216462 01/15/2013 CI-TY,QF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
ONE CIVIC SQUARE NORTHSIDE TRAILER INC.
CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32 CHECK AMOUNT: $196.60
ZIONSVILLE IN 46077 CHECK NUMBER: 216462
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 121706 37 . 90 REPAIR PARTS
2201 4237000 121799 27 . 30 REPAIR PARTS
2201 4237000 121889 131 .40 REPAIR PARTS
N1,403% RTHSIDE TRAILER LLC
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 121889
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
INVOICE DATE ORDER NO. TERMS SALES ERSON
Jan02 ' 13 JEFF STEWART NET 30 DAYS TOM KENT
QUANT!Tv_ _ DFSCRIPTION UNIT PRICE AMOUNT
12 435800 426KR 10 . 9 131 . 40
STOP, TURN, TAIL LIGHT, SEALED
Sub-Total 131 . 40
Discoun
Shipping Handlin 0 . 00
Tax[ 0] EXEMPT*
Total 131 . 40
i
--- ���
ount Paid 0 . 00
Received By ount Due 131 . 40
UV Change 0 . 00
NORTHSIDE TRAILER LC
SALES ° PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 121706
ZIONSVILLE, IN 46077
317-769-2460
317-769-2463 FAX
BILL T0: 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: l
INVOICE DATE ORDER NO. TERMS SALESPERSON
Dec07 ' 12 MIKE HENDRICKS NET 30 DAYS TOM TOM
---QUANTITY - - DESCRIPTION UNIT PRICE - AMOUNT --
2 631115 47435 18 . 93 37 . 90
6-WAY TRUCK TO 7RV TRAILER
Sub-Tots 37 . 90
Discount
Shipping & Handling 0 . 00
Tax [ 0 EXEMPT*
'r'21 Total 37 . 90
Amount Pai 0 . 00
Receive By: Amount Due 37 . 90
Change 0 . 00
NORTHSIDE TRAILER
SALES • PARTS • SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 121799
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: l
INVOICE DATE ORDER NO. TERMS SALESPERSON
Decl7 ' 12 MIKE KALOGEROS NET 30 DAYS TOM TOM
DESCRIPTION - -UNIT PRICE - AMOUNT
2 80600 CHKT 13 . 65 27 . 30
REPLACEMENT KEY & TUMBLER SET
Sub-Total 27 . 30
Discount
Shipping S Handling 0 . 00
Tax[ 0] EXEMPT*
Total 27 . 30
Ardount Paid 0 . 00
j' Received y: 7mount Due 27 . 30
�l2 2- Change 0 . 00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Northside Trailer
IN SUM OF $
11985 East St. Rd. 32
Zionsville, IN 46077
$196.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 121706 42-370.00 $37.90 1 hereby certify that the attached invoice(s), or
2201 121799 42-370.00 $27.30 bill(s) is (are) true and correct and that the
2201 121889 42-370.00 $131.40
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday;' January 11, 2013
Street Commissioner
�;t-reet uarnmssioner
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))
12/07/12 121706 $37.90
12/17/12 121799 $27.30
01/02/13 121889 $131.40
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