213221 09/25/2012 -� •F CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1
ONE CIVIC SQUARE W A JONES TRUCK BODIES 8,EQUIPME��
CARMEL, INDIANA 46032 1171 S WILLIAMS STREET CHECK AMOUNT: $1,060.39
COLUMBIA CITY IN 46725 CHECK NUMBER: 213221
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 65212 1, 060 .39 REPAIR PARTS
MC Equipment, INC.
Invoice
W.A. JONES
TRUCK BODIES $ EQUIPMENT ii ' ''d
1171 S.WILLIAMS DR.
. 9/6/2012 65212
COLUMBIA CITY, IN 46725 "° — -__
Phone(260)244-7661 - W
Fax(260)244-7662
CITY OF CARMEL STREET DEPT ,
3400 W. 131 ST STREET
CARMEL, IN 4.6074
t
'Custo mer Fax (317)733-2005 1 Customer Phone 1 (317)733-2001
• Number 11:9911 • • UPS
•
Net 30 CBB 9/6/2012 Ship Point
• Item Code • • •
1 's 00084913 INDY HINGE BODY ASSY,DUMP BODY(Y2) 510.39 510.39
101 LABOR INDY SHOP LABOR 55.00 550.00
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FINANCE CHARGE: Invoices that remain unpaid 30 days after invoice date will be Sales Tax (7.0%) $0.00
assessed a finance charge of 18% per annum or approximately 1.5% per month.
Minimum monthly finance charge is $2.
� � $1.060.39
VOUCHER NO. WARRANT NO.
ALLOWED 20
W. A. Jones
IN SUM OF $
1171 S. Williams Drive
Colunbia City„ IN 46725
$1,060.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
i
2201 I 65212 I 42-370.00 $1,060.39 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
n l Friday, September 21, 2012
Street Commissler
treet CorTitlessioner
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))
09/06/12 65212 $1,060.39
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
120
Clerk-Treasurer