208343 04/25/2012 F CITY OF CARMEL, INDIANA VENDOR: 357911 Page 1 of 1
ONE CIVIC SQUARE INDUSTRIAL HYDRAULICS INC CHECK AMOUNT: $90.00
CARMEL, INDIANA 46032 1005 WESTERN DRIVE
INDIANAPOLIS IN 46241 CHECK NUMBER: 208343
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 175803 90.00 AUTO REPAIR MAINTEN
INVOICE PAGE: 1
INVOICE NUMBER: 0175803 -IN
INDUSTRIAL HYDRAULICS, INC.
1005 WESTERN DRIVE INVOICE DATE: 04/10/12
INDIANAPOLIS, IN 46241
ORDER DATE: 03/27/12
(317) 247 -4421 SALESPERSON: IHI
CUSTOMER NO: CAR36
SOLD TO: SHIP TO:
CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL IN 46032
CUSTOMER PO: JASON FORCE TERMS: NET 3 "0__
MANAGER: KH
JOB NUMBER: 0127226
INSPECT AND TEST 1 PARKER PUMP
LABOR 90.00
THANK YOU
Remit To: Industrial Hydraulics Inc.
SUB TOTAL: 90.00
1005 Western Drive
Indianapolis, IN. 46241
RETURNED MATERIAL SUBJECT TO HANDLING CHARGE
MATERIAL CANNOT BE RETURNED WITHOUT AUTHORIZATION
We hereby certify that these goods were produced in compliance with all
applicable requirements of Sections 6, 7, and 12 of the Fair Labor Standards INVOICE TOTAL: 90.00
Act, as amended, and of regulations and orders of the United States
Department of Labor issued under Section 14 thereof.
1 1/2% MONTHLY SERVICE CHARGE ADDED ON ALL PAST DUE INVOICES
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 n attached invoi or bill(s))
175803 $90.00
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. WARRANT NO.
ALLOWED 20
Industrial Hydraulics
IN SUM OF
1005 Western Drive
Indianapolis, IN 46241
$90.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 175803 I 43- 510.00 I $90.00 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
APR 23 N
7
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund