174418 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350691 Page 1 of 1
ONE CIVIC SQUARE MACHINE DRIVE COMPANY CHECK AMOUNT: $731.77
CARMEL, INDIANA 46032 PO BOX 569
AKRON OH 44309 CHECK NUMBER: 174418
CHECK DATE: 7/8/2009
DEPARTMENT J ACC PO NUMBER INVOICE NU MBER A MOUNT DESCRIPTION
651 5023990 511733 731.77 REPAIR SPEED DRIVE
06/23/09 07:25 PH EDT BW Rngers Co. via V5I —FAX Page 1 of 1 9161514
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
MACHINE HINE: AAr• f�•+ CODE
■]��/�upz ;T /}ir B W ROGERS CO F33116 -001 DI
C
C 0 M P A N Y MACHINE DRIVE DIV INVOICE DATE PAGE
15402 STONY CREEK WAY
P.O. Box 569 Akron, Ohio 44309 NOBLESVILLE IN 46060 06/23/09 1
For Terms and CoMilions visit: vwmm.bwrogers.com Any different or additional terms that may be embodied in your purchase order are hereby okgected 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 hereof.
The terms and conditions contained above and attached shall apply.
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ORDERED BY: LARRY SCHIMMEL
PHONE 317 -571 -2634
TRACK #:1Z4703790369426114
CARRIER: UPS
SERVICE: GROUND
10 1 1 GPD506V /EVALUATION 710.0000 710.00
1WO167045630055 M07 EA
INBOUND FRT IS: .00
FOLD
COST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 710.00
C4037 06/10/09 98 08 S CMW 06/19!09 09
FRGHT /INS /HNDL 21.77
Carrier: UPS FOB: SP,FNA,PREPAID ORIG FAX INVOICE
Tracking: SALES TAX 00
Terms of Payment: NET 30 DAYS CUST FAX 317 571 -2462 INVOICE TOTAL 731.77
Please Pay This Amount
ORDER ISSUED IN; NOBLESVILLE
PHONE: 317- 776 -2900
Customer PO No. S1 1733 Mark No. R090527NG -2
s CITY OF CARMEL UTILITIES s CITY OF CARMEL UTILITIES
0 ATTN A/P H WASTEWATER
D 760 THIRD AVE SW P 9609 HAZEL DELL PARKWAY
T CARMEL IN 46032 T INDIANAPOLIS IN 46280
0 0
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 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
AKRON, OH 44309 Due Date 6/25/2009
Invoice Invoice Description
Date Dumber (or note attached invoice(s) or bill(s)) Amount
6/25/2009 F33116001 $731.77
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
Date tcer
VOUCHER 095905 WARRANT ALLOWED
35035 691 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
F33116001 01- 7362 -05 $710.00
F33116001 01- 7362 -05 $21.77
1
3�
1
Voucher Total $731.77
Cost distribution ledger classification if
claim paid under vehicle highway fund