211226 07/31/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 00352178 Page 1 of 1
ONE CIVIC SQUARE BOBCAT OF ANDERSON
CARMEL, INDIANA 46032 2075 EAST STATE ROAD 67 CHECK AMOUNT: $119.18
ANDERSON IN 46017
,o �a CHECK NUMBER: 211226
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 52722 119 . 18 OTHER EXPENSES
INVOICE
Bobcat of Anderson
2075 East County Road 67
r Anderson Indiana 46017 Bobcat '
.= 765-643-4222 800-346-5624 iii ®,
Fax 765-643-5119
EQUIPMENT REPAIRED
102 CITY OF CARMEL-WASTE WAT ER
• cirseiJ HAZEL DELL ROAD
INDIANAPOLIS IN 4£',2BL7r
CUSTOMER ACCOUNT NO.
PART NUMBER' DESCRIPTION
L.,
•
***;F—' J% RES TUCK.tP.lt:3*�**f* ua LANI r�f..r_.tr f rcat.r+t, trrt
7INSTALLED PARTS***$50. t. 0 FEE JI\I ALL RETURNED CHECKS,***
6538846 BEARING D1--1 4 44. 91 89. 82
4 FLANGE -t-i - - C2-4--8- 7. :34 - 2-ge-3r.,
ITEM Ti.TAL 119. 1.8
CHAF IGE SALE $119. 18
I hereby ce fy under the perjury that the personal property purchased
by the use this exemption certificate will be DIRECTLY used in the
DIRECT pro uction 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 7/24/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2012 52722 $119.18
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5-11-10=1.6
/z'7��
Date Officer
VOUCHER # 125401 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
52722 01-7502-06 $119.18
Voucher Total $119.18
Cost distribution ledger classification if
claim paid under vehicle highway fund