215422 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
0 ONE CIVIC SQUARE SUNBELT RENTALS CHECK AMOUNT: $93.30
' CARMEL, INDIANA 46032 PO BOX 409211
+ oh ATLANTA GA 30384-9211 CHECK NUMBER: 215422
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 36692310-001 93 . 30 OTHER EXPENSES
INVOICE
SEND ALL PAYMENTS TO: INVOICE NO. 36692310-001
P.O. Box 409211
SUNBELT. Atlanta, GA 30384-9211 ACCOUNT NO. 2414518
RENTALS INVOICEDATE 9/24/12
INVOICE TO PAGE 1
RECEIVED BY CONTRACT NO.
CITY OF CARMEL WATER&SEWER ROBINSON,ERIC 36692310-001
760 3RD AVE SW PURCHASE ORDER NO.
CARMEL,IN 46032
NR
JOB NO.
8-PRO CARE HORTICU
JOQ AADDRESS
PRO CARE'OR TURAL BRANCH
9609 HAZ LL PARKWAY
394 FISHERS PC394
CAR JN 46 82 11120 ALLISONVILLE RD
FISHERS, IN 46038-1837
C#:317-571-2267 J#:317-872-4800 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 #: 6956-A
Billed from 9/24/12 thru 9/24/12
SALES ITEMS:
Qty Item number Unit Price
1 ENVIRONMENTAL EA 3.600 3.60
ENVIRONMENTAL
1 RENTAL PROTECTION PLAN EA 11.70
FINAL BILL: 9/24/12 07:43 AM THRU 9/24/12 10:02 AM.
I
93.30
SUBTOTAL 93.30
NET DUE UPON RECEIPT TAX
RENTAL RETURN INVOICE TOTAL 99. 83
rnzu�v rtwaszuron
`ERROR DETECTED PAGE'
VOUCHER # 126276 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
36692310-00' 01-7362-06 $93.30
Voucher Total $93.30
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 12/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/2012 36692310-00 $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