HomeMy WebLinkAbout221256 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 00352369 Page 1 of 1
ONE CIVIC SQUARE SUNBELT RENTALS
CARMEL, INDIANA 46032 PO BOX 409211 CHECK AMOUNT: $244.35
'+, ? ATLANTA GA 30384-9211
CHECK NUMBER: 221256
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4353099 40195722-001 244 . 35 OTHER RENTAL & LEASES
INVOICE
SEND ALL PAYMENTS TO: — -
SUNBELT RENTALS,INC. • • 40195722-001
PO BOX 409211
SUNBELT ATLANTA,GA 30384-9211
01�� 2806565
RENTALS
5/29/13
PAGE 1 of 1
INVOICE TO RECEIVED BY CONTRACT NO.
loz-770-949 BOYD, PIERCY 40195722
CARMEL STREET DEPT PURCHASE ORDER NO.
&: 3400 W 131 ST ST
CARMEL IN 46074-8267 PARKINGTON
IiInItIInIlntlnil�InlluluJ�lillulu�Illnilln�illtil JOB NO.
1 - CARMEL STREET DE
JOB ADDRESS BRANCH
CARMEL STREET DEPT
4_Sc•_`- pCCT C _-___ _ FISHERS PC394
�1- ow�(`a� ST�.��� ...VV- 11120 ALLISONVILLE RD
CARMEL, IN 46032 FISHERS, IN 46038-1837
317-571-2637 317-849-2119
QTY EQUIPMENT# Min Day Week 4 Week Amount
1 350OPSI 250G TOWABLE PRESSURE WASHE 185.00 195.00 485.00 1395.00 195.00
108711 Make: SHARK Model: TRS-3500 Ser#: C0606-136887
Billed from 5/29/13 thru 5/29/13
SALES ITEMS:
Qty Item number Unit Price
1 ENVIRONMENTAL EA 3.600 3.60
ENVIRONMENTAL
2 DIESEL EA 8.250 16.50
2141 XXX000
1 RENTAL PROTECTION PLAN EA 29.25
FINAL BILL: 5/29/13 10:21 AM THRU 5/29/13 04:30 PM.
EgWp 1Q`flt( nt. 8e' ' C`6. 0U- ar�ilnteedo °U 244.35
REMIT TO: NET DUE UPON RECEIPT
SUNBELT RENTALS, INC. Invoices not paid within 30 days may be subject ° ° 244.35
PO BOX 409211 to a 1-'/2%per month charge.
ATLANTA, GA 30384-9211
RENTAL RETURN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sunbelt Rentals, Inc
IN SUM OF $
P. O. Box 409211
Atlanta, GA 30384-9211
$244.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT _ Board Members
2201 1 40195722-001 1 43-530.991 $244.35 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
r day e 14, 2013
UW
Street Commissi n
Stleut .t a er
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))
05/29/13 40195722-001 $244.35
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
120
Clerk-Treasurer