206641 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 363418 Page 1 of 1
ONE CIVIC SQUARE COLBY EQUIPMENT CO., INC.
CARMEL, INDIANA 46032 PO BOX 26327 CHECK AMOUNT: $477.00
1 "a INDJANAPOLIS IN 46226
CHECK NUMBER: 206641
CHECK DATE: 2128/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 93023 477.00 OTHER EXPENSES
COLB Box 26327 *Invoice
equipMent Indianapolis, IN 46226
P, (317) 545 -4221 F: (317) 543 -4469 Page: 1
E: ar @colbyequipment.com Invoice Number: 0093023 -IN
Invoice Date: 02/1312012
Ship To:
CARMEL WASTE WATER TREATMENT Order Number:
9609 HAZEL DELL PKWY Order Date:
TAG: PO #S12989 JEFF COOPER Salesperson: 0016
INDIANAPOLIS, IN 46280 Customer Number: 0006070
Bill To: Terms: NET 30 DAYS
CARMEL UTILITIES Due: 03/1412012
WATER TREATMENT PLANT
760 3RD AVENUE SW Tracking UPS;
CARMEL, IN 46032
Customer P.O.: S12989 Ship Date 02/ Job: SINGE 1078
Quantity Item Number Price Amount
Rea. Ship. BIO Description
1 1 0 457.00 457.00
CBI FAN PARTS
1 1 0 `FRT. CHARGE 20.00 20.00
Remit To: Colby Equipment Company, Inc.
3048 N. Ridgeview Drive
PO BOX 26327 Net Invoice: $477.00
Indianapolis, Indiana 46226
(317) 545 -4221 Sales Tax: $0.00
Invoice Total: $477.00
VOUCHER 116838 WARRANT ALLOWED
363418 IN SUM OF
COLBY EQUIPMENT CO INC
3048 N. RIDGEVIEW DRIVE
PO BOX 26327
INDIANAPOLIS, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO* INV ACCT AMOUNT Audit Trail Code
33023 01- 7202 -06 $477.00
Voucher Total $477.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
363418
COLBY EQUIPMENT CO INC Purchase Order No.
3048 N. RIDGEVIEW DRIVE Terms
PO BOX 26327 Due Date 2/2012012
INDIANAPOLIS, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/20/2012 93023 $477.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Offi