210764 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00352178 Page 1 of 1
0 ONE CIVIC SQUARE BOBCAT OF ANDERSON
CARMEL,INDIANA 46032 2075 EAST STATE ROAD 67 CHECK AMOUNT: $413.06
ANDERSON IN 46017
CHECK NUMBER: 210764
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 52371 413 . 06 OTHER EXPENSES
,a
INVOICE
Bobcat of Anderson
2075 East County Road 67
Anderson Indiana 46017 r ��
765-643-4222 800-345-5624 Bobcat,
Fax 765-643-5119
>; •
'I OP • CITY OF C.ARMEL--WASTE WATER
95fn HAZEL DELL_ ROAD
' INDIANAPOLIS IN 46280
2
E.! 15/it—2 052371
1 7715 PO ## 9131 7
DESCRIPTION PART NUMBER • •gloom
**#20% RESTOCKIt4II3**#siN0 RETURNS ON ELECTRICAL. 'OR
INSTALLED PAR,rs***$50. 00 FEE ON ALL. RETURNED CHECKS***
_- _-- 664879 BRUSH _IDOLf Y .'TRAI:Ghi'1" CJ D1 SPLAYJ_ 1e E,9 _ 21. 38.
C . 6652802£i0w IE3r?LlSH POLY RS8 10. 88 391. 68
I Tt YI TOTAL 413.06
CHARGE ;SALE $413. 08
I hereby certify under the perjury that the personal property purchased
f.. by the use of this exemption certificate will be DIRECTLY used in the
a.: DIRECT production of agricultural products for resale.
S.S.#
FINANCE CHARGE is computed by a periodic rate of 1 1/2% per monthly billing cycle which is an ANNUAL
PERCENTAGE RATE of 18%applied to the previous balance after deducting all payments and credits during the
:Purchased By billing cycle. To avoid FINANCE CHARGES pay this amount within 30 days from the date of sale. All accounts
Purchased For over 60 days will be placed on C.O.D.
ROYAL 2000 PRINTED IN USA
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
352178
BOBCAT OF ANDERSON Purchase Order No.
2075 E. C.R. 67 Terms
Anderson, IN 46017 Due Date 7/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2012 52371 $413.06
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 # 125299 WARRANT # ALLOWED
352178 IN SUM OF $
BOBCAT OF ANDERSON
2075 E. C.R. 67
Anderson, IN 46017
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
52371 01-7502-06 $413.06
Voucher Total $413.06
Cost distribution ledger classification if
claim paid under vehicle highway fund