214834 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $103.50
CARMEL, INDIANA 46032 PO BOX 409211
a«oy� ATLANTA GA 30384-9211 CHECK NUMBER: 214834
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 37356218001 103 . 50 CONT SVS-OTHER-S PLAN
INVOICE
SEND ALL PAYMENTS TO:
SUNBELT RENTALS, INC. e o 37356218-001
PO BOX 409211
ATLANTA,GA 30384-9211
WNHEIRE OURRIENR
Io 72372
RENTALS
Lmn CxrQ 11/05/12
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
m 1oz-643-806 COOPER, JEFF 37356218
CARMEL, CITY OF WASTEWATER UTI PURCHASE ORDER NO.
760 3RD AVE SW W
* CARMEL IN 46032-2072 JEFF COOPER
I�InI�IInIInn�Iln�IilnI�IIIn�In�Inl�Ililnlilii�Ilnl JOB NO.
1 - CARMEL UTILITIES
JOB ADDRESS BRANCH
CARMEL UTILITIES -WATER FISHERS PC394
9609 HAZEL DELL PWY�1 11120 ALLISONVILLE RD
INDINNAROLIS, 'IN 40200 2935 FISHERS, IN 46038-1837
317-571-2634 317-849-2119
QTY EQUIPMENT# Min Day Week 4 Week Amount
1 2 YARD CONCRETE BUCKET 90.00 90.00 230.00 710.00 90.00
344270 Make: GAR-BRO Model:454R Ser#: 8956-A
Billed from 11/05/12 thru 11/05/12
1 RENTAL PROTECTION PLAN 13.50
FINAL BILL: 11/05/12 08:45 AM THRU 11/05/12 01:36 PM.
I
i
Equipment. Slervice-Guaranteed. 103.50
REMIT TO: NET DUE UPON RECEIPT
SUNBELT RENTALS, INC. Invoices not paid within 30 days may be subject • • 103.50
PO BOX 409211 to a 1-'/2%per month charge.
ATLANTA, GA 30384-9211
RENTAL RETURN
VOUCHER # 126156 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
37356218-00' 01-7362-06 $103.50
Voucher Total $103.50
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 11/14/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201; 37356218-00 $103.50
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
/I//(v�/2- Ca' —••�/k— '
Date Officer