215725 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
0 ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $710.70
` CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32
ZIONSVILLE IN 46077 CHECK NUMBER: 215725
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 121758 710 . 70 REPAIR PARTS
NORTHSIDE TRAILER LLC
SALES e PARTS a SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 121758
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL TO: 14235 SHIP TO:
CITY OF CARMEL - STREET DEPT.
3400 WEST 131ST STREET
CARMEL, IN 46074 3400 WEST 131ST STREET
CARMEL, IN 46074
(317) 571-2400
Pa e: 1
INVOICE DATE ORDER N0. TERMS SALESPERSON
Dec12112 JIM KITTERMAN NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
2 630999 20267 15 . 95 31 . 90
BRAKE CNTROL HARNSS FORD 05-07
2 631002 20264 15 . 95 31 . 90
BRAKE CONTROL HARNESS GM 03+
2 600630 20263 15 . 95 31 . 90
BRAKE CONTROL HARNESS GM 99-02
6 416430 9030A 102 .50 615 . 00
VOYAGER BRAKE CONTROL 1-4 AXLE
Sub-Total 710 .70
Discount
Shipping Handling 0 . 00
Tax[ 01 EXEMPT*
Total 710 . 70
ount Paid 0 . 00
Received By: ount Du 710 . 70
Change 0 . 00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Northside Trailer
IN SUM OF $
11985 East St. Rd. 32
Zionsville, IN 46077
$710.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 121758 I 42-370.001 $710.70 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
r
/�+' Friday, December-14,-2012
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/12/12 121758 $710.70
1 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