206115 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 008050 Page 1 of 1
t` ONE CIVIC SQUARE ACTION EQUIPMENT INC
CHECK AMOUNT: $275.17
CARMEL, INDIANA 46032 5801 S. HARDING ST
INDIANAPOLIS IN 46217 CHECK NUMBER: 206115
CHECK DATE: 2114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 PS /12 -0842 275.17 REPAIR PARTS
Remit to:
S. Harding Street V O
Indianapolis, 4
Indianapolis, IN 46217 o
Q rn
`v (317) 788 -9781 INDIANAPOLIS
EQUIPMENT SALES CO., INC- (812) 423 -7974 EVANSVILLE (502) 964 -4464 LOUISVILLE
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INVOICE NUMBER- PS112 -0842
INVOICE DATE: 01/30/12 r!
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SOLD CARMEL UTILITIES SHIP'"'
CARMEL STREET DEPT WESTFIEL
To: WASTEWATER TO: 3400 W. 131ST STREET
760 THIRD AVE. SW, SUITE 110 CARMEL, IN 46074
CARMEL, IN 46032
CUSTOMER I.D.: CARM01
SHIP VIA: DROPSHIP P.O. NUMBER:
SHIP DATE: P.O. DATE:
01/30/12
DUE DATE: 02/09 OUR ORDER NO.: S012 -00976 aii•
TERMS: Net 10 days SALESPERSON: LAURIE r
ITEM /DESCRIPTION UNIT ORDER QTY QUANTITY UNIT PRICE TOTAL PRICE, k'
C;HW750 EACH 6 6 25.00 150.00
HEAVY -DUTY FLOOR SQUEEGEE
N; "aA,L140 PRO ALUMINUM HANDLE EACH 6 6 19.00 114.00
SHIPPING AND HANDLING EACH 1 1 11.17 11.11 i
Nil 4;7
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AMOUNT SUBJECT AMOUNT EXEMPT SUBTOTAL
TO SALES TAX FROM SALES TAX
INVOICE DISCOUNT 275;17"
oir
nth:...
SAES TAX 0:00
0.00 275.17 0.00
INV0ICETClTAL
275.17
PAST DUE ACCOUNTS SUBJECT TO 1.5% SERVICE CHARGE PER MONTH
VOUCHER NO. WARRANT NO.
ALLOWED 20
Action Equipment
IN SUM OF
5801 S. Harding Street
Indianapolis, IN 46217
$275.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 PS /12 -0842 42- 370.00 $275.17 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
4 7 Thurs6ay, ,re6ruary 09, 2012
Street Commi�s�ner
reet 75rnEp
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
01/30/12 PS /12 -0842 $275.17
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with €C 5- 11- 10 -1.6
2a
Clerk- Treasurer