220351 05/21/2013 voided CITY OF CARMEL, INDIANA VENDOR: 00352499 Page 1 of 1
ONE CIVIC SQUARE SOUTHEASTERN EQUIPMENT CO
CARMEL, INDIANA 46032 PO BOX 536 CHECK AMOUNT: $68.38
CAMBRIDGE OH 43725 CHECK NUMBER: 220351
CHECK DATE: 5121/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 C43835 68 . 38 OTHER EXPENSES
WWW.southeasternequip.com
PLEAASE REND;T TO:
SOUT;!EASTERN EQUIPME:NT CO.,INC. EQUIPMENT CO., INC. ❑228 SR 7 N,GALLIPOLIS,OH 45631
P.O.I >uX 52-6-CAM!_:%*91CPGE,OH 43725 U.S. 40 EAST, CAMBRIDGE, OH 43725
❑ 1982 FLORENCE PIKE,BURLINGTON;KY 41005
❑27207 N.DIXIE PKWY.,PERRYSBURG,OH 43551 ❑1356 THIRD ST, BRILLIANT,OH 43913 ❑4951 WEST 96TH ST.,INDIANAPOLIS,IN 46268
❑ 1505 HEBRON ROAD,HEATH,OH 43056 ❑1500 INDUSTRIAL PKWY., BRUNSWICK, OH 44212 ❑3333 W.COLISEUM BLVD.,FORT WAYNE,IN 46808
1:18757 TYLER BLVD.,MENTOR,OH 44060 ❑404 BREADEN ROAD,MONROE,OH 45050 ❑7444 ENTERPRISE PARK CIRCLE,EVANSVILLE,IN 47715
❑3875 WEST FOURTH ST.,MANSFIELD,OH 44903 ❑26580 SR 7,MARIETTA,OH 45750 ❑1776 SOUTH CEDAR STREET,HOLT,MI 48842
❑6415 PROMLER AVE.NW,NORTH CANTON,OH 44720 ❑6390 SHIER-RINGS ROAD,DUBLIN,OH 43017 ❑48545 GRAND RIVER,NOVI,MI 48374
I
Customer I N V O I C E Invoice Pg
1320902 C43835 1
2
5/07/13
Sold To Ship To
CITY OF CARMEL JEFF KELICH 758-5744FAX
WASTE WATER TREATMENT PLANT CITY OF CARMEL
JEFF COOPER WASTE WATER TREATMENT PLANT
9609 HAZELL DELL PKWY JEFF COOPER
INDIANAPOLIS IN 46280 9609 HAZELL DELL PKWY
INDIANAPOLIS IN 46280
317/571-2634 317/571-2634
FOB WILL CALL
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Br Trk Make Model Serial Equipment Meter Sts Customer P .O.
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013 D T O 999
Ordr Ship B/0 Description Each Amount
-_ -----J
-------------- ----------_ - ------------
Taken By Jon Marschand
3715-565-778-82006 'BY — --
05/16
1 1 KU 70000-40202 OIL, 2 .5 GAL SUPE 63 . 91 63. 91
TOTAL PARTS 63. 91
1 . SHIPPING & HANDLING IN
4 .47 . 47
NON-TAXABLE GOVERNMENT .00
o � 5 �
ASK FOR DETAILS ABOUT THE CNH CARD. 90 DAYS
NO PAYMENTS NO INTEREST ON PARTS AND SERVICE.
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--------------------------------------------Total---------68_38
FED. ID. #34-1503254 --SEE REVERSE SIDE FOR TERMS AND CONDITIONS --
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
00352499
SOUTHEASTERN EQUIPMENT CO., INC. Purchase Order No.
PO BOX 536 Terms
CAMBRIDGE, OH 43725 Due Date 5/15/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/15/2013 C43835 $68.38
I 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
VOUCHER # 135574 WARRANT # ALLOWED
00352499 IN SUM OF $
SOUTHEASTERN EQUIPMENT CO., IN
PO BOX 536
CAMBRIDGE, OH 43725
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
C43835 01-7500-02 $68.38
Voucher Total $68.38
Cost distribution ledger classification if
claim paid under vehicle highway fund