208818 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
1 ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK AMOUNT: $39.90
ZIONSVILLE IN 46077 CHECK NUMBER: 208818
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 117886 39.90 REPAIR PARTS
NORTHSIDE TRAILER LLC
SALES PARTS SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 117886
ZIONSVILLE, IN 46077
317 769 -2460
317 769 -2463 FAX
BILL T0: 14237 SHIP TO:
CITY OF CARMEL FIRE DEPT.
TWO CIVIC SQUARE
CARMEL, IN 46032 TWO CIVIC SQUARE
CARMEL, IN 46032
(317) 571 -2400
INVOICE DATE ORDER NO. TERMS SALES ERSON
Apr21'12 BOB V. NET 30 DAYS KAY KAY
QUANTITY DESCRIPTION UNIT PRICE AMOUNT..
2 643001 WC1468A 19.9 39.90
WHEEL CHOCK, 5x6x8L, RUBBER
Fo9- 11 17`1
Sub Tota 39.90
Discoun
Shipping Handling 0.00
Tax[ 0 EXEMPT*
Total 39.90
ount Paid 0.00
Receive By: Amount Due 39.90
Chang 0.00
7" C�6
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))
117886 Utility trailer $39.90
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. WARRANT NO.
ALLOWED 20
Northside Trailer
IN SUM OF
11985 East State Road 32
Zionsville, IN 46077
$39.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I 117886 I 42- 370.00 I $39.90 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
MAX 7 9017
T
IL
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund