214093 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
0 t ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $93.30
CARMEL, INDIANA 46032 Po Box 409211
ATLANTA GA 30384-9211 CHECK NUMBER: 214093
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 36926827 93 .30 OTHER EXPENSES
INVOICE
SEND ALL PAYMENTS TO:
SUNBELT RENTALS, INC. • • 36926827-001
PO BOX 409211
ATLANTA,GA 30384-9211
SURNEL
10 M�M 2414518
RENTALS
Lmnnau-
II 10/08/12
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
.n loz-756-940 COOPER, JEFF 36926827
r CITY OF CARMEL WATER&SEWER PURCHASE ORDER NO.
0 760 3RD AVE SW
* CARMEL IN 46032-2072 JEFF COOPER
Iilnlilliillun�Ilinl�I��LIII�nLiiliiLll�I�il�I�nIInI JOB NO.
1 - CARMEL WWTP
JOB ADDRESS BRANCH
CARMEL WWTP FISHERS PC394
9609 HAZEL DELL PARKWAY 11120 Al-LISONVILLE 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 78.00
344270 Make: GAR-BRO Model: 454R Ser#: 8956-A
Billed from 10/08/12 thru 10/08/12
SALES ITEMS:
Qty Item number Unit Price
1 ENVIRONMENTAL EA 3.600 3.60
ENVIRONMENTAL
1 RENTAL PROTECTION PLAN EA 11.70
FINAL BILL: 10/08/12 11:17 AM THRU 10/08/12 02:07 PM.
CqWpmente SerAceo Guaranteed. 93.30
REMIT TO: NET DUE UPON RECEIPT
SUNBELT RENTALS INC. 93.30
' Invoices not paid within 30 days maybe subject • •
PO BOX 409211 to a 1-'/2%per month charge.
ATLANTA, GA 30384-9211
RENTAL RETURN
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 10/16/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/16/201; 36926827-00 $93.30
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
VOUCHER # 125900 WARRANT # ALLOWED
00352369 IN SUM OF $
SUNBELT RENTALS
PO BOX 409211
j ATLANTA, GA 30384-9211
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7�G.z
36926827-00' 01.7.282-06 $93.30
I
Voucher Total $93.30
Cost distribution ledger classification if
claim paid under vehicle highway fund