216233 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1
ONE CIVIC SQUARE W A JONES TRUCK BODIES 81 EQUIPMENT
CARMEL, INDIANA 46032 1171 S WILLIAMS STREET CHECK AMOUNT: $1,270.00
COLUMBIA CITY IN 46725 CHECK NUMBER: 216233
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 67406 1, 270 . 00 REPAIR PARTS
MC Equipment, INC.
Invoice
W A JONES
TRUCK BODIES & EQUIPMENT F ;:.,.j .{`< I.. ;i�": -
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1171 S.WILLIAMS DR. ,,,.. .• a�.,, �" ��
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/2013 67406
COLUMBIA CITY, IN 46725 ._
Phone(260)244-7661
Fax(260)244-7662
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j CITY OF CARMEL STREET DEPT
3400 W. 1`31 ST STREET
CARMEL,IN 46074
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Customer Fax (317)733-2005 (317)733-2001
-P.O. Number 7BB Net 30 Pick up Ship Point
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Description
Price Each Amount.
2 05051148 INDY GEAR13OX,6:1,2"SFT DIA,3.56"L,.3125"KW,2B,W/0 635.00 1,270.00
SENSOR,W/WSHR
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FINANCE,CHARGE: Invoices that remain unpaid 30 days after invoice date will be Sales Tax (7.0%) $0.00
assessed a finance charge of 18%.per annum or approximately 1.5% per month.
Minimum monthly finance charge is $2.
0 • $1,270.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
W. A. Jones
IN SUM OF $
1171 S. Williams Drive
Colunbia City„ IN 46725
$1,270.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 67406 I 42-370.00 j $1,270.00 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
62 013
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+reef rT r' i5ai
Street G�ommissioner
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))
01/02/13 67406 $1,270.00
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