176336 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00350691 Page 1 of 1
ONE CIVIC SQUARE MACHINE DRIVE COMPANY CHECK AMOUNT: $1,023.89
�o CARMEL, INDIANA 46032 PO BOX 569
'tior ,o` AKRON OH 44309 CHECK NUMBER: 176336
CHECK DATE: 8119/2009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AM OUNT DESCRIPTION
''651 5023990 F46107 -001 1,023.89 OTHER EXPENSES
08/05/09 07:51 PM ELIT BF! Rogers Co. via V5I —FAX Page i of 1 #169539
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
5
MACHI ^^A �I CODE
I TVW i1./n'rv,�iF B W ROGERS CO F46107-001 DI
2513 CRESCENTVIL LE RD
C 0 M P A N Y MACHINE DRIVE INVOICE DATE PAGE
P.O. Box 569 Akron, Ohio 44309 CINCINNATI OH 45241 08/05/09 1
For Terms and Conditions visit: vwyw.bwrogers.com
Any different or additional terms that may be embodied in your purchase order are hereby objected to. II your order is not an
acceptance of our proposal, this will operate as an acceptance of your order only in the event you agree to the terms hereoL
The terms and conditions contained above and attached shall apply.
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Q E f? 4t!k::......:.. ?�4� +Q4sr
ORDERED BY: LARRY SCHIMMEL
PHONE 317 571 -2634
TRACK 1Z4703790370589080
CARRIER: UPS
SERVICE: GROUND
10 1 1 NS11798- REPAIR 989.0000 989.00
YASKAWA REPAIR M07 EA
YOUR LINE IS: 1
INBOUND FRT IS: .00
FOLD
COST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 989.00
C4037 07/31/09 98 09 S CMW 08/04/09 09
FRGHT /INS /HNDL 34.89
Carrier: UPS FOB: SP,FNA,PREPAID ORIG FAX INVOICE SALES TAX .00
Tracking:
Terms of Payment: NET 30 DAYS CUST FAX 317- 571 -2462 INVOICE TOTAL 1023.89
Please Pay This Amount
ORDER ISSUED IN: CINCINNATI
PHONE: 513- 793 -7077
Customer PO No. S11798 Mark No.
s CITY OF CARMEL UTILITIES s CITY OF CARMEL UTILITIES
L ATTN A/P H WASTEWATER
760 THIRD AVE SW P 9609 HAZEL DELL PARKWAY
T CARMEL IN 46032 T INDIANAPOLIS IN 46280
0 0
?rescribed 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350691
MACHINE DRIVE COMPANY Purchase Order No.
PO BOX 569 Terms 1�
AKRON, OH 44309 Due Date 8/13/2009
Invoice Invoice Description
i
Date Number (or note attached invoice(s) or bill(s)) Amount
8/13/2009 F46107 -001 $1,023.89
hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
ell VZO —V
Date Officer
i
VOOCHER 096224 WARRANT ALLOWED
350'°391 IN SUM OF
MACHINE DRIVE COMPANY
PO BOX 569
AKRON, OH 44309
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
F46107 -001 01- 7362 -05 $989.00
F46107 -001 01- 7362 -05 $34.89
Voucher Total $1,023.$9
Cost distribution ledger classification if
claim paid under vehicle highway fund
I