212757 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 276475 Page 1 of 1
0 ONE CIVIC SQUARE ROUDEBUSH EQUIPMENT INC
CARMEL, INDIANA 46032 MASSEY-FERGUSON CHECK AMOUNT: $17.66
2911 ST RD 32 E CHECK NUMBER: 212757
WESTFIELDIN 46074-9512
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 110962 17 . 66 REPAIR PARTS
������������� ����U� INC. ��� ���N���� '
^ ^~~~~~~~~~~~~~~^ ^ ~~~°~~^^ ^~^~—^~ ^ ^^~~~ INVOICE
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S8&�S 8 �en/k�� ~� � � �� � �� ��
2911 STATE ROAD 32 EAST ���� �� �
No. ���0��v�
���' VVESTF|ELD |N 46U74
�� �� ' 110962
MASSEY FERGIIIIISON 317'896'2753
vvvvvv.roudebuahequipmgnt.com
O|LLTO� SHIP TO:
� CITY OF CARMEL STREET DEPT. YEAR:
CARMEL MAKE:
3400 W. 131ST STREET MODEL:
CARMEL IN. 46074
HOME:317 733 2001 WORK:
* * PARTS INVOICE * *
SALESPERSON
DESCRIPTION UNIT PRICE
TC
TOTAL. F*OR
— SINCE 1961 —
, THANK YOU FOR YOUR BUSINESS ! —
' PARTS BOOKS ON LINE WWW. AGCOPARTSBOOKS. CQM GUEST '
, M—+* 8 AM S D 'C JAN FEB ,
WWW OUD '
, . R
TAX NUMBER:ON FILE SIGNATURE: ..........................................................
___
CHARGE 17. 66
I hereby certify under the penalties m perjury that the personal property purchased TERMS: Net 10*h o/ month following purchase.A charge m 1.5% per
u'the use m this exemption certificate will uo DIRECTLY used m the DIRECT monm<1umpo,ann"m>wmuoadueumaopasoue�mnvm» wngoods
muum mao�ounvm/nmu"m,m,�a/o. ' �
U Sale m Retailer,Wholesaler",Manufacturer for Resale Only. returnable after 10 days.All returned goods and claims must uvaonom'
�Jamoomwm'm,p,mnom°n/zaoono.o/x/mmooxomptnumhan"v»umuant paniouuv this invoice. Special order goods are not returnable.Returned
m bulletin w1o. goods are subject to handling charge.
O Sales m Governmental units.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roudebush Equipment
IN SUM OF $
2911 State Road 32 East
Westfield, IN 46074
$17.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 110962 I 42-370.001 $17.66 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
Friday,September 07, 2012
Street Commi's'sion pr
r �
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))
08/30/12 110962 $17.66
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