210954 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350758 Page 1 of 1
ONE CIVIC SQUARE MEYER METERIAL HANDLING PRODUCZHECK AMOUNT: $859.00
CARMEL, INDIANA 46032 PO BOX 47366
INDIANAPOLIS IN 46247 CHECK NUMBER: 210954
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0030825 859 . 00 OTHER EXPENSES
'15$ Page: 1
Invoice
MEYER MATERIAL HANDLING PRODUCTS INVOICE NUMBER: 0030825-IN
PO BOX 47366 INVOICE DATE: 6/21/2012
INDIANAPOLIS, IN 46247 MEYER ORDER NUMBER: 0026295
Fax: (317)788-3784
3177869214 - SHIP DATE: 6/18/2012
SALESPERSON: HOUS
CUSTOMER NO: 01-CARMWAT
Sold To: � Shio To:
CARMEL WATER OPERATION. S CAIR\MEL WAT-ER OPERATIONS
ACCOUNTS PAYABLE 3450 W�131 ST
3450 W 131 ST WESTFIELD,/IN 460 74
WESTFIELD, IN 46074
Customer.P.O. Ship VIA F.O.B. Terms
GH61412 BESTWAY ORIGIN NET 30 DAYS
Ordered Shipped Back Ord Item No/Description Price Amount
1 1 0 WP-4848 739.00 739.00
WORK PLATFORM FOR FORKLIFT,48"W X
48"L X 60 EXTENDED METAL BACK
W4 i �a0.O�
Net Invoice: 739.00
THANK YOU FOR YOUR ORDER. Certified 120.00
WE APPRECIATE YOUR BUSINESS. Freight: 0.00
yy17�1V� Sales Tax:
w-men's Business Enterprise Invoice Total: 859.00
VOUCHER # 121515 WARRANT # ALLOWED
00350758 IN SUM OF $
MEYER MATERIAL HANDLING PRODU
PO BOX 47366
INDIANAPOLIS, IN 46247
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0030825 01-6200-04 $859.00
Voucher Total $859.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00350758
MEYER MATERIAL HANDLING PRODUCTS Purchase Order No.
PO BOX 47366 Terms
INDIANAPOLIS, IN 46247 Due Date 7/10/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/10/2012 0030825 $859.00
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
Date Officer