179348 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $547.21
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32
zIONSV!LLE IN 46077 CHECK NUMBER: 179348
CHECK DATE: 11/11/2009
D EPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
4237000 547.21 REPAIR PARTS
NORTHSIDE TRAILER LLC PREVIOUS BALANCE
DATE DESCRIPTION CHARGES CREDITS BALANCE
10 /01/09 BAL FWD BALANCE FORWARD 61.10 0.00
10/01/09 103527 HENRICKS 90.12 90.12
10-/16/09 103764 JEFF 64.92 64.92
1021/09 Payment Check 178469 61.10
103066 09/02/09 $25.00
103181 09/09/09 $17.58
103499 09/30/09 $18.52
10/27/09 103894 VIN15613 326.12 326.12
10/28/09 103914 STREET 66.05 66.05
TOTAL AMOUNT DUE
0 30 30 60 60 90 Over 90
547.21 0.00 0.00 0.00 547.21
MESSAGES /COMMENTS
aha 9jou
PRODUCT 13035G USE WITH 771C ENVELOPE NESS To Reorder: 1- 800- 225 -6380 or www.nebs.com PRINTED IN U.S.A. A f
mao A 00
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE 103914
INVOICE NO.
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317- 769 -2460
14235 317- 769 -2463 FAX
CITY OF CARMEL STREET DEPT.
BILL T03400 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
C
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
4 416600 416K 10.95 43.80
BACK UP LIGHT, SEALED CLEAR LE
1 A6166 RB2000 22.25 22.25
2' REPL BALL,BUYERS PINTLE CMB
Sub-Total 66.05
iscount
Shipping Idandling 0.00
Tax[ 01 EXEMPT*
Total 66.05
Amount Paid 0.00
Received By: G'/�i� Am cunt Due 66.05
Change 0.00
NORTHSIDE TRAILER
SALES PARTS SERVICE
INVOICE NQ.103527
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317 769 -2460
317 769 -2463 FAX
14235
31LL 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
Oct0l'09 HENRICKS NET 30 DAYS KENT
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
4 477000 S603 8.25 33.00
6 -POLE TRAILER END, ZINC
4 476800 S602 14.28 57.12
6 -POLE TRUCK END, ZINC
Sib-Total 90.12
Discount
Shipping iandling 0.00
Tax[ 0] EXEMPT*
Total 90.12
Amo nt Paid 0.00
Receive By:. AmDunt Due 90.12
Change 0.00
NORTHSIDE TRAI LLC
SALES PARTS SERVICE
INVOICE NO037 64
11985 EAST STATE 32
ZIONSVILLE, IN 46077
317- 769 -2460
14235 317- 769 -2463 FAX
CITY OF CARMEL STREET DEPT.
BILL TO: 3400 WEST 131ST STREET SHIP TO:
WESTFIELD, IN 46074 3400 WEST 131ST STREET
WESTFIELD, IN 46074
(317) 571 -2400
Pagel
INVOICE DATE ORDER NO. T SALE ON 98 c
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 C W567 BUYRT25812 34.50 34.50
2" RECEIVER TUBE
2 04400 DR58 -3 9.26 18.52
-RING, DROP FORGED, W /MTG BRK
2 00149 BUYHP6253WC 5.95 11.90
IN CLIP, CLASS III.
Sub Total 64.92
Discount
Shipping Handling 0:00
Tax[ 01 EXEMPT*
Total 64.92
Amount Paid 0.00
Received y: Amount Due 64.92
C hange 0.00
q//LG�
NORTHSIDE'T"RAILER LLC
SALES PARTS SERVICE 103894
INVOICE N0.
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317- 769 -2460
14235 317- 769 -2463 FAX
CITY OF CARMEL STREET DEPT.
BILLT03400 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
c M
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
2
V HICLE IDENTIFICATION
BLACK "J.B.ENTERPRISE" T.AXLE RAILED UT W/ STEEL DECK,W/ LUNETTE EYE.
LIC# 64547 IND.
DOM 6/2003
MOD# 102/18 OCCE
VIN# 457BAOG9 -7- 31015613
1 6 5.00 5.00
MliTERIALS CONSUMED ON JOB
4 139000 10 -19 2.70 10.80
GR,EASE SEAL, 2.565" OD X 1.719
2 135400 085 001 -00 0.88 1.76
P UG, ALL EZ LUBE GREASE CAPS
4 1 7600 5 -101 0.80 3.20
S INDLE WASHER 1" ID "D" TYPE
2 2 5200 K71- 047 -00 27.68 55.36
S OES 10x2.25 ELEC DX,FAY,FORE
1 1 80.00 80.00
LIBOR
PACK BEARINGS
-TIRES 50 PSI
1 1 150.00 150.00
LI BOR
CHECK AND REPAIR BRAKES BREAKWAY.(HAS 3 MONTH OLD BRAKE
ASSEMBLIES,CONSTANTLY DRAGGING GRABBING,FRONT AXLE THROWING GREASE.
REPLACED SHOES ON BOTH FRONT BRK.ASSEMBLIES.(BRAKE BEEN HOT,REAR PADS
FALLEN OFF BOTH FRONT WHEELS).
REPLACED RUBBER PLUGS IN DUST CAPS ON BOTH FRONT HUBS,(GOTTEN HOT)
ADJUSTED ALL BRAKES.
(Continued on Next Page
r
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE 103894
INVOICE NO.
11985 EAST STATE ROAD 32
ZIONSVILLE, IN 46077
317- 769 -2460
14235 317- 769 -2463 FAX
CITY OF CARMEL STREET DEPT.
BILL T03400 WEST 131ST STREET SHIP TO:
WESTFIELD, IN 46074 3400 WEST 131ST STREET
WESTFIELD, IN 46074
(317) 571 -2400
Page:2
INVOICE DATE ORDER NO. TERMS SALESPERSON
C
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 1 20.00 20.00
LABOR
MACHINED SHOE SURFACE ON BOTH FRONT DRUMS.
Sub-Total 326.12
iscount
Shipping Fandling 0.00
Tax[ 01 EXEMPT*
Total 326.12
Amount Paid 0.00
Received B c �1 d Am cunt Due 326.12
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))
11/01/09 $547.21
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
VOUCHER NO. W NO.
ALLOWED 20
Northside Trailer
IN SUM OF
11985 East St. Rd. 32
Zionsville, IN 46077
$547.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 42- 370.00 $547.21 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
n Thursday Noverrfber 05, 2009
1AX'zy A414hll
Street Commissio�e
Street CTttte missioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund