY OF CARMEL 3/20/2009 3/20/2009
WATER WASTEWATER UTILITIES
760 THIRD AVENUE SW, CUSTOMER P.O.: JEFF COOPER
SUITE 110
CARMEL, IN 46032 SHIP VIA UPS /RED
SALESPERSON: IHI
SHIP TO: CARMEL W.W.T.P.
WATER WASTEWATER UTILITIES PLEASE PAY FROM THIS INVOICE
ORDER NUMBER: 9609 HAZEL DELL PARKWAY
0043120 INDIANAPOLIS, IN 46280
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
*HC- 120 -ASB EACH 1.00 1.00 0.00 30.59 30.59
BREATHER FILTER
01,
THANK YOU
Net Invoice: 30.59
Remit To INDUSTRIAL HYDRAULICS, INC. Less Discount: 0.00
1005 WESTERN DRIVE
We hereby certify that these goods were produced incompliance INDIANAPOLIS, IN 46241 Freight: 27.00
with all applicable requirements of Section 6, 7 and 12 of the Fair Labor Standards Act Sales Tax: 0.00
as amended, and of regulations and orders of the United States Department Of Labor RETURNED MATERIAL SUBJECT TO HANDLING CHARGE
issued under Section 14 thereof. MATERIAL CANNOT BE RETURNED WITHOUT AUTHORIZATION Invoice Total: 57.59
1 112% 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 3/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2009 116600 $57.59
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095328 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
PC II
II INV ACCT AMOUNT Audit Trail Code
116600 01- 7502 -06 $57.59
V
Voucher Total $57.59
Cost distribution ledger classification if
claim paid under vehicle highway fund