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175051 07/22/2009 *f CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1 ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $130.06 CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 ZIONSVILLE IN 46077 f' r` CHECK NUMBER: 175051 CHECK DATE: 7/22/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 101969 64.85 REPAIR PARTS 1125 4237000 299 65.21 REPAIR PARTS !r NORTHSIDE TRAILER LLC PREVIOUS BALANCE DATE DESCRIPTION CHARGES CREDITS BALANCE 06/01/09 BAL FWD BALANCE FORWARD 211.38 0. 06/20/09 Payment Check 173480 211.38 99926 03/20/09 $9.26 99958 03/23/09 $6.00 100025 03/26/09 $36.69 °4 100100 03/30/09 $13.80 100829 05/06/09 $65.70 101000 05/14/09 $60.00 101143 05/21/09 $19.93 07/02/09 101969 64.85 64.85 t 0 30 30 60 60 90 Over 90 TOTAL AMOUNT DUE 64.85 0.00 0.00 0.00 64.85 MESSAGES /COMMENTS PRODUCT 13035G USE WITH 771C ENVELOPE NEES To Reorder: 1- 800- 225 -6380 or www.nebs.com PRINTED IN U.S.A. A A 0 NORTHSIDE TRAILER LLC SALES PARTS SERVICE INVOICE Np.101969 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 Pagel INVOICE DATE ORDER NO. TERMS SALESPERSON Jul02'09 NET 30 DAYS KENT K QUANTITY v DESCRIPTION UNI PRICE AMOUNT 1 311850 63833 17.95 17.95 2- 5/16 "xlx2 -1/8" ZINC,2" 6K 1 600576 40345 27.95 27.95 4 "DROPx2.75 "RISExll "LONG 6K 1 631115 47435 18.95 18.95 6 -WAY (MALE) TO 7RV (FEMALE) Sib-Total 64.85 D iscount Shipping iandling 0.00 Tax[ 01 EXEMPT* Total 64.85 Amo nt Paid 0.00 Receive By. Am unt Due 64.85 Change 0.00 Prescribed by State Board of Accounts C" 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)) 07/02/09 101969 $64.85 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: W NO. ALLOWED 20 Northside Trailer IN SUM OF 11985 East St. Rd. 32 Zionsville, IN 46077 $64.85 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 101969 42- 370.00 $64.85 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Fr'day, July 17, 2009 4 �1, Street Commissioner rtt� Cost distribution ledger classification if claim paid motor vehicle highway fund NORTHSIDE TRAILER LLC SALES PARTS SERVICE INVOICE Np.299� 11985 EAST STATE ROAD 32 ZIONSVILLE, IN 46077 317 769 -2460 317 769 -2463 FAX 4092 BILL TO: CARMEL CLAY PARKS RECREATION SHIP TO: 1411 EAST 116TH STREET CARMEL, IN 46032 1411 EAST 116TH STREET CARMEL, IN 46032 (317) 571 -2695 Page:l INVOICE DATE ORDER NO. TERMS SALESPERSON Jun09'09 TOM QUANTITY DESCRIPTION UNIT PRICE AMOUNT 2 451760 MCL -67ARB 12.08 24.16 FENDER MOUNT CLNC, RED /AMBER 1 432475 444L 8.50 8.50 STOP /TURN /TAILLIGHT W /SDE MRKR 6 426200 143R 3.95 23.70 RED CLEARANCE LIGHT, SEALED, 2 3 427000 143 -18K 2.95 8.85 GROMMET MOUNTING KIT FOR 143A 122 C5 U i 7'P C° a JUN 1 7 2009 Purchase BY: Description OWL0 P.O.i al_ f U P 0 j$ OD o.L0 !35 y�L� X15 u 3�o00 Bud et 1F�e i ►'l M'� tJne Purchasw Date Date_ Sib-Total 65.21 Discount Shipping iandling 0.00 Tax[ 01 EXEMPT* Total 65.21 Amount Paid 0.00 Receive By: Airount Due 0.00 Change 0.00 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 619109 299 Repair parts for trailers 22044 F 65.21 Total 65.21 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 Zlosville; IN 46077�� a In Sum of new address 65.21 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 299 4237000 65.21 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 16 -Jul 2009 Signature 65.21 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund