168223 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 358697 Page 1 of 1
ONE CIVIC SQUARE TRUCK SERVICE INC. CHECK AMOUNT: $10.50
0 CARMEL INDIANA 46032
P 0 BOX 73506
CLEVELAND OH 44193.0002 CHECK NUMBER: 168223
CHECK DATE: 1121/2009
DEPARTMENT ACCOUNT P O NUMB IN VOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 N50541 10.50 REPAIR PARTS
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TRUCK SERVICE INC. TRUC SERVICE I
INVOIC A
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INDIANAPOLIS SPRINGSEMCE 1 H E R R I M A N BLV INVOICE N% 0 5 4 1 P�GE
(317) 243-7481
Cl CLEVELAND SPRING SERVICE E.A.B. TRUCK SERVICE N Q B L E S Y 4' !4
I L L I N 46060
(216) 431.4010 4474)004 317-776-6464 CUST�YEA -�O. BR�RCH
El DENTTRUCK SERVICE HORTON TRUCK SERVICE
(8"13) 771-4527 (904) 388.1480
CARMEL FIRE DEPT. CARMEL FIRE DEPT.
SOHO SHIP
TO 2 CARMEL CIVIC SQUARE TO 2 CARMEL CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
REMIT TO: P.O. BOX 73506 CLEVELAND, OH 44193 -0002
C lAYOMER P.
R45 wsoRDE 882041 TUE (317) 571 -2600 EB 000/00 000
TY PART NO, DESCRIPTION LIST I PRICE/PER EXTENSION
*PICKED UP BY CUSTOMER
2 WE 1484X8 1/2 INSERT 2.53 1.32EA 2.64
2 WE 1460X8 112" SLEEVE 0.70 0.36EA 0.72
2 WE 1461X8 1/2 NUT 2.43 1,26EA 2.52
3 WE NT10008BK100 112" OD NYLON TUBING 2.97 1.54FT 4,62
EVERYDAY PRICE ON DOT ANNUAL INSPECTIONS $65
1 13+1
W
z
Z
Y
Y RECEIVED BY FREIGHT SUB TOTAL TAX STATUS/STATE SALES TAX PLEASE PAY
o 10.50 EXEMPT IN 0.00 10.50
LL
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of 6"e month following Vie month of tla Invplce dare win be considered
10 DAYS OR 500 MILES PR. due. A Into charge o1 1 1I2% per month win be assessed on all amounts not Paid by the and of Bre month blbwbg the
invoice date. (Annual Interest rata of 16%). I NVOICE
0 4 P M STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT
C D UP 30 BAYS AFTER COMPLETION OF WORK.
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 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))
N50541 Parts to Repair E43 $10.50
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. -WARRANT NO.
ALLOWED 20
Truck Service, Inc.
i
IN SUM OF
14700 Herriman Blvd.
Noblesville, IN 46060
$10.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1 120 N50541 42- 370.00 $10.50 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
JAN 16 2009
A s
It" P s
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund