213116 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
` CARMEL, INDIANA 46032 CHECK AMOUNT: $332.72
11985 EAST STATE ROAD 32
ZIONSVILLE IN 46077 CHECK NUMBER: 213116
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 332 . 72 REPAIR PARTS
NORTHSIDE`TRAILER LLC PREVIOUS BALANCE ►
DATE DESCRIPTION CHARGES CREDITS BALANCE
08/01/12 BAL FWD BALANCE FORWARD 407 . 76 -46.20
08/01/12 119754 230 . 95 0 . 00
08/02/12 119792 MIKE HENRICKS 103 . 50 0 . 00
08/14/12 119963 MIKE HENDRICKS 122 . 001 122 . 00
08/14/12 119977 MIKE HENDRICKS 107 . 02 107 . 02
08/15/12 119986 10 . 8.0✓ 10 . 80
08/16/12 120013 15. 90\/ 15 . 90
09/04/12 120310 JEFF STEWART 77 . 00 J 77 . 00
09/06/12 Payment Check 212317 788 . 41
119235 — 07/02/12 — $21.50
119377 — 07/10/12 — $272.96
119642 — 07/25/12 — $159.50
119754 — 08/01/12 — $230.95
119792 — 08/02/12 — $103.50
TOTAL AMOUNT DUE
0 - 30 30 - 60 60 - 90 Over 90
332 . 72 0 . 00 0 ."00 -46.20 286. 52
MESSAGES/COMMENTS
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PRODUCT 13035G 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 LLC .}31
SALES • PARTS • SERVICE
INVOICE N0. '.
11985 EAST STATE ROAD 32 119963
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
F:
(317) 571-2400 3;
INVOICE DATE ORDER NO. TERMS __ SALESPERSON
Augl4 ' 12 MIKE HENDRICKS NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT-PRICE AMOUNT'.
4 161650 10-51 30 . 50 122 . 00
OIL SEAL,UNITIZED 3 . 88"OD 2 . 87
Sub-Total 122 . 00
Discount
Shipping Handling 0 . 00
Tax( 0] EXEMPT*
Total 122 . 00
Amount Paid 0 . 00
Received By: Amount Due 122-. 00
Change 0 . 00
NORTHSIDE TRAILER LLC
SALES • PANTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 119977
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
Aug14 ' 12 MIKE HENDRICKS NET 30 DAYS TOM TOM j
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 712108 A6003 102 . 07 102 . 07
FENDER,TD,ALUM. 9" x 66" x 18" !
1 767282 LP-81BB 4 . 95 4 . 95
LIGHT, LICENSE PLATE, BLACK
Sub-Total 107 . 02
Discount
Shipping Handling 0 . 00
Tax[ 0] EXEMPT*
Total 107 . 02
Amount Paid 0 . 00
Received By: lanount Due 107 . 02
Change 0 . 00
i,.
NOR`t"HSIDE TRAILER LLC
SALES • PARTS • SERVICEfj
INVOICE NO.
11985 EAST STATE ROAD 32 119986
ZIONSVILLE, IN 46077 �#
317-769-2460
;r
317-769-2463 FAX
BILL TO: 14235 SHIP TO: 41Cx
CITY OF CARMEL - STREET DEPT . ;
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET .'��;?}
CARMEL, IN 46074
(317) 571-2400
Page . 1
INVOICE DATE ORDER NO. TERMS SALESPERSON
Aug15 ' 12 N
c ildll;
QUANTITY DESCRIPTION UNIT PRICE AMOUNT,I,+
4 159000 10-19 2 . 7( 10'''$;b
GREASE SEAL, 2 . 565" OD X 1 . 719
A�0
y{q.
i
Sub-Tota 10 . 80
Discount
Shipping & Handlin 0 . 00
Tax[ 0 EXEMPT*
Total 10 . 80
�, 2/� ount Paid 0 . 00
Receive By. Amount Du 10 . 80
Change 0 . 00
NORM HSIDE TRAILER LLC
SALES • PART'S • SERVICE
INVOICE NO. .
11985 EAST STATE ROAD 32 120013
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 : l
INVOICE DATE ORDER NO. TERMS SALESPERSON
Aug16 ' 12 NET 30 DAYS KENT KENT
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
4 155400 085-001-00 1 . 70 6.. 80
PLUG, ALL EZ LUBE GREASE CAPS
4 151400 21-41-1 2 . 00 8.. 00
GREASE CAP, 1 . 986" OD DRIVE IN
2 600484 027-050-00 0 . 5 1i'10
DX MAGNT RET .CLIP 12 .25 OVAL +;
Sub-Total, 15. 90
Discount
Shipping & Handling 0 . 00
Tax[ 0 EXEMPT*
P Tota 15 . 90
2 j ount Pai 0 . 00
Receive By: ��w- Amount Du 15 . 90
Chang 0 . 00
r
f'
NORTHSIDE TRAILER L
SALES • PARTS • SERVICE
INVOICE NO. I
11985 EAST STATE ROAD 32 120310
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX !
14235 '1
BILL TO: CITY OF CARMEL - STREET DEPT . SHIP TO:
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET ' 1 �
CARMEL, IN 46074 {
(317) 571-2400 f
Page:'1
INVOICE DATE ORDER NO. TERMS SALESPERSON
ep
-QUANTITY _ -_ DESCRIPTION UNIT PRICE - '.AMOUNT 1 f
2 372600 M1659 38 . 50 77 . 00
VENT,NEW STYLE VENTLINE, WHITE II
ii
ii
t
f
' i
�I L.
:I
' 1 i
is
,i
. r
Sub-Tots 77 . 00 !
Discount
Shipping & Handlin 0 . 00 ;
Tax( 0 'EXEMPT*
Tota 77 . 00 °
Q lmount Paid 0 . 00 .
Receive By: Amount Due 77 . 00 ,
Change 0 .00 ;
i
(p7
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))
08/31/12 $332.72
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
$332.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 1 42-370.001 $332.72 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
1 Friday, Sep teMer 21, 2012
V v Street Commissioner
Iu
Street C<Titlenissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund