210285 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 030130 Page 1 of 1
0 ONE CIVIC SQUARE BROWN EQUIPMENT CO., INC CHECK AMOUNT: $51.49
4 CARMEL, INDIANA 46032 PO BOX 9799
FT WAYNE IN 46899 -9799 CHECK NUMBER: 210285
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 23462 51.49 REPAIR PARTS
Brown Equipment Co., Inc. INVOICE
P O Box 9799
Fort Wayne, IN 46899 -9799 Date Invoice
6/13/2012 23462
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
7109 NET 10 JOE UPS
Quantity Item Code Description Price Each Amount
1 241 -176 SEAL KIT 17.41 17.41
1 241 -163 SEAL KIT 12.22 12.22
1 241 -177 SEAL KIT 14.42 14.42
1 FREIGHT 7.44 7.44
i
Sales Tax (7.0
Total $51.49
EI
VOUCHER NO. WARRANT NO.
Brown Equipment Co. Inc. ALLOWED 20
IN SUM OF
P. O. Box 9799
Fort Wayne, IN 46899 -9799
$51.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 I 23462 l 42- 370.001 $51.49 1 hereby certify that the attached invoice(s), or
l 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
,T;fursdayJJune 28, 2012
b/ hi r
Street Commi s ner
Street Comr;�sioner
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))
06/13/12 23462 $51.49
I 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