223263 08/13/2013 a ,\�f CITY OF CARMEL, INDIANA VENDOR: 357422 Page 1 of 1
•' ONE CIVIC SQUARE W A JONES TRUCK BODIES&EQUIPMEE���T
CARMEL, INDIANA 46032 1171 S WILLIAMS STREET CHECK AMOUNT: $4,108.73
COLUMBIA CITY IN 46725 CHECK NUMBER: 223263
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 70542 700 . 20 REPAIR PARTS
2201 4351000 70596 3 , 408 . 53 AUTO REPAIR & MAINTEN
W. A. Jones Invoice
1171 S Williams Drive
Columbia City, IN 46725 Date Invoice#
Phone: (260) 244-7661 8/5/2013 70596
Fax: (260)244-7662
Bill To Ship To
CITY OF CARMEL STREET DEPT
3400 W. 131ST STREET
CARMEL,IN 46074
Customer Fax (317)733-2005 Customer Phone (317)733-2001
P.O. Number Terms Rep Ship Via F.O.B. VIN
Net 30 DBS 8/5/2013 UPS 1GDT8J4CO3F571446
Quantity Item Code Description Price Each Amount
9 LABOR CC SHOP LABOR 65.00 585.00
Remove hoist cyl.and send out for a quote on repair.Look at
rear hing and quote on replacement
Call Jeff Stewart n 317-417-5053
1 PSD0551303VM0126 CS130-5.5-3 DA 2,768.30 2,768.30
1 10643-16-16 15.12 15.12
1 13943-16-16 40.11 40.11
1 13773C 0.00 0.00
FINANCE CHARGE: Invoices that remain unpaid 30 days after invoice date will be Sales Tax (7.0%) $0.00
assessed a finance charge of 18%per annum or approximately 1.5%per month.
Minimum monthly finance charge is $2. Total
$3,408.53
VOUCHER NO. WARRANT NO.
W.A. Jones ALLOWED 20
IN SUM OF $
1171 S.Williams Drive
Columbia City, In. 46725
$3,408.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
2201 I 70596 I 43-510.001 $3,408.53 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
All #10a , 013
V —7 W
S�WeWN§S�Mr
Title
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))
08/05/13 70596 $3,408.53
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
i
MA MC Equipment,(INC. in V O'0 09
r l(Il 1j1 QF111 ' - (rig
TRUCK BODIES & EQUIPMENT
1171 S.WILLIAMS DR. ,
7/31/2013 70542
COLUMBIA CITY, IN 46725 """
Phone(260)244-7661
Fax(260)244-7662
MV&
CITY OF CARMEL STREET DEPT
3'400 W. 131 ST STREET
CARMEL,IN 46074
(317)733-200 (317)733-2001
Net 30 DBS 7/31/2013 Pick up Ship Point�p��,
61 932630Q INDY 30P DOUBLE LENGTH 10 MICRON MICROGLASS 116.70 70020
REPUACEMENT ELEMEN`h
i
I
E
i
1
}
t
FINANCE CHARGE: Invoices that remain unpaid 30 days after invoice date will be Sales Tax (7.0%) $0.00
assessed a finance charge of 18% per annum or approximately 1.5% per month.
Minimum monthly finance charge is $2.
p�� $700.20
VOUCHER NO. WARRANT NO.
ALLOWED 20
W. A. Jones
IN SUM OF $
1171 S. Williams Drive
Colunbia City„ IN 46725
$700.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 70542 I 42-370.001 $700.20 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
f 141
Fri j Au t 0 , 2013
StreWxeifgffPner
Title
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))
07/31/13 70542 $700.20
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