173970 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
CARMEL, INDIANA 46032 CHECK AMOUNT: $31.60
11985 EAST STATE ROAD 32
ZIONSVILLE IN 46077 CHECK NUMBER: 173970
CHECK DATE: 6/24/2009
D EPARTME NT ACCOU PO NUMBER IN VOICE N UMBER A DESCRIPTION
1120 4237000 101538 31.60 REPAIR PARTS
NOR TRAILER A
SALES e PARTS SERVICE
INVOICE NQ101538
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077 us
317- 769 -2460
317- 769 -2463 FAX
14237 1"
BILL T0: CITY OF CARMEL FIRE DEPT. SHIP T0:
TWO CIVIC SQUARE
CARMEL, IN 46032 TWO CIVIC SQUARE
CARMEL, IN 46032
(317)
Pagel
INVOICE DATE ORDER NO. TERMS SALESPERSON
JunlO'09 BOB VANVOORST NET 30 DAYS KAY
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 611080 IL253 -4400- 31.60 31.60
LED 15 "SLIMLINE TRI -BAR RED
Sub-Total 31.60
D iscount
Shipping ffandling 0.00
Tax[ 01 EXEMPT*
Total 31.60
Amo nt Paid 0.00
Receive By: Amount Due 31.60
Change 0.00
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))
101538 $31.60
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
ALLOWED 20
Northside Trailer
IN SUM OF
11985 East State Road 32
Zionsville, IN 46077
$31.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 101538 42- 370.00 $31.60 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
JUN 2 2 2 009
11 14?
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund