173555 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $825.00
CARMEL, INDIANA 46032 Po Box 409211
ATLANTA GA 30384 -9211 CHECK NUMBER: 173555
CHECK DATE: 6/10/2009
DEPAR TMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT D ESCRIPT IO N
102 4467099 20585492001 825.00 OTHER EQUIPMENT
INVOICE
SEND ALL PAYMENTS TO:
p S PO BOX 40921 UNBELT ALS 20585492 -001
RENTALS ATLANTA, GA 30384 -9211 &@@g M 522314
5/19/09
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
0 1oz -2750 -2841 JEFF, STEELE 20585492
r CARMEL FIRE DEPARTMENT PURCHASE ORDER NO.
ru
2 CIVIC SQ SHOP
CARMEL IN 46032 -2584
I�InI�IIuIInniIln�I�Inl�lilil�InlnInlllnnilil�I��II JOB N0.
JOB ADDRESS BRANCH
CARMEL FIRE DEPARTMENT FISHERS
2 CIVIC SQUARE 11120 ALLISONVILLE FAD
CARMEL, IN 46032 FISHERS, IN 46038 -1837
317 571 -2600 317 849 -2119
Q Equipment Pric Amount
1.00 209207 CC: 020 -0050 825.0 825.00
14" GAS CUTOFF SAW
Make: HUSQVARNA Model: K750/14 Serial 20080801907
SALES ITEMS:
Qty Item number Unit Price
SBR0200050 N/C
FUEL CONVENIENCE CHARGE
When customer is a buyer of equipment, they are hereby notified that
Sunbelt has assigned its rights (but not its obligations) in the
agreement to sell the asset(s) described herein to Sunbelt Rentals
Exchange, Inc., a qualified intermediary, as part of Section 1031
exchange.
I
EgWpment SeMc e. Quaranteedo 825.00
REMIT TO: NET DUE UPON RECEIPT
SUNBELT RENTALS Invoices not paid within 30 days may be subject 825.00
PO BOX 409211 to a 1 /z% per month charge.
ATLANTA, GA 30384 -9211
EQUIPMENT SALE
Prescribed by State Board of Accounts City Form No. 201 (Re,;;. 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))
20585492 -001 $825.00
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. WA RRAN T NO.
Sunbelt Rentals ALLOWED 20
IN SUM OF
P.O. Box 409211
Atltanta, GA 30384 -9211
$825.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 20585492 001 102 670.99 $825.00 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
N -8
l 1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund