217260 02/13/2013 *f CITY OF CARMEL, INDIANA VENDOR: 00350206 Page 1 of 1
'• ONE CIVIC SQUARE MICHAEL TODD&CO
CARMEL, INDIANA 46032 CHECK AMOUNT: $587.80
1401 WILLIAM STREET
OMAHA NE 68108 CHECK NUMBER: 217260
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 136066 587 . 80 REPAIR PARTS
• Invoice 136066
Michael Todd Date 2/1/2013
0 & COMPANY, INC. Page 1of1
Order Number Z4307
Bill To Ship To
CITY OF CARMEL CITY OF CARMEL
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST ST 3400 WEST 131ST ST
WESTFIELD, IN 46074 WESTFIELD, IN 46074
PO Number Customer No. Salesperson ID Shipping Method Payment Terms Master No.
7662 ZEHNER NET 30 56,816
Invoice Billed B/O Item Number Description Unit Price Ext Price
2 2 0 112X8X90 WES 1-1/2"X8"X90"RUBBER SNOW PLOW BLADE 293.900 587.80
CENTER SLOT(FOB)
2-5/8"X 14-1/4"X 5 @11-1/4"X 14-1/4"X 2-5/8"
FOB DESTINATION Subtotal f;A7 80
THANK YOU! Miscellaneous 0.00
Freight 0.00
Sales Tax 0.00
Trade Discount 0.00
Total 587.80
Less:Amt Recd 0.00
Balance Due $587.80
1401 WILLIAM STREET OMAHA, NEBRASKA 68108
(800) 228-7076 • (402)342-6376 • FAX (402)342-3663 • www.michaeltodd.com
'rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
02/01/13 136066 $587.80
hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
vith IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Michael Todd Inc. ALLOWED 20
IN SUM OF $
1401 William Street
Omaha, NE 68108
$587.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT _ Board Members
2201 1 136066 1 42-370.001 $587.80 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
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