212232 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00353413 Page 1 of 1
ONE CIVIC SQUARE HARBOR FREIGHT TOOLS
CHECK AMOUNT: $144.98
CARMEL, INDIANA 46032 PO BOX 748076
LOS ANGELES CA 90074-8076 CHECK NUMBER: 212232
CHECK DATE: 8/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 519044 144 . 98 MATERIALS & SUPPLIES
Order# P.O. Number Order Date Terms Customer# Due Date
519044 Truck 135 18-JUL-12 NET30 12808 17-AUG-12
QTY ITEM # DESCRIPTION UNIT PRICE AMOUNT
1 278004 4 WHEEL DR BALL JOINT SRVC KIT $69.99 $69.99
1 278005 14 PC MASTER BALL JOINT KIT $74 . 99 $74.99
N o�_-� a oa:06
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D
SUB TOTAL $144 .98
/rmswith SALES TAX $.00
TOTAL $144. 98
Your t Harbor Freight are Net 30 Days from Invoice Date.
Make all checks payable to Harbor Freight Tools and include your Invoice Number on the front of the check.
If you have any questions concerning this invoice, contact Customer Service at: (888) 844-2595
3KHOSMBN7:1.l 11 226-3R6A*TKHOSL8S3000243
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
00353413
HARBOR FREIGHT TOOLS Purchase Order No.
3491 MISSION OAKS BLVD Terms
CAMARILLO, CA 93011 Due Date 8/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 519044 $144.98
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
eIL-//)v Ca-�rp&-
Date Officer
VOUCHER # 125543 WARRANT # ALLOWED
00353413 IN SUM OF $
HARBOR FREIGHT TOOLS
3491 MISSION OAKS BLVD
CAMARILLO, CA 93011
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
519044 01-7202-06 $144.98
Voucher Total $144.98
Cost distribution ledger classification if
claim paid under vehicle highway fund