212317 08/28/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
0 ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $788.41
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32
ZIONSVILLE IN 46077 CHECK NUMBER: 212317
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 788 .41 REPAIR PARTS
. NORTHSIDE TRAILER LLC PREVIOUS BALANCE
DATE DESCRIPTION CHARGES CREDITS BALANCE
07/01/12 BAL FWD BALANCE FORWARD 327 . 00 -46. 20
07/02/12 119235 TRK 53 21 . 50 21 . 50
07/10/12 119377 272 . 96 272 . 96
07/25/12 119642 mike hendricks 159. 50 159. 50
07/27/12 Payment Check 211121 373 .20
118679 - 06/04/12 - $23.70
119077 - 06/25/12 - $28.50
119135 - 06/27/12 - $321.00
08/01/12 119754 230 . 95 230 . 95
08/02/12 119792 MIKE HENRICKS 103 . 50 103 . 50
TOTAL AMOUNT DUE
0 - 30 30 .- 60 60 - 90 Over 90
788 . 41 0 . 00 0 . 00 -46.20 742 . 21
MESSAGES/COMMENTS
Mcalk IIJou
PRDDUCT IKW3 USE WITH 771C ENVELOPE Deluxe For Business 1-800-225-6380 or www.nebs.com PRINTED IN U.S.A. A
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NORTHSIDE TRAILER
SALES • PARTS • SERVICE.
INVOICE NO.
11985 EAST STATE ROAD 32 119235
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
14235
BILL TO: CITY OF CARMEL - STREET DEPT.
SNIP TO:
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571-2400
Page: l
INVOICE DATE ORDER NO. TERMS_ SALESPERSON
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
2 11062 5621010 10 . 75 21 .50
LED, LIGHT LOAD EQUILIZER ***
Sub-Total 21 . 50
Discount
Shipping & Handling 0 . 00
ax[ 01 EXEMPT*
Total 21 . 50
a
Amount Paid 0 . 00
Received y: , ount Due 21 . 50
Change 0 . 00
v
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NORTI-°°ISIDE TRAILER LLC
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 119377
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL T0: 14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571-2400
Pa e: 1
INVOICE DATE ORDER NO. TERMS SALESPERSON
Ju110 ' 12 NET 30 DAYS KENT KENT
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 326050 17-233-7 44 .80 44 .80
15" X 6" 6on5 . 5" WHITE MOD
1 326070 WH166-8WM 60 . 76 60 .76
16x6 865 WHITE MOD, 0 OFFSET
1 305810 16137 48 . 50 48 . 50
3"TOW RING,ADJ CPLR,20K,NO BKT
1 600584 BDB125015 118 . 90 118 . 90
2 . 5" PINTLE RING 42K
Sub-Total 272 . 96
Discount
Shipping & Handlinc 0 . 00
Tax[ 01 EXEMPT*
Total 272 . 96
;mount Paic 0 . 00
Receive By: a Amount Due 272 . 96
Change 0 . 00
'Z�
NORTHSIDE TRAILER LLC
SALES • PARTS a SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 119642
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL T014235 SHIP T0:
CITY OF CARMEL - STREET DEPT .
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571-2400
Paaeal
INVOICE DATE ORDER NO. TERMS SALESPERSON
Ju1251 12 irike hendricks NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
50 462400 04926 2 . 00 100 . 00
6 WIRE 14ga CABLE, 5001ROLL
1 419235 BA10-150 59 .50 59 .50
BREAKAWAY KIT W/ CHARGER,LED
ub-Total 159 . 50
Discount
Shipping & Handling 0 . 00
ax[ 01 EXEMPT*
Total 159 . 50
Am unt Paid 0 . 00
Received y: -.2 ount Due 159 .50
Change 0 . 00
NORTHSIDE TRAILER LLC
SALES • PART'S • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 119754
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO:14235 SHIP TO:
CITY OF CARMEL - STREET DEPT .
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571-2400
INVOICE DATE ORDER NO. TERMS _ SALESPERSON
Aug01 ' 12 NET 30 DAYS KENT KENT
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
35 162400 04926 2 . 50 87 .50
6 WIRE 14ga CABLE, 5001ROLL
1 06000 8978 12 . 95 12 . 95
CHANNEL BRKT, 4 HOLE, 12K
1 00225 AR-1 56 . 50 56 . 50
2 . 5" TOW RING, 10K CAP.NO BRKT.
1 119235 BA10-150 59 . 50 59 . 50
BREAKAWAY KIT W/ CHARGER,LED
2 305835 80399 4 . 50 9 . 00
ADJ CPLR MTG BOLT 5/8x4 . 5 GR 8
2 305845 58LN-GR5W 2 . 75 5 . 50
5/8"X11 HEX LOCKNUT, GRADE 5
Sub-Total 230 . 95
Discount
Shipping & Handling 0 . 00
Tax[ OJ EXEMPT*
/ Total 230 . 95
Amount Paid 0 . 00
Received y: VVV Amount Due 230 . 95
Change 0 . 00
NOR HSIDE TRAILER LLC
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 119792
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
14235
BILL T0: CITY OF CARMEL - STREET DEPT .
SHIP T0:
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571-2400
INVOICE DATE ORDER NO. TERMS___ SALESPERSON
ug IKE HENRICKS NET 30 DAYS KENT KENT
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 83825 171412 103 . 50 103 .50
BD SWIVEL JACK, TW, 5K, 15"SNAPRG
ub-Total 103 . 50
Discount
Shipping & Handling 0 . 00
Tax[ 0] EXEMPT*
Total 103 . 50
Am cunt Paid 0 . 00
Received ount Due 103 . 50
Change 0 . 00
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))
08/06/12 $788.41
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.
ALLOWED 20
Northside Trailer
IN SUM OF $
11985 East St. Rd. 32
Zionsville, IN 46077
$788.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 42-370.001 $788.41 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
Thurs'ay, Alu ust 23, 2012
_r
Street Commissioner
Street
Title `" `'
Cost distribution ledger classification if
claim paid motor vehicle highway fund