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218660 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1 ONE CIVIC SQUARE W A JONES TRUCK BODIES&EQUIPMENT CARMEL, INDIANA 46032 1171 S WILLIAMS STREET CHECK AMOUNT: $433.00 COLUMBIA CITY IN 46725 CHECK NUMBER: 218660 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 68843 433 . 00 REPAIR PARTS MC Equipment, INC. Invoice W.A. JONES '''i li��'��"m.�aa�;�.i l�' ��;` !, l,;• -- -- mss._.. TRUCK BODIES & EQUIPMENT ;!e�i;l,.� 1171 S.WILLIAMS DR. 3/12/2013 68843 COLUMBIA CITY, IN 46725 *"' °`�= - Phone(260)244-7661 Fax(260)244-7662 • Ship To CITY OF CARMEL STREET DEPT 3400 W. 131 ST STREET CARMEL,IN 46074 i i • •(317)733-2005. (317)733-2001 Customer Phone -P.O. Number • • • VBL ED Net 30 CBB 3/12/2013 Pick up Ship Point • • Description Price Each • 2 03045 INDY OIL SEAL 2"FOR OUTPUT SHAFT ON 6:1 GEARBOX 22.00 44.00 1 05006437 INDY MOTOR.HYD, WHITE,24CI,213, 1"SHAFT, .5"NPT 389.00 389.00 PORTS(Y2) ' E I ` i I} i i t i 1 I , 1 { i ! i 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. ® . $433.00 VOUCHER NO. WARRANT NO. ALLOWED 20 W.A. Jones IN SUM OF $ 1171 S.Williams Drive Columbia City, In. 46725 $433.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 l 68843 f 42-370.001 $433.00 1 hereby certify that the attached invoice(s), or l 1 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 Tr,Ijdrsd 2013 WVVV VV SLr@'8W%g(b%er 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)) 03/12/13 68843 $433.00 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