210450 07/05/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 00352123 Page 1 of 1
ONE CIVIC SQUARE MACDONALD MACHINERY COMPANY
CARMEL, INDIANA 46032 PO BOX 1424 CHECK AMOUNT: $2,221.98
INDIANAPOLIS IN 46206 -1424 CHECK NUMBER: 210450
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S137783 2,221.98 TRANSPORTATION EXPENS
REMIT TO: P.O. Box 1424
Indianapolis, IN 46206 -1424
MAIN OFFICE:
3911 Limestone Dr. 4445 Decatur Blvd.
Fort Wayne, IN 46809 Indianapolis, IN 46241
L (260) 747 -1561 (317) 856 -3000
2691 Schuyler Avenue 3953 Ralph Jones Dr.
Lafayette, IN 47905 South Bend, IN 46628
(765) 742 -2080 (574) 271 -0800
www.macdonaldmachinery.com
SOLD TO SHIP TO
CR0913 CITY OF CARMEL CITY OF' CARMEL WASTE WATER
760 3RD AVE SW
CARMEL, IN 46032'. 9809 HAZEL DELL PKWY
INDIANAPOLIS, I N 46-E80
NATIONAL 568D 01 SN :33575 HR o0 W :01 C :15
Sold By: SHOP PO S13129 Date 6/15/12 SERVICE INVOICE SI37783
Ship By: Tax ON FILE 10 :01 :04
Tax D my Description Price Amount
SOLD 'THROUGH INDIANAPOLIS, I N OFFICE
REPAIR INSTRUCTIONS:
PERFORM OSHA INSPECTION.
REPAIRS COMPLETED:
PERFORMED OSHA INSPECTION AND COMPLETED AL -L REQUIRED P'AP'ERWORK.
CHANGED OILS IN WINCH AND SI =DING GEARBOXES). CHANGED HYDRAUL -IC
FILTER. REMOVED BAD WINCH CABLE., INSTALLED NEW WINCH CABLE
AND LOAD TESTED UNIT. PERFORMED DOT INSPECTION ON TRUCK.
INSPECTION FEES
E OSHA /ANSI INSPECTION
E RECORDING AND DOCUMENTATION 250.00
1 "OTAL INSPECTION FEES 250. 00
FARTS SERV CASE
E 1 CAS HF6710 HYDRAULI BR02B 1 95 12. 95
PARTS SERV NON
E X50 MIS FLEX —X 19 9 /16" CABLE 5.08 1270.00
MIS SHOP SUPPLY
E SHOP SUPPLIES 18.81
LABOR— SHOP
TOTAL LABOR— SHOP 670.22
TERMS
NET 30 DAYS
SUBTOTAL 2221.98 Sale X
ne 317) 57 3--7e-4VT1
$c221 e 98
No Parts Can Be Returned After 30 Days of Purchase. ORIGINAL
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352123
MACDONALD MACHINERY CO., INC. Purchase Order No.
4445 Decatur Blvd Terms
Indianapolis, IN 46241 Due Date 6/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/20/2012 S137783 $2,221.98
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
Date Officer
VOUCHER 125136 WARRANT ALLOWED
352123 IN SUM OF
MACDONALD MACHINERY CO., INC.
M Y�
Indianapolis, IN -1
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
S137783 01- 7502 -06 $2,221.98
Voucher Total $2,221.98
Cost distribution ledger classification if
claim paid under vehicle highway fund