227390 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 360022 Page 1 of 1
y� ONE CIVIC SQUARE THE HOOSIER CO INC CHECK AMOUNT: $2,985.00
CARMEL, INDIANA 46032 P 0 BOX 681064
INDIANAPOLIS IN 46268 CHECK NUMBER: 227390
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4467099 72153 2, 985 . 00 OTHER EQUIPMENT
The Hoosier Co., Inc.
P.O. BOX 681064
INDIANAPOLIS, IN 46268
(317)872-8125 FAX(317)872-7183
Invoice 72153
Bill to: Job: 237524
CITY OF CARMEL CITY OF CARMEL
3400 W. 131ST ST.
WESTFIELD, IN 46074
Invoice#: 72153 Date: 12/16113 Customer P.O.#: DAVID HUFFMAN
Payment Terms: UPON RECEIPT Salesperson:JOSH COULTER
Customer Code: 915
Remarks:
uantity D-
3.00 VAISALA SURFACE PATROL EA 995.00 2,985.00
0.00 PAVEMENT TEMPERATURE 0.00 0.00
0.00 SENSOR W/DISPLAY DSP110 0.00 0.00
0.00 PROJECT INCLUDES: PROBE, 0.00 0.00
0.00 DASHBOARD DISPLAY, AIR 0.00 0.00
0.00 TEMPERATURE SENSOR 0.00 0.00
0.00 W/CABLE, AND CONEXAL RJ14 0.00 0.00
0.00 CABLE BETWEEN PROBE/ 0.00 0.00
0.00 DISPLAY. 0.00 0.00
Subtotal: 2,985.00
Total: 2,985.00
Less Retention:
Current Due: 2,985.00
i
1
CREDIT REGULATIONS: 1 1/2% Interest Per Month On Past Due Accounts
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Hoosier Co., Inc.
IN SUM OF$
P. O. Box 681064
Indianapolis, IN 46268
$2,985.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
T
2201 I 72153 1 2201-670.99 $2,985.00 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
Mo �ay, 91vo be 1 2013
A A-11
V V-A/ LQ A4W
Str6iMbawrafollimner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
12/16/13 72153 $2,985.00
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
, 20
Clerk-Treasurer