225409 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 357702 Page 1 of 1
ONE CIVIC SQUARE HYDRAULIC COMPONENT SPECIALIST
CARMEL, INDIANA 46032 13595 LANDSER PLACE HECK AMOUNT: $324.20
CARMEL IN 46033 CHECK NUMBER: 225409
ON
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 8110 324 .20 OTHER EXPENSES
Hydraulic Components Specialists, LLC Invoice
13595 Landser Place
Carmel, IN 46033 Date Invoice#
10/1/2013 8110
Bill To Ship To
Carmel Utilities Department
City of Carmel
760 Third Ave SW, Ste 110
Carmel,IN 46032
P.O. No. Terms Account# Job Description
ReifC---er -- Ne`t-30-`— ----250267 Kubota R520#10126
Qty Item Description Unit Price Amount
Repair/Reseal Kubota R520 Bucket Cylinder
1 Seal Kit 147.60 147.60
1 Enviromental Fee 10.00 10.00
Labor 148.00 148.00
Freight 18.60 .18.60
Sales Tax (7.0%) $0.00
Total $324.20
Shop: 5438 Barker Lane Indianapolis, Indiana 46236 Payments/Credits $0.00
Phone (317) 895-6916,
Fax (317) 895-6927 Balance Due $324.20
Conditional limited warranty as determined by
Hydraulics Component Specialists LLC
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
357702
HYDRAULIC COMPONENTS SPECIALITS Purchase Order No.
13595 LANDSER PLACE Terms
CARMEL, IN 46033 Due Date 10/17/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/201: 8110 $324.20
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 # 136639 WARRANT # ALLOWED
357702 IN SUM OF $
HYDRAULIC COMPONENTS SPECIALI'
13595 LANDSER PLACE
CARMEL, IN 46033
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
8110 01-7362-06 44e4-Z6
Voucher Total $324.20
Cost distribution ledger classification if
claim paid under vehicle highway fund