170003 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00352123 Page 1 of 1
ONE CIVIC SQUARE MACDONALD MACHINERY COMPANY
CHECK AMOUNT: $926.41
CARMEL, INDIANA 4 6032 Po aox 9740
FT WAYNE IN 46699 CHECK NUMBER: 170003
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CHECK DATE: 3/18/2009
DEPART[Vi ihT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S.11641 5132143 926.41 INSPECTIONS
j
Y
REMIT TO: P.O. Box 9740
Ft. Wayne, IN 46899
r MAIN OFFICE:
3911 Limestone Dr. 4445 Decatur Blvd.
Fort Wayne, IN 46809 Indianapolis, IN 46241
(260) 747 -1561 (317) 856 -3000
2691 Schuyler Avenue 3953 Ralph Jones Dr.
MI ACH O RV La (765) 742- 2080 Sout 574) 271-0800 628
www.macdonaldmachinery.com
SOLD TO SHIP TO
CRO913 CITY OF CARMEL CITY OF CARMEL WASTE WATER
ONE CIVIC SQUARE JEFF 716 -5882
CARMEL, IN 4 6032 9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280
NATIONAL 568D 01 SN a x,._,575 HR 212.0 W:01 C
Sold By: SHOP PO #e OSHA Date 2/11/09 SERVICE INVOICE SI32143
Ship By: Tax #o ON FILE 8°39:05
Tax D Oty Description Price AmoLtnt
SOLD THROUGH INDIANAPOLIS, IN OFFICE
REPAIR INSTRUCTIONS:
PERFORM OSHA INSPECTION.
REPAIRS COMPLETED:
PERFORMED OSHA INSPECTION AND COMPLETED ALL REQUIRED PAPERWORK..
SERVICED WINCH AND ROTATION GEARBOXES. REPLACED FILTER GREASED
UNIT AND LOAD TESTED. REPLACED ROPE RETAINER. CHANGED Li ATTERY
IN REMOTE TRANSMITTER REMOTES STILL NOT WORKING. CUSTOMER
TO BRING BACK. FOR REMOTE REPAIR.
INSPECTION FEES
E OSHA /ANSI INSPECTION
E RECORDING AND DOCUMENTATION 250.00
TOTAL INSPECTION FEES 250.00
PARTS SERV CASE
E 1 CAS HF6710 HYDRAULI BR02B 12.93 12.93
E 4 CAS 139029A2 08HTP 1 GL BR 11 B 19.04 76. 1. 6
TOTAL PARTS SERV CASE 89.09
PARTS SERV NON
E 1 MIS 75 -210 8OW90 —OT BR 1 1 A 5.28 5.28
E 2 MIS SHC -629 MOBIL SYNTH SHOP 12.37 24.74
E i BRO SBA08562 HINGE PIN S E16I13 9.38 9.38
TOTAL PARTS SERV NON 39.40
MISC SHOP SUPLY
E 15.96
LABOR— SHOP
TERMS TOTAL LABOR— SHOP 531.96
NET 30 DAYS
SUBTOTAL 926.41
Charge Sale X
Phone: (317) 57T tI�
I $926.41
No Parts Can Be Returned After 30 Days of Purchase. ORIGINAL
prescribed by State Board of Accounts city corm No. 101 (Rev 1 ay5)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352123
S
MACDONALD MACHINERY CO., INC. Purchase Order No.
4445 Decatur Blvd Terms
Indianapolis, IN 46241 Due Date 3/11/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/11/2009 S132143 $926.41
hereby certify that the attached invoice(s), or bill(s) is (are) true and
xrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
JOUCHER 095254 WARRANT ALLOWED
382123 IN SUM OF
AAC ONALD MACHINERY CO., INC.
1445 Decatur Blvd
ndianapolis, IN 46241
Carmel Wastewater Utility
JJ ON ACCOUNT OF APPROPRIATION FOR
Board members
'O INV ACCT AMOUNT Audit Trail Code
S132143 01- 7502 -06 $926.41
OIL
Voucher Total $926.41
a
Cost distribution ledger classification if
claim paid under vehicle highway fund