219768 05/07/2013 �1
CITY OF CARMEL, INDIANA VENDOR: 357702 Page 1 of 1
` ONE CIVIC SQUARE HYDRAULIC COMPONENT SPECIALIST g
CARMEL, INDIANA 46032 13595 LANDSER PLACE CHECK AMOUNT: $224.80
CARMEL IN 46033
CHECK NUMBER: 219768
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 7778 224 . 80 REPAIR PARTS
Hydraulic Components Specialists, LLC Invoice
13595 Landser Place
Carmel, IN 46033 Date Invoice#
4/8/2013 7778
Bill To Ship To
Carmel Street Department
City of Carmel
760 Third Ave SW,Ste 110
Carmel, IN 46032
P.O. No. Terms Account# Job Description
Jeff Ste\vart Net 30 250267
Qty Item Description Unit Price Amount
Repair/Reseal Sweeper Door Lift Cylinder
HOTP
1 Seal Kit 58.90 58.90
1 Enviromental Fee 5.00 5.00
Labor 148.00 148.00
Freight 12.90 12.90
Sales Tax (7.0%) $0.00
Total $224.80
Shop: 5438 Barker Lane Indianapolis, Indiana 46236 Payments/Credits $0.00
Phone (317) 895-6916,
Fax (317) 895-6927 Balance Due
$224.80
Conditional limited warranty as determined by
Hydraulics Component Specialists LLC
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))
04/08/13 7778 $224.80
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hydraulic Components Specialists, LLC
IN SUM OF $
13595 Landser Place
Carmel, IN 46033
$224.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
2201 I 7778 I 42-370.001 $22480 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
JIN
Fri May 03, 2013
StktePGomomisslone�er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund