211845 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 365316 Page 1 of 1
�QJ� ONE CIVIC SQUARE LINCOLN EQUIPMENT
?o CARMEL, INDIANA 46032 2051 COMMERCE AVE CHECK AMOUNT: $204.07
CONCORD CA 94520 CHECK NUMBER: 211845
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4237000 SI192572 204 . 07 REPAIR PARTS
Lincoln Equipment, Inc. Invoice
LINCOLN 2051 Commerce Avenue
Concord, CA 94520 Invoice Number:
RECE VED S1192572
800-223-5450 y
FAX:888-680-2825 .��� 1 6 2012 Invoice Date:
925-687-9500 07/11/12
Bill To: r Ship To:
Carmel Clay Parks & Rec Carmel Clay Parks & Rec
Carrie Keaveney Eric Mehl
1411 East 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
Customer ID P.O. Number Your Reference Ship Via= Carrier
CCP21 MC003143 FOB Origin United Parcel Service
Terms Order Date Salesperson Our Order No.
Net 30 Days 07/11/12 Howard Baetzhold SO189951
Item/Description UOM Quantity Unit Price Total Price
Ordered Shipped B.0.
35-115 Durafirm hinge assembly EACH 2 2 95.50 191.00
Tracking No. A Z9609440355453878
Purchase 11`
Description ��V um bff r W5
P.O.# M W�)lL �) PO
Thank you for your order! G.L.# nD 0
Budget
Line Descr °1e
Purchaser Date
Approval Date
Handling Charge: 3.95
Actual Freight: 9.12
Subtotal: 204.07
Amount Subject to Amount Exempt Total Sales Tax: 0.00
Sales Tax from Sales Tax
0.00 204.07 Total: 204.07
Visit us online at:www.lincolnaquatics.com
E-mail us at: accounting @lincolnaquatics.com
Page-.1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365316 Lincoln Equipment, Inc. Terms
2051 Commerce Avenue
Concord, CA 94520
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
7111112 SI192572 Diving board repair parts $ 204.07
Total $ 204.07
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
Voucher No. Warrant No.
365316 Lincoln Equipment, Inc. Allowed 20
2051 Commerce Avenue
Concord, CA 94520
In Sum of$
$ 204.07
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 S1192572 4237000 $ 204.07 1 hereby certify that the attached invoice(s), or
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
$ 204.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund