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HomeMy WebLinkAbout214382 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1 ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $322.85 CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 ZIONSVILLE IN 46077 CHECK NUMBER: 214382 CHECK DATE: 1117/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 121140 322 . 85 OTHER EXPENSES N®R'T"HSIDE TRAILER LLC SALES • PARTS • SERVICE INVOICE NO. 11985 EAST STATE ROAD 32 121140 ZIONSVILLE, IN 46077 317-769-2460 317-769-2463 FAX BILL TO: 14234 SHIP TO: CITY OF CARMEL - UTILITIES WATER/SEWAGE DEPTS . 760 THIRD AVE . S . W. 760 THIRD AVE . S . W. CARMEL, IN 46032 CARMEL, IN 46032 (317) 571-2400 Pa e: 1 INVOICE DATE ORDER NO. TERMS - SALESPERSON Oct25 ' 12 JIM HAAG NET 30 DAYS KENT KENT QUANTITY DESCRIPTION UNIT PRICE AMOUNT 2 182900 23-105 69 . 50 139 . 00 BRK ASM 12x2 LH 6K DEXTER 2 183000 23-106 69 . 50 139 . 00 BRK ASM 12x2 RH 6K DEXTER 4 159700 10-36 3 . 00 12 . 00 GREASE SEAL, 3 . 376ODx2 .25ID 3 435800 426KR 10 . 95 32 . 85 STOP, TURN, TAIL LIGHT, SEALED �J Sub-Total 322 . 85 Discount Shipping & Handlinc 0 . 00 Tax[ 01 EXEMPT* Tota 322 . 85 ount Paid 0 . 00 Receive B 7 Amount Due 322 . 85 Change 0 . 00 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 228000 NORTHSIDE TRAILER INC. Purchase Order No. 969 N RANGELINE RD Terms CARMEL, IN 46032 Due Date 10/29/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/29/201, 121140 $322.85 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 l i/l l l Date Officer VOUCHER # 122550 WARRANT # ALLOWED 228000 IN SUM OF $ NORTHSIDE TRAILER INC. 969 N RANGELINE RD CARMEL, IN 46032 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 121140 01-6500-05 $322.85 Voucher Total $322.85 Cost distribution ledger classification if claim paid under vehicle highway fund