224487 09/25/2013 °GYM CITY OF CARMEL, INDIANA VENDOR: 367230 Page 1 of 1
ONE CIVIC SQUARE FREIGHT CENTER CHECK AMOUNT: $50.00
�? CARMEL, INDIANA 46032 34125 US 19N STE 130
PALM HARBOR FL 34684 CHECK NUMBER: 224487
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10994884 50 . 00 OTHER EXPENSES
rJ---freightCenter Invoice
34125 US 19N
STE 130 Date Invoice#
Palm Harbor, FL 34684 6/14/2013 10994884
0t,- 36�7. cc,
Bill To Ship To
Carmel City Waste Treatment(CWWTP) Carmel City Waste Treatment
Carmel City Waste Treatment(CWWTP) Jeff Cooper
Indianapolis,IN 46280 9609 Hazel Dell Parkway
Indianapolis,IN 46280
Bill of Lading# PO# Terms Due Date Agent Ship Via Customer Number
Net 15 7/4/2013
Quantity Description Rate Amount
1 Dock Stocker Corp standup electric forklift 50.00 50.00
WE ARE A PROUD PARTICIPANT OF THE D&B TRADE 0.00 0.00
EXCHANGE PROGRAM. WE REPORT ALL PROMPT AND SLOW
PAYMENTS.
Your charge is based on:The type of item(s)being shipped(class),weight,size, Total $50.00
commercial or residential pickup or delivery.Customer is responsible for correct
shipment description and commodity code.Should the actual shipment's description
or services prove to be different than shown,additional charges may be assessed and Payments/Credits $0.00
charged to your account.As the customer,you agreed to pay for the actual weight,
actual dimension(s)and actual services provided.Venue for any legal action relating Balance Due $50.00
to services provided by FreightCenter Inc or its website FreightCenter.com,shall be
filed exclusively in the Circuit Court for Pasco County,Florida or in the Unites States
District Court for the Middle District of Florida. Customer shall be liable for all court
costs,reasonable attorney's fees and collection fees.
Pay online at: https://ipn.intuit.com/brdfhntw
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
367230
Freight Center Purchase Order No.
34125 US 19N Terms
SUITE 130 Due Date 9/11/2013
PALM HARBOR, FL 34684
Invoice Invoice Description
Date Number - (or note attached invoice(s) or bill(s)) Amount
9/11/2013 10994884 $50.00
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
Date Officer
VOUCHER # 136379 WARRANT# ALLOWED
367230 IN SUM OF $
Freight Center
34125 US 19N
SUITE 130
PALM HARBOR, FL 34684
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
10994884 01-7362-06 $50.00
Voucher Total $50.00
Cost distribution ledger classification if
claim paid under vehicle highway fund