208621 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $593.95
CARMEL, INDIANA 46032 PO BOX 9799
FT WAYNE IN 46899 -9799 CHECK NUMBER: 208621
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 23199 593.95 REPAIR PARTS
Brown Equipment Co., Inc. INVOICE
P O Box 9799
Fort Wayne, IN 46899 -9799 Date Invoice
4/24/2012 23199
Phone l- 800 747 -2312
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST STREET
WES FIELD, IN 46074 WESTFIELD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
7001 TRK411 NET 10 JOE UPS
Quantity Item Code Description Price Each Amount
4 282538 -1 RUBBER NOZZLE SET V650 143.97 575.88
1 FREIGHT 18.07 18.07
7
i i
I
Sales Tax (7.0 $0.00
Total $593.95
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))
04/24/12 23199 $593.95
1 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. WARR NO.
ALLOWED 20
Brown Equipment Co. Inc.
IN SUM OF
P. O. Box 9799
Fort Wayne, IN 46899 -9799
$593.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I 23199 I 42- 370.001 $593.95 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
b Wedn &da #y ay 02, 2012
Street Commissi�Vr
Street C ssloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund