215271 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 00352388 Page 1 of 1
ONE CIVIC SQUARE ANDERSON BROTHERS TOOL REPAIR
0 CHECK AMOUNT: $22.50
CARMEL, INDIANA 46032 PO BOX 33638
o�`o INDIANAPOLIS IN 46203 CHECK NUMBER: 215271
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 87418 22 . 50 CONT SVS-OTHER-S PLAN
ANDERSON
_. • BROTHERS
` _ TOOL REPAIR_
3531 Southeastern Ave. • P.O. Box 33638 Indpls., IN 46203
Phone 317-356-6381 • Fax 317-356-6382 ACCOUNTS 45 DAYS PAST
INVOICE DATE SUBJECT TO 1%
PER MONTH FINANCE CHARGE
CLERK DATE
RAG 12/03/12
CUSTOMER NO. PURCHASE ORDER NO. SHIPPING METHOD TERMS SALES REP TIME
GOV006 BRAIN Customer Pickup NET 30 DAYS CA 14:54:33
CONTACT NAME
BRAIN (317)571.--1634
:o CARMEL WASTE, WATER- ° H CITY OF CARMEL I N V O I C E
L 760.,THIRD AVENUE SW r_
'D CARMEL; IN-46632 P PAGE: 1.
T IT
ORDER. 40819
Q INVOICE: 87418
TAX EXEMPT#:
PROD- QUANTITY EXTENDED- T -
LINE PART NUMBER "DESCRIPTION -EXTENDED, A
ORDERED SHIP. B/O AMOUNT X
MIL ? GRINDER 1 0.00 0.00 N
S#: Rk 4111 OC A
LOC A TAG 4111.
LAB BGE DISASSEMBLY & INSPECTION CHRG 25 25 0.90M 22.50 N
TOOK APART ALI. CHECKS OUr JUST FINE
Invoice total due by 01/02/2.013. SUB TOTAL: 22,50
WEIGHT: .00 TAXABLE: 00
— -- TENDER: .00 CH NON-TAX: 22.60
CHANGE: .00 LABOR: 22.50 FREIGHT: —- .00 --
DELINQUENT ACCOUNTS ARE SUBJECT TAX: .00
TO'COLn1ECTl,0.NjFEES,LEGAL FEES, INV TOTAL: 22>50
AND COURT COSTS.
VOUCHER # 126294 WARRANT # ALLOWED
352308 IN SUM OF $
ANDERSON BROTHERS TOOL REPAII
3531 Southeastern Ave
P.O. Box 33638
Indianapolis, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
9
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
87418 01-7362-06 $22.50
i
Voucher Total $22.50 j
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
352308
ANDERSON BROTHERS TOOL REPAIR Purchase Order No.
3531 Southeastern Ave Terms
P.O. Box 33638 Due Date 12/7/2012
Indianapolis, IN 46203
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/7/2012 87418 $22.50
1 hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have aud//JJited same in accordance with IC 5-1111-10-1.6
J-Z-A//2
Date Officer