210353 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00351198 Page 1 of 1
ONE CIVIC SQUARE FLANNEGAN WESTERN
CARMEL, INDIANA 46032 1004 MAIN ST CHECK AMOUNT: $247.95
?o PO BOX 487
o CHECK NUMBER: 210353
EMMETSBURG IA 50536
CHECK DATE: 7/512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 2344 247.95 REPAIR PARTS
Wa FL�GAN Invoice �JESTERN
suaafi iseo
A /II�IIC�SBtGCOJIp6�Ctfq[itS7AlE Date Invoice
6/15/2012 2344
Mail Payments to:
PO Box 487
Emmetsburg, Iowa 50536
Bill To Ship To
City of Carmel City of Carmel Street Dept.
3400 West 131 st Street 3400 West 131 st Street
Westfield, IN 46074 Westfield, IN 46074
P.O. Number Terms Due Date Ship Via F.O.B.
Verbal N15 6/30/2012 6/15/2012 UPS Ground
Quantity Item Code Description Price Each Amount
2 48020 Parts 1 -1/4" x 15 -5/8" 58.00 116.00T
2 48020 Parts 1 -1/4" x 12 -1/4" 46.50 93.00T
8 48020 Parts Snap Rings 2.50 20.00T
1 48040 Shipping Shipping &.Handling 18.95 18.95
Sales Tax 0.00% 0.00
Total $247.95
712.852.3996 (T) 712.852.3997 (F)
Please Visit our Website
www.FWcrane.com
Customer Total Balance $247.95
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))
06/15/12 2344 $247.95
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. WARRANT NO.
ALLOWED 20
Flannegan Western
IN SUM OF
P. O. Box 487
Emmetsburg, Iowa 50536
$247.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Member
2201 I 2344 I 42- 370.001 $247.95 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
T h �s 282012
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Srft O;3rrttrnissior�e�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund