219843 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 366747 Page 1 of 1
ONE CIVIC SQUARE NORTHERN EQUIPMENT CO INC CHECK AMOUNT: $525.60
s CARMEL, INDIANA 46032 16465 WEST LINCOLN HIGHWAY
+ a� PLYMOUTH IN 46563 CHECK NUMBER: 219843
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 21599 525 . 60 OTHER EXPENSES
NORTHERN EQUIPMENT CO INC INVOICE
16465 W LINCOLN HWY
PLYMOUTH, IN 46563
Phone : (574) 936-9683
Fax (574) 936-8656
DATE 04/12/13 INVOICE # 21599
PAGE 1
Sold To Ship To/Remarks
CARMEL WASTE WATER TREATMENT PLANT
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
—SHIP VIA FOB TERMS YOUR PO OUR PO PER
UPS GROUND NET 30 DAYS S13540 10506
DESCRIPTION SHIPPED PRICE EXT AMT
760OF-18 FLAT BLADE 18" EA 1.0 101.4500 101.45
760OF-15 15" FLAT BLADE EA 1.0 88.7500 88.75
UEZ60.100.65 CHISEL NOZZLE 1" EA 1.0 209.0000 209.00
A02 EXT NOZZLE 1"X 15' EA 1.0 82.5000 82.50
SHIPPING AND HANDLING 1.0 43.9000 43.90
WE APPRECIATE YOUR BUSINESS! _
SUBTOTAL T 525.60 --
SALES TAX 0.00
1.5% FINANCE CHARGE PER MONTH TOTAL 525.60
ON ALL INVOICES PAST TERMS
TOTAL DUE 525.60
VOUCHER # 135419 WARRANT # ALLOWED
366747 IN SUM OF $
Northern Equipment Co., Inc.
16465 W. LINCOLN HWY
PLYMOUTH, IN 46563
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
f
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
21599 01-7200-02 $525.60
1
Voucher Total $525.60
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
366747
Northern Equipment Co., Inc. Purchase Order No.
16465 W. LINCOLN HWY Terms
PLYMOUTH, IN 46563 Due Date 5/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/1/2013 21599 $525.60
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
Date Officer