176870 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
s•. o CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK AMOUNT: $306.09
ZIONSVILLE IN 46077
CHECK NUMBER: 176870
CHECK DATE: 9/2/2009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT D
1125 4350000 102554 306.09 EQUIPMENT REPAIRS M
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE NO. 102554
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317 769 -2460
317- 769 -2463 FAX
4092
BILL TO: CARMEL CLAY PARKS RECREATION SHIP TO:
1411 EAST 116TH STREET
r CARMEL, IN 46032 1411 EAST 116TH STREET
CARMEL, IN 46032
t (317) 571 -2695
Pagel
INVOICE DATE ORDER NO. TERMS SALESPERSON
Aug04'09 22299 NET 30 DAYS KAY KAY
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 2 0.00 0.00
VEHICLE IDENTIFICATION
TANDEM AXLE SCHWARTZ UTILITY W/ WATER TANK
VIN 1S8U51025IN383108
UNIT 2
1 631006 47549 14.95 14.95
7RV TO 6 ADAPTER, CENTER AUXIL
3 451705 MCL -55RB 9.18 27.54
LED 2" RND RED CLRNC, SEALED
2 451724 MCL -57RB 9.48 18.96
LED 2.5" RND RED CLRNC, SEALED
2 451837 STL -72RB 18.80 37.60
LED 6 "OVL 10 -DIO ST /TN /TL
1 289550 140085 67.04 67.04
JACK, DROP FT. 8K, SW, (ECLIPSE)
1 1 120.00 120.00
LABOR A UG 0 6 2009
REPAIR OR REPLACE TONGUE JACK
"*REPLACED JACK
1 20.00 20.00
LABOR
Purchase
RAISE ADJUS�j$, 6 on
vvoo�acc:: Pif 1II
P.O.# PorF
G.L
Line Descr S b -Total 306.09
Purchaser Date i s c o un t
Approval Shipping Ifandling 0.00
Tax 01 EXEMPT*
Total 306.09
Amount Paid 0.00
Receive. By: Amo unt Due 306.09
Change 0.00
7
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
228000 Northside Trailer, LLC Terms
11985 East St Rd 32 Date Due
Ziosville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
814109 102554 Repairs to water trailer 22299 F 306.09
Total 306.09
1 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
,20_
Clerk- Treasurer
i
Voucher No. Warrant No.
228000 Northside Trailer, LLC Allowed 20
11985 East St Rd 32
Ziosville, IN 46077
In Sum of
306.09
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 102554 4350000 306.09 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
27 -Aug 2009
Signature
306.09 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I