225889 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 367139 Page 1 of 1
ONE CIVIC SQUARE M&K QUALITY TRUCK SALES CHECK AMOUNT: $495.92
s�,? CARMEL, INDIANA 46032 PO BOX 268
BYRON CENTER MI 49315 CHECK NUMBER: 225889
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 246858IN 495 . 92 OTHER EXPENSES
REMIT TO ADDRESS
P.O. BOX 268
avnOm CENTER, m| 4nz1s
TV �4i
1401HARO|NGCT
INDIANAPOLIS, IN 46217
PHONE (317) 784'374(} FAX (317) 788-3800
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| Favm,v °",,a",v cvnvu,u,ev all of the °v,,"oays with ,eonvnt to the ,o/o of this /,em or /,"m,. The xono, xv,ebv o,n,eo,/v u/oo/a/m" on °o,,a"t/o, either express or �
implied, including any implied warranty of merchantability o,fitness for a particular purpose.The seller neither assumes o,authorizes any other person,v assume for^any
liability in uvn"on^o" with the sale of this item/items.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
22 OCT 13 JC456 22 OCT 13 22 OCT 13 NUMBER 246958IN 2 1 5 9
CITY OF CARMEL CITY OF CARMEL
0 1 CIVIC SQUARE 0 1 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
SHIP VIA SLSM. TERMS F.O.B. Pol NT
� RL 7`0 ICHARGE I INDIANAPOLIS, IN
_o PART NO. DESCRIPTION LIST NET AMOUNT
I 1 0 1-15641-046-0 004EO4 GASKET 3 . 34 2 . 06 2 . 06 All returned goods
8-981017290-0 subject to 15%
-REPLACING PART-NO. FOR kBOVE PART- handling, restock-
be in original
Electrical items &
special order parts
are non-returnable.
Credit will not be
issued without in-
spection of items
after 30 days or
without this
No refunds or
exchanges after 30
days or without
this invoice.
ALL SALES ON GMC PARTS ARE FINAL WE
CAN NOT ACCEPT ANY RETURNS DUE TO PARTS 48201 495 . 92 All parts sold are
MANUFACTURE POLICIES SUBLET new unless
FREIGHT 6306 0 . 00 otherwise.
SALES TAX 32400 0 . 00
CUSTOMER'S SIGNATURE
X TOTAL 22000 $495 . 921
|
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
367139
M & K QUALITY TRUCK SALES Purchase Order No.
PO BOX 268 Terms
BYRON CENTER, MI 49315 Due Date 10/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/30/201: 2469581N $495.92
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 # 136706 WARRANT # ALLOWED
367139
IN SUM OF $
M & K QUALITY TRUCK SALES
PO BOX 268
BYRON CENTER, MI 49315
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2469581N 01-7500-02 $495.92
T71,19
Voucher Total 2
Cost distribution ledger classification if
claim paid under vehicle highway fund