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180203 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1 ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $65.70 CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 ZIONSVILLE IN 46077 CHECK NUMBER: 180203 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION 2201 4237000 104327 65.70 REPAIR PARTS NORTHSIDE TRAILER LLC PREVIOUS BALANCE DATE r DESCRIPTION CHARGES CREDITS BALANCE 11/01/09 BAL FWD BALANCE FORWARD 547.21 0.00 11/19/09 Payment Check 179348 547.21 t 103527 10/01/09 $90.12 103764 10/16/09 $64.92 I 103894 10/27/09 $326.12 103914 10/28/09 $66.05 12/01/09 104327 GARY 65.70 65.70 TOTAL AMOUNT DUE 0 30 30 60 60 90 Over 90 65.70 0.00 0.00 0.00 65.70 MESSAGES /COMMENTS c jfnaRk qj o u 1 PRODUCT 13035G USE WITH 771C ENVELOPE NEBS To Reorder: 1- 800- 225 -6380 or www.nebs.com PRINTED IN U.S.A. A 0285 A 00 T'HI I E TRAILER L E SALES PARTS SERVICE 104327 INVOICE N0. 11985 EAST STATE ROAD 32 ZIONSVILLE, IN 46077 317 769 -2460 14235 317 769 -2463 FAX CITY OF CARMEL STREET DEPT. BILL T0 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 DecOl'09 G RY NET 30 DAYS KAY KAY QUANTITY DESCRiPTiON `UNI T�Ri_GE AMOUNT 6 4'6800 421KR 10.95 65.70 S` OP, TURN, TAIL LIGHT, SEALED Sub-Total 65.70 iscount Shipping Handling 0.00 Tax[ 01 EXEMPT* Total 65.70 Amo t Paid 0_.00 Received B _,/f ✓1 Am nt Due 65.70 Change 0.00 Prescribed by State Board of Accounts "City Fon,a 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)) 12/01/09 104327 $65.70 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 VOUC NO_ WARRA N ALLOWED 20 Northside Trailer IN SUM OF 1 985 East St. Rd. 32 Zionsville, IN 46077 $65.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 2201 104327 42- 370.00 $65.70 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 Friday, .D��eeember 04, 200 li. l/. Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund