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227102 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 276475 Page 1 of 1 ONE CIVIC SQUARE ROUDEBUSH EQUIPMENT INC CARMEL, INDIANA 46032 CHECK AMOUNT: $799.61 2911 ST RD 32 E WESTFIELD IN 46074-9512 CHECK NUMBER: 227102 CHECK DATE: 12/11/2013 DEPARTMENT ACCOUNT PO NUMBER. INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 3031 799 . 61 REPAIR PARTS 1\ 2013-12-05 1717 ROUDEBUSH EQUIPMENT 317-896-3990» 3177332005 P 111 INVOICE Roudebush Equipment, Inc. TELEPHONE Order Number 3031 2911 St. Rd.32 East (317)896-2753 Order Date DEC 4,2013 Westfield, IN 46074 Customer Number 0001813 Purchase Order PER JEFF S. Sold To : Telephone (317) 733-2001 City of Carmel, Street Dept. 3400 W. 131 st Street Westfield IN 46074 Terms:Net 10 Days After Mo Salesperson BR Part Number Mfg Qty UM BkO Tax Description List Unit Price Extended 00001800 RHI 4.0 EA 4.0 N LOCKNUT TLM 112 NC P $1.49 $0.61 $2.44 00002700 RHI 4.0 EA 4.0 N FLATWASHER 1/2 PL $1,49 $0.38 $1.52 00016700 RHI 1.0 EA 1.0 N HEXB 1 NC X 8 PL8 $26.68 $23.20 $23.20 00013300 RHI 2.0 EA 2.0 N HHCS 1/2 NC X 2 GR.5 PL $1.64 $1.31 $2.62 00130010 RHI 1.0 EA 1.0 N ASY,TIRE&WHEEL 4:0 $152.15 $138.32 $138.32 00765337 RHI 1.0 EA 1.0 N SPACER $7.90 $5.84 $5.84 00774874 RHI 1.0 EA 1.0 N WLDMT GAUGE WHEEL BRKT $626.34 $569.40 $569.40 02030300 RHI 1.0 EA 1.0 N NUT TOPLOCK 1 $9.88 $7.13 $7.13 02030700 RHI 2.0 EA 2.0 N HHCS 112 NC 1 114 P $2.30 $1.37 $2.74 00001300 RHI 4,0 EA 4.0 N WASHER,LOCK 1/2 GR8-YDP $1.49 $0.35 $1.40 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 allowing us to serve you! Item Total $848.71 Hours: Monday Friday SAM-5PM Saturday 8AM-1213M Or Sales Taxes $0.00 by appointment Serving residents of Westfield & Hamilton County since 1961! ShippinglHandling $45.00 Sub Total $893.71 Trade In and Discounts $94.10 Sales Order Total $799.61 Payment Received $0.00 Received By' Order Balance $799.61 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)) 12/04/13 $799.61 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 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Roudebush Equipment IN SUM OF $ 2911 State Road 32 East Westfield, IN 46074 $799.61 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 42-370.001 $799.01 1 hereby certify that the attached invoice(s), or 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 Fri d� , D 013 W W -I.F ��t< 1i��th1�r Title Cost distribution ledger classification if claim paid motor vehicle highway fund