222564 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 276475 Page 1 of 1
ONE CIVIC SQUARE ROUDEBUSH EQUIPMENT INC
CARMEL, INDIANA 46032 2911 ST RD 32 E CHECK AMOUNT: $784.54
VJESTFIELD IN 46074-9512 CHECK NUMBER: 222564
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER^INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1387 784 . 54 REPAIR PARTS
INVOICE
Roudebush Equipment, Inc. TELEPHONE Order Number 2066
2911 St. Rd. 32 East (317) 896-2753
Order Date JUL 2,2013
Westfield, IN 46074 Customer Number 0001813
Invoice Number 001387
Purchase Order MIKE
Sold To Telephone (317) 733-2001
City of Carmel, Street Dept.
3400 W. 131 st Street
Westfield IN 46074
Terms: Net 10 Days After Mo Salesperson BR
Part Number Mfg Qty UM B\O Tax Description Unit Price Extended
366634X1 MAS 6.0 EA 0.0 N BOLT $20.59 $123.54
3773719M91 MAS 1.0 EA 0.0 N CYLINDER/HYDRAULIC $636.00 $636.00
No goods returnable after 10 days! Any returns are subject to a restocking fee of 15% and must be
accompanied by this invoice. Special order, electrical, rubber, and hydraulic parts are not returnable.
Respectfully-The Management
Thank you for allowing us to serve you! Item Total $759.54
Hours: Monday - Friday 8AM-5PM Saturday 8AM-12PM Sales Taxes $0.00
Or by appointment
Serving residents of Westfield & Hamilton County since 1961!
Shipping/Handling $25.00
Sub Total $784.54
Trade In and Discounts $0.00
Sales Order Total $784.54
Received By: Payment Received $0.00
Order Balance $784.54
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))
07/02/13 001387 $784.54
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
Roudebush Equipment
IN SUM OF $
2911 State Road 32 East
Westfield, IN 46074
$784.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 001387 I 42-370.001 $784.54 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
I Ju 2013
Stat1E& Wner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund