221935 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00351011 Page 1 of 1
ONE CIVIC SQUARE CLARK TRUCK EQUIPMENT CO
CARMEL, INDIANA 46032 105 W 580 N CHECK AMOUNT: $338.00
CRAWFORDSVILLE IN 47933
CHECK NUMBER: 221935
CHECK DATE: 7/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 44070 338 . 00 OTHER EXPENSES
DATE OF ORDER CUSTOMER ORDER NO. TERMS INVOICE NUMBER
06/27/13 JIM NET 30 44070
DATE SHIPPED SHIP VIA PPD ADD COLL
6/28/13 DENNIS DELIVERED
r-v-/
SHIP � V
TO \J
TRUCK EQUIPMENT CO., INC.
J 105 W 580 N
CRAWFORDSVILLE, IN 47933
PHONE 765-362-4101
SOLD CARMEL WATER WATTS 1-800-382-0873
TO 3450 W. 131 ST ST. FAX 765-362-4103
CARMEL, IN 46074
ACCOUNTS PAYABLE
QUANTITY QUANTITY
ORDERED BACKORDR DESCRIPTION PART NO. UNIT PRICE AMOUNT
2 67738 3 POST SOLENOIDS $ 23.00 $ 46.00
4 07164 SOLENOIDS $ 73.00 $ 292.00
SUBTOTAL $ 338.00
FREIGHT/SHPG
LABOR
TERMS: NET 30 DAYS, 1 1/2% INTEREST PER MONTH TAX #ON FILE
ON UNPAID BALANCE AFTER 30 DAYS TOTAL INVOICE $ 338.00
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
00351011
CLARK TRUCK EQUIP CO INC Purchase Order No.
PO BOX 27 Terms
LINDEN, IN 47955 Due Date 7/8/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/8/2013 44070 $338.00
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 # 132006 WARRANT # ALLOWED
00351011 IN SUM OF $
CLARK TRUCK EQUIP CO INC
to 5 iAt Sao/�
47933
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
i 44070 01-6500-05 $338.00
Voucher Total $338.00
Cost distribution ledger classification if
claim paid under vehicle highway fund