225850 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 357702 Page 1 of 1
ONE CIVIC SQUARE HYDRAULIC COMPONENT SPECIALISTS
/ CARMEL, INDIANA 46032 13595 LANDSER PLACE CHECK AMOUNT: $3,854.89
�' •� CARMEL IN 46033
CHECK NUMBER: 225850
CHECK DATE: 11/512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 5911BS 2, 258 . 89 REPAIR PARTS
2201 4237000 8120 1, 596 . 00 REPAIR PARTS
Hydraulic Components Specialists, LLC Invoice
13595 Landser Place
Carmel, IN 46033 Date Invoice#
10/23/2013 5911 BS
Bill To Ship To
Carmel Street Department Carmel Street Department
3400 W. 131st Street 3400 W. 131st Street
Carmel, IN 46074 Westfield, IN 46074
P.O. No. Terms Account# Job Description
I
Jeff Stewart Net 30 250167
Qty Item Description Unit Price Amount
Supply New 3 Stage Hoist Cylinder
1 Cylinder 3 Stage Hoist 2,095.00 2,095.00
Freight 163.89 163.89
Sales Tax (7.0%) $0.00
Total $2,258.89
Shop: 5438 Barker Lane Indianapolis, Indiana 46236 Payments/Credits $0.00
Phone (317) 895-6916,
Fax (317) 895-6927 Balance Due
$2,258.89
Conditional limited warranty as determined by
Hydraulics Component Specialists LLC
Hydraulic Components Specialists, LLC Invoice
13595 Landser Place
Carmel, IN 46033 Date Invoice#
10/17/2013 8120
Bill To Ship To
Carmel Street Department Carmel Street Department
3400 W. 131st Street 3400 W. 131st Street
Carmel,IN 46074 Westfield,IN 46074
P.O. No. Terms Account# Job Description
i
Jeff Stewart Net 30 250167 John Deere 644G
Qty Item Description Unit Price Amount
Repair/Reseal John Deere 644G Clam Bucket Cylinder X
2
2 Seal Kit 107.00 214.00
2 Re-Rod 435.00 870.00
2 Enviromental Fee 10.00 20.00
2 Labor 228.00 456.00
Freight 36.00 36.00
Sales Tax (7.0%) $0.00
Total $1,596.00
Shop: 5438 Barker Lane Indianapolis, Indiana 46236 Payments/Credits $0.00
Phone (317) 895-6916,
Fax (317) 895-6927 Balance Due
$1,596.00
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 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))
10/17/13 8120 $1,596.00
10/23/13 5911 BS $2,258.89
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hydraulic Components Specialists, LLC
IN SUM OF $
13595 Landser Place
Carmel, IN 46033
$3,854.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 8120 42-370.00 j $1,596.00 1 hereby certify that the attached invoice(s), or
2201 5911 BS 42-370.00 $2,258.89 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
Thursd Oc r 31, 2013
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund