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209330 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 276475 Page 1 of 1 ONE CIVIC SQUARE ROUDEBUSH EQUIPMENT INC CHECK AMOUNT: $408.31 CARMEL, INDIANA 46032 MASSEY- FERGUSON 2911 ST RD 32 E CHECK NUMBER: 209330 WESTFIELDIN 46074 -9512 CHECK DATE: 5122/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 109693 64.14 REPAIR PARTS 2201 4237000 109703 116.38 REPAIR PARTS 2201 4237000 SP109597 227.79 REPAIR PARTS ROUDEBUSH EQUIPMENT INC. INVOICE Sales Service"°`° i k 2911 STATE ROAD 32 EAST No. 095275 WESTFIELD, IN 46074 :1 097(7;3 MASS EY FERGUSON 317 896 2753 www.roudebushequipment.com BILL TO: CITY OF f::flRME::L STf:G::l:::'T' DEPT SHIP TO: YEAR 131ST STREET MODEL:� CARMEL IN. 46074 I°I(71YIE .::3:L 7 7::31:3 E@01 Wf:)RK SALESPERSON BPI (%5 /1(r) /%'.0:1.c' 1.:1. „M8u 3 I S AN (:)1'1°N AC CO 1.11.. 7(r) DR DESCRIPTIO Vf•• 111•• C:.I_:.1ti '1} .1 •S....'.: `3.1. 1.l•r 5t5 TOTAL FOR ITEMS $116.38 A MOUNT DUE:: tl 1 16..::38 AMOUNT TENDERED $0.00 i 1 S INE 1. 6 :1. 7 Ti °IfllEll'. YOU. 1 ::T)R YOUR EA.9.3 NE::: "S PARTS S BOt:)KS ON I...:I.NE WWW.. AGC O 4AR 1'.f: M C•;l.Jl:::'::i I 8 AM 5 PM SATURDAY CL..Os.: }E DEC—JAN—FEB J) ?I:::ii•: tl.Jt:ii..l:::. TAX x hdl.J{YIT�E:f1:: C)hd FILE SIGNATURE: CHARGE 116.38 I hereby certify under the penalties of perjury that the personal property purchased TERMS: Net 10th of month following purchase. A charge of 1.5% per by the use bf this exemption certificate will be. DIRECTLY used in the DIRECT month (18% per annum) will be added to all past due accounts. No goods production of agricultural products for resale. Sale to Retailer, Wholesaler or Manufacturer for Resale Only. returnable after 10 days. All returned goods and claims must be accom- Sales to Not -For- Profit Organizations, claiming exempt purchases pursuant panied by this invoice. Special order goods are not returnable. Returned to bulletin #10. goods are subject to a handling charge. Sales to Governmental units. ROUDEBUSH-EQUIPMENT INC. INVOICE Sales e 2911 STATE ROAD; Servic EAST WESTFIELD, IN 46074 NO 095 2 6 6 MASSEY FERGUSON 317 896 2753 www.roudebushequipment.com BILL TO: SHIP TO: OF t::filil'11i:l... S"IT- 1 I E: VI T.. `(li::f•• R n l'I.i: ::f ::'T I+ D trflttl N :::l.. '.[N., 4E-,074 .K )i I =i 1=? 'T' to :1: I"I h :1: t:: E. 1i yt SALESPERSON �I••it °if: C f� F �lt il'•t'f' 'I :1.:1... %1 :OH; ff1'"i: G'l��D /i�yf•�1'1: t w ,.,�yr:� C' t.: DESCRIPTIO PRI ;:i..t'141 Lil .1...:`5(`:ilar.�.''.'�:f. "�'f ?cL..f1C) 1 f.::( I'1 {.1i...(:::! °l:1: {�r':L..;iil:� as►:: TOTAL. 1•°(:11 ;iE.,4 :1.4 AIVIOUNT DUE 14 ()IVI(:)C. NT '1IJII))EF1 •:!s( ?i.. 00 ST h a 1 Y( F0I:'-' 'Y C: UVII 1.*8.1111 :l :!'il :*S'G 't fait 'Y'':; B(:)CW'S ON L..:I:IIE www" (1( 3(: I :(:f(. (:x:14`1 (:i1.A1:i:;ii'1 IYL...I:. 8 A1'I 55 i.'I`I ;a9 I)A Y C- 1...0 ))l f::il• °I °'li :::i:t Wit,,11A.. 1: )t. IAi:• '(.1 I..I:::Q i :f GH'ITH:1'1i'T 1(!J lid i >r:f 'Tt=IX hlUt''lXtE::Fi. {:)11 F':1:1...1r: 'i:I:131 EK I hereby certify under the penalties of perjury that the personal property purchased TERMS: Net 10th of month following purchase. A charge of 1.5% per by the use of this exemption certificate will be DIRECTLY used in the DIRECT month (18% per annum) will be added to all past due accounts. No goods production of agricultural products for resale. Q. Sale to Retailer, Wholesaler or Manufacturer for Resale Only. returnable after 10 days. All returned goods and claims must be accom- Sales to Nat For Profit Organizations, claiming exempt purchases pursuant panied by this invoice. Special order goods are not returnable. Returned to bulletin #10. goods are subject to a handling charge. Sales to Governmental units. ROUDEBUSH EQUIPMENT INC. Sales INVOICE Service`?.. iFF 2911 STATE ROAD 32 EAST No WESTFIELD, IN 46074 S MASS EY FERGUSON 317 896 -2753 www.roudebushequipment.com BILL TO: (a.T.TY C)F (:(11ilYlE t :3'Tf�l%l ::'1 I)f: :a''T'.. SHIP TO: YEPIR (:ftf�lYlE:l... MAKE ;:S� +00 W. 131 ST Tl;[::1 :::T IYIOZ)f•::I...II t.:AFtMEL. :I:hl.. 46074 7133 20 01 WORK mulkylenomw ��NEE�JSALESPERSON :3: :3'i (:)I'E:I�I f�(::( (:1t.)hil 1.1. :L,.'r(rl DR DESCRIPTIO :I.. 00 Ifs_.. %?:i 098 7.:i. S, f :i'T f11� "('L• ::fi, f:iCll...E 1 SI.-I I$i: ?:I.11. $C 8. c.'.`:) :I.,. 00 1;:31' 4:)V 0I- R 'Ji12..50 it *,9., 50 $9. 0 A1101 Dt.al::. $227 79 (11Yltlt.Jhl'T TE::hIDFRE D $0. 00 c)7 TI••IANI< Y01.) F-0R Y(:)LJF2 141.), E:: t:3f:> f:'(-lR T•• 3 B(30 KS' L)i ,.l 1 1,,1[7 WWW.: C,011 IYI I° 8 ON 1 *5 !--'lYl 1 :sA 1't.lR D0 Y t.,1...0f:3Ii. WWII.. I,>J;:32 �CZC��?�2 (:.I••If�F:(a "t :i: flyi: ?r ?'f..'1':) I hereby certify under the penalties of perjury that the personal property purchased TERMS: Net 10th of month following purchase. A charge of 1.5% per by the use of this exemption certificate will be DIRECTLY used in the DIRECT month (18% per annum) will be added to all past due accounts. No goods production of agricultural products for resale. Sale to Retailer Wholesaler or Manufacturer for Resale Only. returnable after 10 days. All returned goods and claims must be accom- Sales to Not- For Profit Organizations, claiming exempt purchases pursuant panied by this invoice. Special order goods are not returnable. Returned to bulletin #10. goods are subject to a handling charge. Sales to Governmental units. VOUCHER NO. WARRANT NO. ALLOWED 20 Roudebush Equipment IN SUM OF 2911 State Road 32 East Westfield, IN 46074 $408.31 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members r 2201 SP109597 42- 370.00 $227.79 1 hereby certify that the attached invoice(s), or 2201 109693 42- 370.00 $64.14 bill(s) is (are) true and correct and that the 2201 109703 42- 370.00 $116.35 materials or services itemized thereon for which charge is made were ordered and received except f Thursday,�May 17, 2012 11 Street Commission�elr C)IICCt hLJ,iii!;l !t lItil Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 05/07/12 SP109597 $227.79 05/09/12 109693 $64.14 05/10/12 109703 $116.38 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