168741 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1
ONE CIVIC SQUARE W A JONES TRUCK BODIES EQUIPM ECK AMOUNT: $199.20
y� CARMEL, INDIANA 46032 1171 S WILLIAMS STREET CH
COLUMBIA CITY IN 46725 CHECK NUMBER: 168741
CHECK DATE: 2/412009
DEPARTMENT ACCOUNT PO NUMBER I NV OI CE NU MBER AMOUNT DESC
2201 4237000 43911 76.80 REPAIR PARTS
2201 4237000 44338 122.40 REPAIR PARTS
sX g n e Dat e
W A. Jones
w 0
l Truek Rodin A 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
3t t�I I N V O I C E INVOICE NUM-. 4 511
Invoice Date: 01 /12/21709 Paae 1
CI C= S T R EET P (,.31 f) /31'-- '1
34�L 0 141 `J V
vA;ES T IF I E L.D 141 46
Terms U6 -c1N rr'.V1.1: =1.
Resale License Year Make MQdeI Miles VIN
Yes ii
Uty Part Number De Total
10 Ise L! I C t t i S i Iii '1' `-.i'. 1 76 1� 1
Comments n YOUR 7 1. ;au
REMIT To
1171 S. Williams Drive
olulllbia Ci #y. IN 46725
Total. Amount Due: 76.80
Parts- 7- o BKt N/T Fre i ph Z0 T a) e iris€ Pavment
Labor- 400 Misc. 0 Tota1 a 78.817€ Payment
Sublet 0 00 Supplies: i,; tin As:ct 76. Pavment
FINANCE CHARGE. PILLS UNPAID 30 DAYS AFTER INVOICE DATE SUBJECT TO
A FIN. CHG. OF 1.5% PER MONTH (EQUAL TO 18/ PER ANNUAL INTEREST)
MI Nn F I NANCE CHARGE $1.00
S i stn ed Date
W.A. Jones
t
W Truck Sedies it Equipment p
1.171 S: Williams Dr. 2102 Clay St, 1750 Summit St.
Columbia City, IN 46725 Indianapolis, IN 46205 New Haven, IN 46774
�26 %24 76(6 Ffx (Fi0) L44-741i (317) 377 -0407 Fax (317) 377 -0427 I N 410 260) 74$ +338
Invoice Date: 01/27/2009 Page 1
CITY OF CARMEL. STREET DEPT Phone: (317)7 33- -2001
3400 W. 131ST STREET
WE:STF I ELD, IN 46074
Terms: UPON RECEIPT
Bodies Equipment C.D.D.
Resale License Year Make Model Miles VIN
Yes 1 0
Qty Fart Number Description Total
12.00 1206 -00 1X3 -1/2 PIN COTR 1.22.40
Comments: YOUR P.O. SHOP
REMIT TO
-1171 S, Williams
^olui,�bia �l.y
1 n,6 725
Total Amount Due: 122.40
Farts: 122.40 N/T Freigh .00 Tax: .00 Payment
Labor: .00 Misc: .00 Total: 122.40 Payment
Sublet: .00 Supplies: .00 On Acct 122. Payment
FINANCE CHARGE: BILLS UNPAID 30 DAYS AFTER INVOICE DATE SUBJECT TO
A FIN.CHG. OF 1.5Y 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.
u
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/12/09 43911 $76.80
01/27/09 44338 $122.40
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. ';VA N
W. A. Jones ALLOWED 20
IN SUM OF
1171 S. Williams Drive
Colunbia City„ IN 46725
$199.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 43911 42- 370.00 $76.80 1 hereby certify that the attached invoice(s), or
2201 44338 42 370.00 $122.40 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
Thursday, January 29, 2009
r
Street Commisstola r
Twos- C :Hl
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund