210118 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 276475 Page 1 of 1
ONE CIVIC SQUARE ROUDEBUSH EQUIPMENT INC
i CHECK AMOUNT: $56.62
CARMEL, INDIANA 46032 MASSEY- FERGUSON
2911 ST RD 32 E CHECK NUMBER: 210118
WESTFIELDIN 46074 -9512
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 110052 56.62 REPAIR PARTS
ROUDEBUSH EQUIPMENT INC.
INVOICE
Sales Service
I;rr 2911 STATE ROAD 32 EAST No. o 5
WESTFIELD, IN 46074
MASS EY FERGUSON 317 896 2753
www.roudebushequipment.com
BILL TO: SHIP TO:
C..I.'TY (:)F° (:fai °ilYll :i'T'f�l:l ::'T' I)F:I�''T'„ YI :::faR:;
:3 S )IRIVIIH 1... lYl(llf l c
400 W. :I. 31. E-3'T' E-3'T'F�E T'
CAR111 :::I... :I: hl„ 6074
FIOIVII e ::3:1.'7 7313 20011 W(JRK e
x at F' A R T c 1: ICI V t7 1: E. x ae
SALESPERSON
06/04/1201.2 %201:1.2 09 (:)I 'I ::Itl tl(:(::(]UI`I'T' :I.:l :l "r't7 DR
DESCRIPTIO
1. 0101 R 0101'7 °S l '13 tl 56., (.-'..2 62
()II1101 I I) $0„ 010
1961.
TFIANK YOU I:"OI-� YOUR 1-.A.J'(31I'IEf :i; :i I
11 F)()RT; 3 BOOS Oh•I 1...1:1 I1: WWW., CON (:)l.11 -ciT
11 F- 6 AN 5 P11 SATURDAY T'lJl° DAY CM.0
WWIJ„ I t:ll.11)I. ::F l!; I F: ::'�LI:I: I lY1 W; :32
TOO IgL)I R-, l V *11...I: ',3:1:0 7
C56" 62
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.
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))
06/04/12 110052 $56.62
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
Roudebush Equipment
IN SUM OF
2911 State Road 32 East
Westfield, IN 46074
$56.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I 110052 I 42- 370.001 $56.62 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
Fnday, 15, 2012
J rJ ate' a P
Street Commissioner v
Street c Tit m missloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund