226459 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 276475 Page 1 of 1
ONE CIVIC SQUARE ROUDEBUSH EQUIPMENT INC
s 0 CHECK AMOUNT: $21.52
•�% CARMEL, INDIANA 46032 2911 ST RD 32 E
oN`o WESTFIELD IN 46074-9512 CHECK NUMBER: 226459
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 001781 21 . 52 OTHER EXPENSES
INVOICE
Sales Order 002867
Roudebush Equipment, Inc. TELEPHONE Invoice Number 001781
2911 St. Rd. 32 East (317) 896-2753 Invoice Date 10/25/2013
Westfield, IN 46074 Purchase OrderRHINO
Salesperson: BR
Telephone (317) 571-2634
Sold To :
City of Carmel, Wastewater
9609 Hazel Dell Parkway
Indianapolis IN 46280
Part Number Mfg Qty UM Description Unit Price Extended
32184PF MAS 1.0 EA PIN,COTTER $1.27 $1.27
Part# 19488AF Replaced By Newer Part#32184PF
00758692 RHI 1.0 EA NUT,HEX FLG SLOTTED $20.25 $20.25
No goods returnable after 10 days! Any returns are subject to a restocking fee of 15% and must be accompanied by
this invoice. Special order, electrical, rubber, and hydraulic parts are not returnable.
Respectfully—The Management
Thank you for all us to serve you! Sub Total $21.52
Hours: Monday— Friday 8AM-5PM Saturday 8AM-12PM Or Discount $0.00
by appointment Sales Tax $0.00
Serving residents of Westfield & Hamilton County since 1961
Shipping $0.00
Invoice Total $21.52
Payment $0.00
Invoice Balance $21.52
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
276475
ROUDEBUSH EQUIPMENT INC Purchase Order No.
MASSEY-FERGUSON Terms
2911 ST RD 32 E Due Date 11/14/2013
WESTFIELD, IN 46074-9512
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201.' 001781 $21.52
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 # 136821 WARRANT # ALLOWED
276475 IN SUM OF $
ROUDEBUSH EQUIPMENT INC
MASSEY-FERGUSON
2911 ST RD 32 E
WESTFIELD, IN 46074-9512
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
001781 01-7502-06 $21.52
Voucher Total $21.52
Cost distribution ledger classification if
claim paid under vehicle highway fund