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211850 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00351502 Page 1 of 1 0 ; ONE CIVIC SQUARE MACALLISTER MACHINERY ql CHECK AMOUNT: $2,456.69 CARMEL, INDIANA 46032 P.O.BOX 660200 INDIANAPOLIS IN 46266-0200 CHECK NUMBER: 211850 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 PT000027374 6 . 54 REPAIR PARTS 2201 4237000 PT040227308 576 . 64 REPAIR PARTS 651 5023990 R6071156101 1, 047 . 77 OTHER EXPENSES 1093 4350000 R6071369901 309 . 00 EQUIPMENT REPAIRS & M 1125 4350000 R6071369901 516 . 74 EQUIPMENT REPAIRS & M Corporate Office MacAllister , 7515 E. 30th Street PO Box 1941 Indianapolis, IN 46206 Ph: (317) 545-2151 Please Remit All Payments to: MacAllister Machinery Co. Inc. PO Box 660200 Invoice Number PT000027374 Indianapolis, IN 46266-0200 1174600 CITY OF CARMEL STREET DEPT ISSUED 3400 W 131ST ST WESTFIELD IN 46074 Invoice Date Puchase Order Number Doc. Date Ship Via Page 27JUL2012 204 27JUL2012 1 Equipment Number Make Model Serial Number Meter Reading Machine ID Quantity Part Number N/R Description Unit Price Extended Price PACKING SLIP NUMBER: 000156286 PARTS SALES PERSON: JESSE LEE 2 214-7568 *SEAL-0 RING S 3.27 6.54 TOTAL PARTS 6.54 T TAX EXEMPTION LICENSE 0031201550020 NET 30 DUE 30 DAYS FROM INV DA MacAllister Machinery's service labor is warranted to the customer for a period of 180 days from the date of work,to include defects in workmanship performed by MacAllister Machinery employees.This warranty would include the replacement of parts and labor,damaged by that defect in workmanship. Any failures caused by defect of parts,whether replaced new at the time of our work,or re-used,will be covered by the original manufacturer's warranties,if any. Goods cannot be returned without our permission and are subject to restocking charge.All items marked with an asterisk(")have been declared non-refundable by the manufacturer and are not acceptable for credit. Items not shown are backordered. Claims for shortages must be made within 5 days. TERMS: 1.5%PER MONTH(18%)PER ANNUM)WILL BE CHARGED ON INVOICE PAST DUE Please Pay ` $6.54 THIRTY(30)DAYS. This Amount NV PS 1 CORPORATE OFFICE: 7515 E. 30th Street, PO Box 1941, Indianapolis, IN 46206 * Ph: (317) 545-2151 * Fax: (317) 860-3310 Engine Power MacAllister 7575 E. 30th Street PO Box 1941 Indianapolis, IN 46206 Ph: (317) 860-4401 Please Remit All Payments to: MacAllister Machinery Co. Inc. PO Box 660200 Invoice Number PT040227308 Indianapolis, IN 46266-0200 1174600 CITY OF CARMEL STREET DEPT 3400 W 131ST ST WESTFIELD IN 46074 Invoice Date Pucbase order Number Doc. Date Ship Via Page 27JUL2012 204 26JUL2012 WILL CALL 1 Equipment Number Make Model Serial Number Meter Reading Machine.ID Quantity Part Number N/R Description Unit Price Extended Price PACKING SLIP NUMBER: 04C295922A PARTS SALES PERSON: JAMES E. BARLOW 1 231-8798 *SEPARATOR GP N 576.64 576.64 TOTAL PARTS 576.64 T TAX EXEMPTION LICENSE 0031201550020 NET 30 DUE 30 DAYS FROM INV DA MacAllister Machinery's service labor is warranted to the customer for a period of 180 days from the date of work,to include defects in workmanship performed by MacAllister Machinery employees.This warranty would include the replacement of parts and labor,damaged by that defect in workmanship. Any failures caused by defect of parts,whether replaced new at the time of our work,or re-used,will be covered by the original manufacturer's warranties,if any. Goods cannot be returned without our permission and are subject to restocking charge.All items marked with an asterisk(*)have been declared non-refundable by the manufacturer and are not acceptable for credit. Items not shown are backordered. Claims for shortages must be made within 5 days. TERMS: 1.5%PER MONTH(18%)PER ANNUM)WILL BE CHARGED ON INVOICE PAST DUE Please Pay $576.64 THIRTY(30)DAYS. This Amount INV-PS t CORPORATE OFFICE: 7515 E. 30th Street, PO Box 1941, Indianapolis, IN 46206 * Ph: (317) 545-2151 * Fax: (317)860-3310 VOUCHER NO. WARRANT NO. ALLOWED 20 MacAllister Machinery Co. Inc. IN SUM OF $ P. O. Box 660200 Indianapolis, IN 46266-0200 $583.18 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO, ACCT#/TITLE AMOUNT Board Members 2201 PT040227308 42-370.00 $576.64 1 hereby certify that the attached invoice(s), or 2201 PT000027374 42-370.00 $6.54 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 /',Thursday;August%09,`2`0l12 Street Commissioner StreetTitle' Cost distribution ledger classification if claim paid motor 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 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)) 07/27/12 PT040227308 $576.64 07/27/12 PT000027374 $6.54 I 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 • i H E MacAllister Rental Contract No. 713699-001 MacAllister Rental Invoice No. R6071369901 Page 1 INDIANAPOLIS RENTAL 6870 WEST WASHINGTON ST INDIANAPOLIS, IN 46241 WORK ORDER INVOICE 317-244-7368 Date 26JUL2012 1174560 E26JUL2012 26JUL2012 0 CARMEL CLAY PARKS & REC N CENTER MONON CENTER ADMIN OFFICE _ 1411 E 116TH ST CARMEL, IN 46032 MONON CENTER MATT BUSH Equip # Make Model Serial # Description 1501094 JLG E300AJ 0300120739 30 ' ELECTRIC ARTICU WORK PERFORMED : HR METER 114 .3/CUSTOMER MACHINE : SERVICE CALL TO CUSTOMER ' S MACHINE FOR ANNUAL INSPECTION . LUBRICATE WELL , OPERATE ALL FUNCTIONS . ALL WORKS WELL. MACHINE PASSES ANNUAL INSP . LABOR: Mechanic Hours Work Rate Extended PATRICK JENSEN 3 . 00 MISCELLANEOUS 103 . 00 309 . 00 C�, 1 rFE Purchase _ J U L 31 2012 Description b�_d',Ad-on t P.O.# ►,Q $'7 P ll BY: G.L.# l Lq 5 - 45150000 - Budget Line Descry . L 1_1 Jul - Purchaser Date Approval Date Total Labor 309.00 Total Amount 309. 00 Net 10 days unless otherwise specified.A service charge will be applied to all past due accounts.This agreement shall include the above terms and conditions as well as those set forth on the reverse hereof. WVNNWDB(Da 2011) Please Remit All Payments to: MacAllister Machinery Co. Inc., PO Box 660200, Indianapolis, IN 46266-0200 � ' JLG Industries,inc. BOOM LIFT and TRAILER MOUNTED BOOM LIFTS 1 JLG Drive MfAff. McConnellsburg,PA 17233-9533 Annual Machine Inspection Report JLG Account Holder Name&Address Product Owner/User Name&Address Serial Number: 6,3 QQ 1-2n 3 Customer No.: �Owner El User Machine Model: �"-3w,Q ` L r /; - - _ Hourmeter Reading: Previous Inspection Date ANNUAL MACHINE........The Owner must perform an Annual Machine Inspection of this machine no later than 13 months from the date of the prior Annual Machine Inspection. This Annual Machine Inspection is to be performed by a mechanic qualified on the specific make and model of aerial work platform. Check each item below. (Refer to Operators&Safety,Service&Maintenance Manuals for specific information regarding inspection procedures and criteria.) Indicate in the appropriate space as each item has been performed. If the item Is found to be not acceptable,describe each discrepancy in the comments space at the bottom of the form. Use additional paper if necessary. Immediate action must be taken to correct all discrepancies. The Owner shall not place the machine in service until all discrepancies have been corrected. FUNCTIONS &CONTROLS BOOM ASSEMBLY(continued) HYDRAULIC/ELECTRICAL SYSTEM (continued) 1.All controls return to neutral/off position when released. 6.Inspect all cylinder pins,pivot pins,attaching&retention hardware 2.All areas around hydraulic components(pump,oil lines,reservoir) 2.Detents properly lack controls in neutral/off position.Check condi- for damage,distortion&excessive wear. free of oil,no evidence of leaks. tion of control enclosures&protective boots/guards. TURNTABLE 3.Hydraulic oil free of contaminants,hydraulic filter clean. 3.Footswitch operates properly.(shuts off function when released) 1.Hood doors open&latch properly. 4.Hydraulic level In tank&torque hubs correct. 4.Emergency stop switches at the ground&platform control stations 2.Hood props in place,secure and functioning properly. 5.Hyd:aulic tank cap tight&vent open. arrest all platform movement. 3.Turntable bearing,swing drive&gear secure and undamaged, 6.All hydraulic fittings&lines secure,free of damage,chafing&leaks 5.All function&speed cut-outs operate properly. properly lubricated.No missing bearing bolts or signs of looseness 7.All electrical connections tight,no corrosion or abrasions. 6.Manual descent system and/or auxilillary power system operates 4.Check swing bearing bolt tolerance per the Service&Maintenance 8.Instruments,switches,gauges,horn&lights operate properly. properly. Manual. 9.Pump&motor secure,undamaged&free of leaks. 7.Tower boom sychronization and sequence system operates prop- 5.Turntable lock secure,undamaged&operable.(If equipped) 10.All hydraulic pressures properly adjusted. erly. (HA&A models) CHASSIS MANUALS & DECALS 8.Capacity indicator system operates property. 1.Wheel dm nuts torqued properly. 1.ANSVSIA Manual of Responsibilities in manual storage box. 9.Brakes operate properly.(swing&drive) 2.Proper tires installed. 2.Operators&Safety Manual in manual storage box. 10.Machine controls operate properly at platform&ground control sta 3.Tires free of gouges and excessive wear,no cords showing.If 3,AEM Handbook in manual storage box. tions.(lift,swing,drive,telescope,etc.) pneumatic,properly inflated.Tire bead properly seated around rim t/ PLATFORM ASSEMBLY 4.Oscillating axle operates properly,locks in place when turntable 4.Capacity decals installed&legible at both platform&ground sta- swings to side. tions. 1.Platform installed&secure.Mounting hardware free of damage& 5.Outrigger/extendible axles operate properly.Interlocks function 5.All safety&instructional decals installed,secure&legible. secure.Gate opens&latches properly. properly. SC GENERAL 2.Platform guardrails and floor in place,secure and undamaged. 3.Lanyard anchorage points secure,undamaged&labeled. POWER SYSTEM 1.Lift is free of unauthorized modifications or additions. BOOM ASSEMBLY 1.Engine idle,throttle&RPM set properly. 2.Pain[and overall appearance. 2.Battery fluid levels correct. 3.Applicable Service Bulletins completed. 1.Boom sections free of damage,distortion&excessive wear. 3.Battery charger scrolls through diagnostics when plugged in. 4.Inspect general structural condition including all welds. 2.All nuts,bolts,pins,shafts,shields,bearings,wear pads,locking 4.Batteries accept charge. 5.Grease and lubricate per Service&Maintenance Manual. devices,checked far proper installation,no excessive wear,cracks p or distortion. 5.Air&fuel filter clean. 6.Drive&operate machine to test all machine functions. j( 3.Inspect all sheaves,sheave pins and bearings for proper installa- 6.Fuel,coolant and engine oil level correct. 7.Record inspection date on"IMPORTANT"decal on frame. tion,secure,no excessive wear,cracks or distortion. X 7.Fuel cap tight&vent open. 8.If ownership has changed,complete attached Owner Update form 4.Boom chains and cables are free of damage,properly installed, 8.Exhaust system free of leaks. and return to JLG. properly torqued&properly lubricated. 5.Powertrack is free of damage,distortion&excessiables HYDRAULIC/ELECTRICAL SYSTEM Comments: ve wear.C hoses are properly routed,no chafing or leaks. 1.All cylinders free of damage,no evidence of leaks. C The undersigned c that this machine has been inspected,per each area of inspection,and any and all discrepancies have been brought to the attention of the Owner/User,and that all discrepancies have been corrected prior to any fur- ther use of this achine. 7 JLG Accou ! '_Z6-_Zo/_�,Owner/User: 1' Authorize nature Printed Signature Date Authorized Signature Printed Signature Date_ White Copy to JLG Account Holder; Canary Copy to Owner/User; owner Update Form send to JLG Industries,Inc.as required Form No-3124166-CGF483-311612005 MacAllister E10 al Contract No. 706859- 001 AUG 0 12012 I f, MacAllister Rental Invoi� c N _R8.1.7-0- 59 1 Page 1 BEECH GROVE RENTAL 5401 ELMWOOD AVENUE INDIANAPOLIS, IN 46203 WORK ORDER INVOICE Date 317-788-4624 3�OJUL20T2- *Copy 1174560 10JUL2012 3oJUL2012 CARMEL CLAY. PARKS & REC OUR SHOP 31106 ADMIN OFFICE 1411 E 116TH ST CARMEL, IN 46032 OUR SHOP Equip # Make Model Serial # Description _ - 7:1848 -KUBOTA RTV 900 73848 KUBOTA WORK VEHICLE WORK _ :PERFORMED : STUCK IN 4WD STUCK IN 4WD LEFT REAR AXLE HUB LOOSE CAUSING GEARS TO BIND , REPLACED AIR ,CLEANER , ADJUST DOORS , CLEAN UNIT, TEST RUN PARTS : Qty B/0 Part Number Bin Loc Description U/M Price Extended 1 KUBK7561- 17823 03BO5 AXLE , REAR EA 78. 590 78. 59 1 KUBK7561- 17840 041304K WASHER EA 7 . 110 7 . 11 1 KUB3M740- 93150 0460311 NUT, CASTLE EA 10 .300 10 .30 1 KUB05511- 50540 0 1 B 0 3 C PIN , SPLIT EA .210 - 21 1 KUBK1211,-82320 12603 FILTER ,AIR OUTER (NA EA 18 . 54.0. 18:54 KUBK 7561-"82360. 05A07 FILTER ,AIR- INNER(NAP EA 33 . 990 3Y. 99 1 FREIGHT FREIGHT EA . 35 .000 35 . 00 LABOR: ` Mechanic Hours Work Rate" `"Exten.ded DAVID HUMRHRIES 4 . 50 MISCELLANEOUS 74 . 00 333 .00 Total Parts & Materials 183.74 Purchase 7V9O�/��pa�zd Total Labor 333.00 /-? Description cG�,� Total Amount 5.16.7:4. P.O.# ,3/lD�o P o;l'�X - -7-1 . " G.L.# /l2S-4G d/ 30000 Bud% t e Line Descr mow,. Purchaser Datep Approval Z&t Net 10 days unless otherwise specified.A service charge will be applied to all past due accounts.This agreement shall include the above terms and conditions as well as those set forth on the reverse hereof. WVNNWOBIOec20111 '�~�-� `�� `— � � 11/ P_Iease Remit-Atl Pay"rilent's to: MacAllister Machinery Co.,Inc.-,_11 Box_660200.,Indianapolis;-IN_46266-0200 MacAllister Machinery Parts Return Policy We understand that occasionally a part may need to be returned, and we are happy to accommodate your request. Processing these items is very time consuming and costly for both MacAllister and our customers. The following guidelines for returning parts will assure proper and timely credit and help minimize the costs involved, Cateirpillar Parts Stocked at MacAllister Machinery 1. k4USt b8 new, undamaged and in original packaging 2. Returned within 15 days Of purchase - Full Credit 3. Returned after 15 days but within 90 days- 1096 Restocking Charge 4. Returned after 9O days will not b8accepted Caterl2illar Parts Not Stocked by MacAllister Machinery 1, Returned within 15 days of purchase, and with a unit value exceeding $45.00 or more- 15% Restocking Charge 2. Returned after 15 days but within 9O days -2596 Restocking Charge 3. Returned after 9O days will not b8accepted 4. Unit value less than $45.00 will not bRaccepted The following 12arts are Non-Returnable: 1. Parts marked with an (^) in the N/R Co|Unln 2. Hydraulic tubes, if protective covers have been removed 3. Rusty, used, installed Or damaged parts. 4. Gasket Kits that have been opened. 5. Material that is cut to order i.e. hDG8S. window S88|S G. E|eCt[iC8| parts. 7. Replaced Dr discontinued parts. 8. Literature Non-Caterpillar Parts: Will be subject to the te[DlS of that SUpp|i8['S return policy, |8SS freight and any applicable �toch/nQ'chorQeo-P/ense-conteot=yoor|nca|-ManA\|imterBranoh'fer�specyhc,po\\cie Caterpillar Reman Products: Must meet Caterpillar pre-established core criteria, and be returned within 90 days of purchase. Method:Reimbursement 1. Purchases 0la MacAllister account will b8 credited toS8nle- 2. PQrCh8SgS by cash Or check will be refunded hwcheck ` ~ 3. Credit Card purchases will be credited back to the same-card-used for purchase ' . -- . ' Normal processing dO08for check refunds issued bvyW8CA||iG��hS1Om0d�0�dRys`�8refund has not been received after 1O days please contact the y�3CA||ist8rAccounting Depwt[VentEt 1-8OO-335-OO2O, A fee Of$25.00 will b8 charged for all checks for insufficient funds. i I her No. Warrant No. i I 31502 MacAllister Machinery Co., Inc. Allowed 20 P.O. Box 660200 Indianapolis, IN 46266-0200 In Sum of$ $ 825.74 ON ACCOUNT OF APPROPRIATION FOR 01 - General Fund / 109 - Monon Center )#.or INVOICE NO. ACCT#/TITLE AMOUNT Board Members pt# )93 86071369901 4350000 $ 309.00 1 hereby certify that the attached invoice(s), or 125 88170685901 4350000 $ 516.74 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 9-Aug 2012 Signature $ 825.74 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund CD > o Ilao I �� I I I I I I I I 00351502 MacAllister Machinery Co., Inc. Terms P.O. Box 660200 Indianapolis, IN 46266-0200 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/26/12 R6071369901 Boom lift inspection 31087 $ 309.00 7/30112 R8170685901 Kubota RTV 9000 repairs 31106 $ 516.74 Total $ 825.74 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 MaeArlll Ste M-r i f Rental Contract No. 711561- 01 MacAllister Rental Invoice No. R6071156101 Page 1 6870 WEST WASHINGTON ST INDIANAPOLIS, IN 46241 317-244-7368 Date 21JUL2012 7:08 SALES INVOICE 1175500 CITY OF CARMEL WWTP WATER TREATMENT PLANT 0 VERBAL 760 3RD AVE SW .I. . . _. . INDIANAPOLIS, IN 46032 CUSTOMER PICK UP JEFF WYNRAW 00080 Qty B/O Item Number Bin Loc Unit Price Amount 2 SHIM , . 75MM EA 2. 60 5.20 CAT0897342: 2 SHIM , 1 . 5MM EA: 4. 72 9.44 CAT0897343 2 WEAR PAD � OF IG'IOIAL EA 43 .46 86.92 CAT2487970 1 PAD , ASSY EA 72.21 72.21 CAT2361523 4 WEAR PAD EA 23 . 17 92.:68 CAT2152891 12 S H I M E A 3 . 74 44.83 CAT2152988 12 SHIM EA 4.43 53:16 CAT2152989 2 WEAR PAD EA. 114:70_ 229:40 CAT2332154 24 WASHER EA 33 7.92 CAT8T4121 8 BOLT - EA ...... 59:. 4:72 CAT8T4196. 8 8 0 L T M10 X 1 . 5 X 3 0 M M EA 51 4.08 CAT8T4195 16 SLEEVE EA 8.83 141.28 CAT0897338 CONTINUED FE3y JUL 2 4 2 12 317-246 2385 IMPORTANT! Please note and acknowledge safety instruction by initialing here: DECLARE DAMAGE WAIVER (Damage waiver is not available on crane rentals). Initial here: *If declined current insurance certificate must be on file with MacAllister Machinery. By his/her Initial Customer will provide guard railing, planking, out riggers, and other safety accessories a required, per safety instructions. Initial here: , Purchaser/Lessee upon failure to pay balance when due shall be liable for all expenses incurred in collection of said balance Including but not limited to attorney's fees and court costs. It is agreed by the parties hereto that reasonable attorney's fees shall be one-third (1/3) of any amountowned by Purchaser/Lessee. Net 10 days unless otherwise specified. A service charge will be applied to all past clue accounts.This agreement shall-include the above terms and conditions as well as those set forth on the reverse hereof. ACCEPTED BY CUSTOMER WVNNSL5112J�IPlease Remit All Payments to: MacAllister Machinery Co. Inc., PO Box 660200, Indianapolis,IN 46266-0200 MacAllister Rental Contract No. 711561- 01 MacAllister Rental Invoice No. R6071156101 Page 2 6870 WEST WASHINGTON ST INDIANAPOLIS, IN 46241 317-244-7368 SALES INVOICE Date 21JUL2012 7: 08 1175500 CITY OF CARMEL WWTP • WATER TREATMENT PLANT 0 VERBAL 760 3RD AVE SW . .- _. . INDIANAPOLIS, IN 46032 CUSTOMER PICK UP JEFF WYNRAW 00080 Qty B/O Item Number Bin Loc Unit Price Amount 1 BRACKET EA 172 . 12 172.12 CAT2714386 2 FENDER,ASSY -TL EA 50 .84 101.68 CAT3263984 8 WASHER EA 80 6.40 CATBT4122 8 NUT EA 93 7.44 CAT8T4132 8 BOLT , METRIC EA .4:0 3.20 CAT ORIGINAL� WASHER 8 WASS H R EA .63 5.04 CAT8C9987 JUL 24 2012 $Y Sub-total Total 1047. 77 IMPORTANT! Please note and acknowledge safety instruction by initialing here: DECLARE DAMAGE WAIVER (Damage waiver is not available on crane rentals). Initial here: *If declined current insurance certificate must be on file with MacAllister Machinery. By his/her Initial Customer will provide guard railing, planking,out riggers, and other safety accessories a required, per safety instructions. Initial here: Purchaser/Lessee upon failure to pay balance when due shall be liable fur all expenses incurred in collection of said balance including but not limited to attorney's fees and court costs. It is agreed by the parties hereto that reasonable attorney's fees shall be one-third (1/3) of any amount owned by Purchaser/Lessee. Net 10 days unless otherwise specified. A service charge will be applied to all past due accounts. This agreement shall include the,above terms_and_conditions as well as those set forth on the reverse hereof. ACCEPTED BY CUSTOMER W VNNSLSn 2JW20"I Please Remit All Payments to: MacAllister Machinery Co. Inc., PO Box 660200, Indianapolis, IN 46266-0200 VOUCHER # 125469 WARRANT # ALLOWED 351502 IN SUM OF $ MACALLISTER MACHINE CO., INC. PO BOX 660200 Indianapolis, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code R6071156101 01-7202-06 $1,047.77 Voucher Total $1,047.77 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 � i An invoice or bill to be properly itemized must show, kind of service, where I performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351502 MACALLISTER MACHINE CO., INC. Purchase Order No. PO BOX 660200 Terms Indianapolis, IN 46266 Due Date 8/7/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/7/2012 R607115610 $1,047.77 i 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 f�9//�� ti ► II Date Officer