171101 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
ONE CIVIC SQUARE SUNBELT RENTALS
PO Box 409211 CHECK AMOUNT: $205.20
CARMEL, INDIANA 46032 ATLANTA GA 30384 -9211 CHECK NUMBER: 171101
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMB AMOUNT DESCRIPTION
651 5023990 17096513009 205.20 MATERIALS SUPPLIES
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).A %9 -04 -13 07:40 INVOICE 3175712265 P 1/1
SUNBEL SEND ALL PAYMENTS TO: INU0ICENUMBER 17096513 009
PO BOX 409211 —a
NTA, GA 30384.9211 ACC 6bNTNUMRER 72372
ORIGII�'�
iNVOICE oarE �102J09 i
INVOICE TO PACE 1
j RECEIVED BY CONTRACT NUMBER
CARMEL, CITY OF WASTEWATER UTI COOPER CALVIN 17096513 -009
760 3RD AVENUE S W
CARMEL IN 46032 PURCHASE ORDER NUMBER
NR
JOB NUMBER
JOB ADDRESS
1 REFLECTING POND
550 SW 3RD AVE, CARMEL BRA CN
REFLECTING POND INDIANAPOLIS PUMP &POWER
550 SW 3RD AVE 11220 ALLISONVILLE RD
CARMEL, IN 4 6032 FISHERS, IN 46038 -1837
C 317.571.2634 J 317- 571 -2645
317 -572 -1180
QTY EQUIPMENT Min Day Week 4 week Iarrioi nt.
1 4 X 6 SEWER PLUG 24.00 24.00 60.00 180.00 11'30.0(:
No rope kit needed
1 RENTAL PROTECTION PLAN
BILLED FOR FOUR WEEKS 1/15/09 THRU 2/11/09.
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205.20
(�5 47
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All Your Equipment Need—
SUBTOTAL. 205
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One Company.
NET DUE UPON RECEIPT TAX
4 WEEK SILL INVOICE TOTAL 2 0 5. P 0
;=1
1- FomNo301S ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
1
I 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
,19
Signature Title
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.
19
Officer Title
voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
CARMEL, INDIANA
Favor Of
sc�Nbe(� RP a�a (s
Po 44 g0q;I_11
Total Amount of Voucher
De d uctions
DI- p
Amount of Warrant 9 IDS A-0
Month of 19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325