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223024 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366528 Page 1 of 1 ONE CIVIC SQUARE INDY AERIAL EQUIPMENT COMPANY CARMEL, INDIANA 46032 5608 MASSACHUSETTS AVENUE CHECK AMOUNT: $1,826.95 r� INDIANAPOLIS IN 46218 CHECK NUMBER: 223024 CHECK DATE: 8113/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4351000 12638 1, 826 . 95 AUTO REPAIR & MAINTEN ® 5608 MASSACHUSETTS AVE. 7/28/13 12638 1 INDIANAPOLIS,IN 46218 E Q U I P M E N T C 0. PH.(317)549-0608 U U FAX(317)549-0257 UTILITY EQUIPMENT &ACCESSORIES O SOLD TO SHIP TO Carmel Street Dept Carmel Street Dept 3400 West 131st Street 3400 West 131st Street Carmel , IN 46074 Carmel , IN 46074 Ref: 12638 Net 15 Item—# Description Quantity Unit Unit—price Ext—price Inspection 1 EACH 195 . 00 195 . 00 Discount: 0 . 00 HY 1551 Hydraulic Filter 1 EACH 22 . 15 22 . 15 Discount: 0 . 00 EL PM142A Light—Marker Amber 1 EACH 7 . 50 7 . 50 Discount: 0 . 00 EL 194 Minature Light Bulb 2 EACH 2 . 00 4 . 00 Discount: 0 . 00 MI SK-13 Seal Kit Outrigger 1 EACH 82 . 85 82 . 85 Discount: 0 . 00 MI TANK Hyd Reservoir 1 EACH 642 . 85 642 . 85 Discount: 0 . 00 HY T-22 Tellus Hydraulic Oil 40 QTS 5 . 00 200 . 00 Discount: 0 .00 Shop Labor 7 . 50 HOUR 75 . 00 562 . 50 Discount: 0 . 00 SALES TAX 1 INVOICE / DEPOSIT 1 ® 5608 MASSACHUSETTS AVE. 7/28/13 12638 2 INDIANAPOLIS,IN 46218 E Q U I P M E N T C 0. PH.(317)549-0608. U U FAX(317)549-0257 UTILITY EQUIPMENT &ACCESSORIES SOLD TO SHIP TO Carmel Street Dept Carmel Street Dept 3400 West 131st Street 3400 West 131st Street Carmel , IN 46074 Carmel , IN 46074 1 ' 1 / Refs 12638 Net 15. Item—# Description Quantity Unit Unit--price Ext—price Inspected unit and provide customer with report. Lubed lift. Unit had hyd tank that leaked so we replaced it. Filled hyd oil. Removed rear lift cylinder and resealed it. Repaired marker lights . 0 1 , 716 . 85 Unit 57 MISC. CHAR GES 15 . 10 Flannigan Sign Shop On Wheels . SALES TAX 0 . 00 SHIPPING 95 . 00 INVOICE 1 1 ,:826 . 95 DEPOSIT BALANCE DUE VOUCHER NO. WARRANT NO. Indy Aerial Equipment Company ALLOWED 20 IN SUM OF $ 5608 Massachusetts Avenue Indianapolis, IN 64218 $1,826.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 12638 1 43-510.001 $1,826.95 I 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 o F i ay,##6st 09, 2013 Street Commiss o r Stpeet G m Y- ':b Title jr 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)) 07/28/13 12638 $1,826.95 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