169200 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1
ONE CIVIC SQUARE W A JONES TRUCK BODIES 8 EQUIPME��
CARMEL, INDIANA 46032 1171 S WILLIAMS STREET CHECK AMOUNT: $505.50
COLUMBIA CITY IN 46725
CHECK NUMBER: 169200
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 44464 505.50 REPAIR PARTS
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V.A. Junes
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Track Bodies 1 Equipment
1171 S. Williams Dr. 2102 Clay St. 1750 Summit St.
Columbia City, IN 46725 Indianapolis, IN 46205 New Haven, IN 46774
(260) 244 -7661 Fax(260)244 -7662 (317) 377 -0407 Fax (317) 377 -0427 (260) 748 -4100 Fax (260) 748 -4121
I N V O I C E INVOICE NUM: 44464
Invoice Date: 01/29/2009 Page 1
CITY OF CARMEL STREET DEPT Phone: (317)733 -2001
3400 W. 131ST STREET
WESTFIELD, IN 46074
Terms: UPON RECEIPT
Bodies Equipment C.O.D.
Resale License Year Make Model Miles VIN
Yes 1 0
Qty Part Number Description Total
3.00 09005 20" POLY SPINNER DISC 505.50
Comments: YOUR P.O. SHOP ,JEFF STEWART
REMIT TO
1 71 q Williams Dtive
^olu,,lbia City: iN 46725
Total Amount Due: 505.50
Parts: 505.50 N/T Freigh .00 Tax. .00 Payment
Labor: .00 Misc: .00-Total: 505.50 Payment
Sublet: .00 Supplies: .00 On Acct 505.50 Payment
FINANCE CHARGE: HILLS UNPAID 30 DAYS AFTER INVOICE DATE SUBJECT TO�
A FIN.CHG. OF 1.5% PER MONTH(EQUAL TO 18% PER ANNUAL INTEREST).
M I N. F I NANCE CHARGE $1.00
Signed Date
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))
01/29/09 44464 $505.50
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. \AARRANT NO.
ALLOWED 20
W. A. Jones
IN SUM OF
1171 S. Williams Drive
Colunbia City„ IN 46725
$505.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 44464 42- 370.00 $505.50 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
riday, i F rua 3, 2009
1 b�
Street Commissione
ffvotTffle3mmiacigner
Cost distribution ledger classification if
claim paid motor vehicle highway fund