176371 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $266.66
CARMEL, INDIANA 46032
11985 EAST STATE ROAD 32
M`zo ZIONSVILLE IN 46077
CHECK NUMBER: 176371
CHECK DATE: 8/19/2009
L; EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 266.66 REPAIR PARTS
NORTHSIDE TRAILER LLC PREVIOUS BALANCE DO-
DATE DESCRIPTION CHARGES CREDITS BALANCE
97' BAL FWD BALANCE F RWARD
07/02/09 101969 64.85 64.85
07/06/09 101996 36.00 36.00
07/14/09 102193 12.00 12.00
07/28/09 102439 TRK 201 64.52 64.52
07/28/09 102445 KEVIN SMITH 52.26 52.26
08/04/09 102559 STREET 101.88 101.88
TOTAL AMOUNT DUE
0 30 30 60 60 90 Over 90
331.51 0.00 0.00 0.00 331.51
MESSAGES /COMMENTS
--I ghamk 9jou
J PRODUCT 13035G USE WITH 771C ENVELOPE NESS To Reorder: 1- 800- 225 -6380 or www.nebs.com PRINTED IN U.S.A. A
A 00
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE Np102193
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317- 769 -2460
317 769 -2463 FAX
14235
BILL T0: CITY OF CARMEL STREET DEPT.
3400 WEST 131ST STREET SHIP TO:
WESTFIELD, IN 46074 3400 WEST 131ST STREET
WESTFIELD, IN 46074
(317) 571 -2400
Page:l
INVOICE DATE ORDER NO. TERMS SALESPERSON
Jull4'09 NET 30 DAYS KAY KAY
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
4 096600 166079 2.00 8.00
9/16 "x 3 -1/2" SHACKLE BOLT /NUT
4 104200 722106 1.00 4.00
SPRING EYE EQUIL.BUSHING
S b -Total 12.00
Discount
Shipping Handling 0.00
T x[ 01 EXEMPT*
Total 12.00
�o 7 Amount Paid 0.00
Receive By: Amount Due 12.00
i Change 0.00
t U
NORTHSIDE TRAILER L
SALES PARTS SERVICE
INVOICE NQ. 1019 9 6
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317 769 -2460
317 769 -2463 FAX
14235
BILL TO: CITY OF CARMEL STREET DEPT. SHIP TO:
3400 WEST.131ST STREET
WESTFIELD, IN 46074 3400 WEST 131ST STREET
WESTFIELD, IN 46074
(317) 571 -2400 Page:l
INVOICE DATE ORDER NO. TERMS SALESPE
Ju106109 NET 30 DAYS TtENT I--
QUANTITY D ESCRIPTION UNIT PRICE AMOUNT
20 462200 04924 1.80 3770
4 WIRE 14ga CABLE, IN 500
ub -Total 36.00
Discount
Shipping Handling 0.00
ax[ 01 EXEMPT*
Total 36.00
i Am unt Paid 0.00
Receiv d By: 2 Anount Due 36.00
9 7Z&1
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE Np.102439
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317- 769 -2460
317 769 -2463 FAX
14235
BILL TO: CITY OF CARMEL STREET DEPT. SHIP TO:
3400 WEST 131ST STREET
WESTFIELD, IN 46074 3400 WEST 131ST STREET
WESTFIELD, IN 46074
(317) 571 -2400
Page:l
INVOICE DATE ORDER NO. TERMS SALESPER
Ju128'09 TRK 201 NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 600169 63243 11.50 11.50
TITAN PIN CLIP, 2 1/2" REC.
1 600567 BUYRT25812 34.50 34.50
12" RECEIVER TUBE
2 404400 DR58 -3 9.26 18.52
D -RING, DROP FORGED, W /MTG BRK
Sub-Total 64.52
Discount
Shipping andling 0.00
T x[ 01 EXEMPT*
Total 64.52
Amount Paid 0.00
Receive By: a� Amount Due 64.52
Change 0.00
NORTHSIDE TRAILED LLC
SALES PARTS SERVICE
INVOICE NQ. 102445
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317- 769 -2460
317- 769 -2463 FAX
14235
BILL TO: CITY OF CARMEL STREET DEPT. SHIP TO:
3400 WEST 131ST STREET
WESTFIELD, IN 46074 3400 WEST 131ST STREET
WESTFIELD, IN 46074
(317) 571 -2400
Page:l
INVOICE DATE ORDER NO. TERMS SALESPERSON
Ju128'09 KEVIN SMITH NET 30 DAYS B
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 600225 AR -1 52.26 52.26
2.5" TOW RING,10K CAP.NO BRKT.
S b -Total 52.26
Discount
Shipping 4andling 0.00
Tax[ 01 EXEMPT*
Total 52.26
r
Amo nt Paid 0.00
Receive By: Am unt Due 52.26
Change 0.00
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE NQ. 102559
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317- 769 -2460
317- 769 -2463 FAX
14235
BILL TO: CITY OF CARMEL STREET DEPT. SHIP TO:
3400 WEST 131ST STREET
WESTFIELD, IN 46074 3400 WEST 131ST STREET
WESTFIELD, IN 46074
(317) 571 -2400
Page:l
INVOICE DATE ORDER NO. TERMS SALESPERSON
Aug04'09 STREET NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 283825 171412 101.88 101.88
BD SWIVEL JACK,TW,5K,15 "SNAPRG
Sib-Total 101.88
Discount
Shipping iandling 0.00
Tax[ 01 EXEMPT*
Total 101.88
Amo nt Paid 0.00
Receive By:/
Am bunt Due 101.88
Change 0.00
7
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))
08/04/09 $266.66
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT N O.
ALLOWED 20
Northside Trailer
IN SUM OF
11985 East St. Rd. 32
Zionsville, IN 46077
$266.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
2201 42- 370.00 $266.66 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
�7 Thu ,Ali ust 13, 2009
Street Commiss o66r
,greet Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund