209940 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
0 ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $2,140.32
CARMEL, INDIANA 46032 PO BOX 9799
FT WAYNE IN 46899 -9799 CHECK NUMBER: 209940
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 23431 2,063.95 REPAIR PARTS
2201 4237000 23432 76.37 REPAIR PARTS
Brown Equipment Co., Inc. INVOICE
P O Box 9799
Fort Wayne, IN 46899 -9799 Date Invoice
6/5/2012 23431
Phone 1- 800 747 -2312
Bill To Ship To
CARMEL, STREET DEPT. CARMEL STREET DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST STREET
WESTFIELD, IN 46074 WESTFIELD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
6660 416 NET 10 JOE UPS
Quantity Item Code Description Price Each Amount
I 280830 -I SP IMPELLER 31.496" FOR VT650 8- 13LADES 2,006.23 2,006.23
1 42659 -1 Tab Washer 5.11 5.11
I FREIGHT 52.61 52.61
Sales Tax (7.0 $0.00
Total $2;063.95
Brown Equipment Co., Inc. INVOICE
P 0 BOX 9799
Fort Wayne, IN 46899 -9799 Date Invoice
6/5/2012 23432
Phone 1- 800 747 -2312
Bill To Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W. 131 ST STREET 3400 W. 131 ST STREET
WESTFIELD. IN 46074 WESTFIELD, IN 46074
Packing List P.O. Number Terms Salesperson Ship Date Ship Via
4305 416 NET 10 JOE UPS
Quantity Item Code Description Price Each Amount
1 42284 -1 FANCASE MASK 66.83 66.83
1 FREIGHT 9.54 9.54
r
Sales Tax (7.0 $0.00
Total $76.37
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))
06/05/12 23432 $76.37
06/05/12 23431 $2,063.95
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. WAR NO.
ALLOWED 20
Brown Equipment Co. Inc.
IN SUM OF
P. O. Box 9799
Fort Wayne, IN 46899 -9799
$2,140.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 23432 42- 370.00 $76.37 1 hereby certify that the attached invoice(s), or
2201 23431 42- 370.00 $2,063.95 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
Fr'tl y, Jan fl 5, 2012
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund