174517 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 359187 Page 1 of 1
ONE CIVIC SQUARE TENNANT SALES SERVICE CO
CARMEL, INDIANA 46032 P 0 BOX 71414 CHECK AMOUNT: $176.40
CHICAGO IL 60694 -1414 CHECK NUMBER: 174517
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBE R AMOUNT DESCRIPTION
2201 4237000 900125540 176.40 REPAIR PARTS
From .TENNANT 06/30/2009 12:57 #487 P.002l002
Remit Payment To Tel 1 -800- 553 -8033
Tennant Sales and Service Company Fax 1- 763 513 -2142
PO Box 71414
CHICAGO IL 60694 -1414 Invoice
Ship -To Invoice Number 900125540
CITY OF CARMEL CITY OF CARMEL
STREET DEPT STREET DEPT Invoice Amount 176.40
3400 W 131ST ST 3400 W 131ST ST Currency US Dollars
WESTFIELD IN 46074 -8267 WESTFIELD IN 46074 -6267 Document Date 04122/2009
Payment Terms
Net 30 Days
Bill -To Final due date 05/22/2009
CITY OF CARMEL
STREET DEPT
3400 W 131ST ST Customer Number 5112774
WESTFIELD IN 46074 -8267 PO Number
SHOP /GREEN MACHINE 04/22109
Buyer JEFF STEWART
317- 733 -2001
Shipped Date 0412212009
Delivery Number 86428889
Order Number 52947341
Delivery Terms
FOB SHIPPING PT FRT PPD ADD
Unit Extended Tax
city Unit Materiel Description Price Value
2 PC NB046 GREEN MACHINE 400 POLYPROPYLENE BRUSH N
Price 46.00 92.00
Net Value 46.00 92.00
1 PC PC060 HOSE BOTTOM RADIATOR N
Price 40.80 40.60
Net Value 40.80 40.80
1 PC PD025 INLET PIPE AIR FILTER N
Price 43.60 43.60
Net Value 43.60 43.60
Subtotal 176.40
Total 176.40
Please include invoice number with payment. All modifying agreements must be in writing and signed by both parties. The items specified have been produced in compliance with the
Fair Labor Act of 1938, as amended. Customer must obtain authorization before returning goods by contacting Tennant at telephone numbers shown above. Selected Items and
conditions appear hereon. All orders are subject to additional terms and conditions which are available on Tenant's websno at www.tananico.COm/Iegallterm9 conditions or available in
printed form upon request.
Page 1 of 1
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))
04/22/09 900125540 $176.40
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
Tennant Sales and Service Company
IN SUM OF
P. O. Box 71414
Chicago, IL 60694 -1414
$176.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 900125540 42 370 00 $1 76.40 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
Wednesday )July 01, 2009
UW
Street Commissio�ier
1 Y
71 Sale
Titie
Cost distribution ledger classification if
claim paid motor vehicle highway fund