177439 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1
d ONE CIVIC SQUARE W A JONES TRUCK BODIES EQUIPME
CARMEL, INDIANA 46032 1171 S WILLIAMS STREET ECK AMOUNT: $300.00
COLUMBIA CITY IN 46725 CHECK NUMBER: 177439
o o
CHECK DATE: 9/1512009
DEPARTMENT ACCO PO NUMBER INVOICE NU AMOUNT DESCRIPTION
2201 4237000 47353 300.00 REPAIR PARTS
MC Equipment, INC. Invo
W.A. JONES
TRUCK BODIES EQUIPMENT
1171 S. WILLIAMS DR.
COLUMBIA CITY, IN 46725.'° 78128/2009
Phone(260)244 -7661
Fax(260)244 -7662
CITY OF CARMEL STREET DEPT
3400 W. 131 ST S'IREI F
WESTFIELD, IN 46074
733 -2005 Customer (3 17) 733 -2001
P. Number
VERBAL .BFf S... Net 30 LWC 8/28/2009 Pick up Ship Point
Description Price Each'
CI
1 PARTS USED ROOT 34" FIIT-1 -TRUCK HALF ONLY SOLD AS 300.00 300.00
IS
Sales Tax (0.0 S0.00
$300.00
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))
08/28/09 47353 $300.00
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
VOUCHE NO. WARRANT NO.
ALLOWED 20
W. A. Jones
IN SUM OF
1 S. Williams Drive
Colunbia City„ IN 46725
$300.00
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 47353 42- 370.00 $300.00 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
6
T q te
StreebCbfurnissiaaL-mer
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund