214625 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 365554 Page 1 of 1
ONE CIVIC SQUARE EXTRACTOR CORP CHECK AMOUNT: $207.00
CARMEL,INDIANA 46032 PO BOX 99
SOUTH ELGIN IL 60177 CHECK NUMBER: 214625
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 121899 207 . 00 EQUIPMENT REPAIRS & M
PLEASE REMIT,TO:
CE . INVOICE
Extractor Corporation
.�
P.O. Box 99 OCT 2 2 2912 DATE INVOICE NO.
South Elgin, IL 60177 10/15/2012 12-1899
BILL TO SHIP TO
Carmel Clay Parks & Recreation Carmel Clay Parks & Recreation
1411 E. 116th Street 1235 Central Park Drive E.
Carmel, IN 46032 Carmel, IN 46032
Attn: Accounts Payable Attn: Matthew Bush
P.O. NUMBER TERMS SHIP DATE SHIP VIA SERIAL NUMBER SERIAL NO. RET.
MC003435 Net 30 10/15/2012 UPS
ITEM DESCRIPTION QTY RATE AMOUNT
BEC1502 115 VOLT MOTOR 1 180.00 180.00
AEC 2200 MOTOR PARTS KIT TO INCLUDE PER KIT: 1 15.00 15.00
(1) AEC 1506 HUB ROLL PIN
(2) AEC 1612 COMPRESSION SPRINGS
(2) AEC 1609 FLAT WASHER
(2) AEC 1603 WHITE PLASTIC BUSHING
(6) AEC 1205 BLACK RIVETS
(3) AEC 1240 ALUMINUM RIVETS
(4) AEC 1417 E-RINGS
(2) AEC 1817 INSULATED CONNECTOR
(1) AEC1819 FLANGE FORK CONNECTOR
(2) AEC1605 BRAKE TIP
SHIPPING SHIPPING & HANDLING 1 12.00 12.00
Pt:rnl=,se .
P.O.# P or F
G.L.# S
Line bescr
Purchaser Date
Approval Date—
_~T (847)742-3532 F (847) 742-3552
E-Mail info @suitmate.com Total $207.00
Web Site www.suitmate.com
New Unit Return
Restocking Fee - 10% plus Freight
No Returns Accepted After 90 Days.
Prices subject to change without notice.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365554 Extractor Corporation Terms
P.O. Box 99
South Elgin, IL 60177
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/15/12 121899 Replacement motor& parts kit $ 207.00
4' Total $ 207.00
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
365554 Extractor Corporation Allowed 20
P.O. Box 99
South Elgin, IL 60177
In Sum of$
$ 207.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 121899 4350000 $ 207.00 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
15-Nov tM aRO/A
Signature
$ 207.001 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund