170930 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 166500 Page 1 of 1
ONE CIVIC SQUARE JBD AMERICAN SCALE CO
CARMEL, INDIANA 46032 8002 CASTLEWAY DRIVE
INDIANAPOLIS IN 46250 CHECK AMOUNT: $116.50
CHECK NUMBER: 170930
CHECK DATE: 4/16/2009
DEPARTME ACCOUNT P O NUMBER INVOICE NUM BER AMOUNT DESCRIPTION
651 5023990 32915 116.50 OTHER EXPENSES
JBD Arnerican Scale Co. INvu
8002 C CastlemY Drive Invoice Number: 32915
Indianapolis, IN 46250 D ORIGINAL Invoice Date: Apr 6, 009
United States
Voice: 1 317 576 1100
Fax: 1 317 576 1138
8111 To: Ship to:
armel Waste Water Ttreatm mt
Carmel Waste Water Treatment 9609 Hazel III Parkway 760 3rd Ave. S.W. Irmdianap IN 46280
Carmel, IN 46032 I USA
USA
Attn.: Accounts Payable
custo ID Cust omer PO Pay f( mms
C01 V- Dave Dye Net 30 D-c fs I
Sales Rep ID Shipping Nlethod Ship Date Due Dane
5/6/09
Se Dept 41 3/09
Quanti Item M D escript i on Unit Price Amount
Service Order Job# 10289
1.00 I Labor
75.00 75.00
1.00 Mileage 8.00 8.00
1.00 Certificate 25.00 25.00
I 1.00 Regulatory Standards Compliance Fee 8.50 1 8.50
1
4 I
I I
I
Su btotal
116.50
JBD- 593 0415 -08 Rev: 2.0 Sales Tax
Freight
Total Invoice Amount 116.50
Check/Credit Memo No: Payment/Credlt Ap plied
TOTAL 116.30
Subject to a FINANCE CHARGE OF 1 12% PER MONTH (18% APR) on any unpaid balance 30 days froi i date of invoice.
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL f�
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
166500
JBD AMERICAN SCALE CO Purchase Order No.
5644 WEST 79TH ST Terms
INDIANAPOLIS, IN 46278 -1707 Due Date 4/9/2009 Q
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/9/2009 32915 $116.50
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 095445 WARRANT ALLOWED
166500 IN SUM OF
JBD AMERICAN SCALE CO
HST
O0Z 4
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
32915 01- 7362 -05 $116.50
Voucher Total $116.50
Cost distribution ledger classification if
claim paid under vehicle highway fund