177720 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 363349 Page 1 of 1
y ONE CIVIC SQUARE JACKS SMALL ENGINE GENERATOR CHELLB
CK AMOUNT: $210.73
CARMEL, INDIANA 46032 1745 W JARRETiSVILLE ROAD
JARRETTSVILLE MD 21084 CHECK NUMBER: 177720
CHECK DATE: 9/29/2009
DEPART ACCOUNT PO NUMBER INVOI NUMBE AMO UNT DESCRIPTION
651 5023990 1122793 14.36 OTHER EXPENSES
651 5023990 119799 196.37 OTHER EXPENSES
JACKS SMALL ENGINE GENERATOR, LLC
1745 W JARRETTSVILLE RD
JARRETTSVILLE, MD 21084
1(877)737 -2787
Date........... 9/01;`09 Invoice........ 112273,E
Customer........ 857819 Salesman....... 005/005
Special info... P.O.
Ship Via........ UPS GROUND Packing Slip #0 714067
SOLD TO SHIP TO
CARMEL WASTERWATER UTILITIES CARMEL WASTERWATER UTILITIES
760 THIRD AVE SW 780 THIRD AVE SW
SUITE 110 SUITE 110
CARMEL, IN 46032 CARMEL, IN 48052
VISIT US AT WWW. JACKSSMALLENG I NES. COM
NO RETURNS ON SPECIAL ORDER OR ELECTRICAL PARTS.
RETURNS ARE SUBJECT TO A 20/ RESTOCK FEE.
Paqe i of 1
Ord Ship B/O Line Part Number Description List Net Amount
1 1 MTD 1910917 BLADE 17.60 14.336 14.36
b sauh
U
READ
SUB TOTAL 14.3
CHARGE SALE MISC. 0.00
LABOR 0.00
TAX 0.001 0.00
Received By INVOICE TOTAL 14.3E
wn
on lllrjllllu��' MM
JACKS SMALL ENGINE GENERATOR, LLC
1745 W JARRETTSVILLE RD
JARRETTSVILLE, MD 2 1084
1(877)737 -2787
Date........... 8/28/09 Invoice........ 1119799
Customer....... 857819 Salesman....... 011/011
Special info... P.O. AUTOFILL
Ship Via......: UPS GROUND Packing Slip Q 1119799
SOLD TO SHIP TO
CARMEL WASTERWATER UTILITIES CARMEL WWTP
760 THIRD AVE SW 9609 HAZEL DELL PARKWAY
SUITE 110 INDIANAPOLIS, IN 46280
CARMEL, IN 460322
VISIT US AT WWW.JACKSSMALLENGINES.COM
NO RETURNS ON SPECIAL ORDER OR ELECTRICAL PARTS.
RETURNS ARE SUBJECT TO A 20% RESTOCK FEE.
Page 1 of 1
Ord Ship B/0 Line Part Number Description List Net Amount
1 1 MTD 1769767 BELT V 22.50 21.38 21.38
B.O. INV. 1116747 P.O. POS11821 DATE: 8/25/09
1 1 MTD 1773600 BELT DRIVE 25.03 23.78 23.78
B.O. INV. 1116747 P.O. POS11821 DATE: 8/25/09
1 1 MTD 1910917 BLADE 17.60 14.36 14.36
B.O. INV. 1116747 P.O. POS11821 DATE: 8/25/09
1 1 MTD 913 -04050 PULLEY TIMING 56T 60.81 57.77 57.77
B.O. INV. 1116747 P.O. POS11821 DATE: 8/25/09
1 1 MTD 1769048099 ASM MOWER SPINDLE 66.06 62.76 62.76
B.O. INV. 1116747 P.O. POS11821 DATE: 8/25/09
1 1 MTD 1771922001 PLATE SPROCKET COV 6.66 6.33 6.33
B.O. INV. 1116747 P.O. POS11821 DATE: 8/25/09
1 1 FRT SH FREIGHT 9.99 9.99
B.O. INV. 1116747 P.O. POS11821 DATE: 8/25/09
DUPLICATE COPY SUB TOTAL -7 196.37
CHARGE SALE MISC. 0.00
LABOR -7 0.00
TAX 0.001 -3 0.00
Received By INVOICE TOTAL —7 196.37
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
363349
JACKS SMALL ENGINE GENERTOR LLC Purchase Order No.
1745 W JARRETTSVILLE ROAD Terms
JARRETTSVILLE, MD 210884 Due Date 9/17/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/2009 1119799 $196.37
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 096417 WARRANT ALLOWED
3633419, IN SUM OF
JACKS SMALL ENGINE GENERTOR
1745 W JARRETTSVILLE ROAD
JARRETTSVILLE, MD 210884
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0 (.1 a2 .0
1119799 01- 74-06 $196.37
c
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund