213189 09/25/2012 ,F CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
Q � ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $103.65
®,o CARMEL, INDIANA 46032 PO BOX 409211
ATLANTA GA 30384-9211 CHECK NUMBER: 213189
CHECK DATE: 9/2512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 36482272-00 103 . 65 OTHER EXPENSES
INVOICE
SEND ALL PAYMENTS TO:
SUNBELT RENTALS, INC. o • 36482272-001
PO BOX 409211
ATLANTA,GA 30384-9211
0
2414518
RENTALS
9/11/12
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
o- 1oz-859-1048 COOPER, JEFF 36482272
CITY OF CARMEL WATER&SEWER PURCHASE ORDER NO.
760 3RD AVE SW
* CARMEL IN 46032-2072 NR
I�InIiIInII�unlLnl�IiiI�IIIn�In�InI�ILliililiiill��I JOB NO.
1 - CARMEL WWTP
JOB ADDRESS BRANCH
CARMEL WWTP FISHERS PC394
9609 HAZEL DELL PARKWAY 11120 ALLISONVILLE RD
CARMEL, IN 46032 FISHERS, IN 46038-1837
317-571-2276 317-849-2119
QTY EQUIPMENT# Min Day Week 4 Week Amount
1 2 YARD CONCRETE BUCKET 78.00 87.00 230.00 710.00 87.00
344270 Make: GAR-BRO Model: 454R Ser#: 8956-A
Billed from 9/10/12 thru 9111/12
SALES ITEMS:
Qty Item number Unit Price
1 ENVIRONMENTAL EA 3.600 3.60
ENVIRONMENTAL
1 RENTAL PROTECTION PLAN EA 13.05
FINAL BILL: 9/10/12 01:07 PM THRU 9/11/12 12:26 PM.
I
Equipment. Service. Guaranteed. 103.65
REMIT TO: NET DUE UPON RECEIPT U
SUNBELT RENTALS, INC. Invoices not paid within 30 days may be subject • o 103.65
PO BOX 409211 to a 1-�/z%per month charge.
ATLANTA, GA 30384-9211
RENTAL RETURN
VOUCHER # 125710 WARRANT # ALLOWED
00352369 IN SUM OF $
SUNBELT RENTALS
PO BOX 409211
ATLANTA, GA 30384-9211
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
36482272-00' 01-7202-06 $103.65
Voucher Total $103.65
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352369
SUNBELT RENTALS Purchase Order No.
PO BOX 409211 Terms
ATLANTA, GA 30384-9211 Due Date 9/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2012 36482272-00 $103.65
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
Date Officer