228752 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 365934 Page 1 of 1
ONE CIVIC SQUARE WEST SIDE TRACTOR SALES
CARMEL, INDIANA 46032 DEPT 4570 CHECK AMOUNT: $1,774.26
PO BOX 87618
„oCHECK NUMBER: 228752
CHICAGO IL 60680
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 I16448 1, 774 . 26 REPAIR PARTS
WEST SIDE TRACTOR SALES REMIT TO:
WEST SIDE EXCHANGE
WESTSIDE BLOOMINGTON T: (812)333-9677 F: (812)333-9731 DEPT.#4570
,%PicFORT WAYNE T: (260)482-8576 F: (260)483-4057 P.O.BOX 87618
INDIANAPOLIS T: (317)544-3411 F: (317)544-3420 CHICAGO, IL 60680-0618
LAFAYETTE T: (765)447-6933 F: (765)448-9038 PHONE(630)355-7150
TRACTOR ° SOUTH BEND T: (574)232-1461 F: (574)233-3324 Branch
SAME AS BELOW
o Date Time Page
t •
22 14 1:2 2 01
Account No. Phone No. Invoice No.
CARME002 317 5712452 I16448
Ship Via Purchase Order
6 CITY OF CARMEL STREET DEP
8 3400 WEST 131ST STREET Sales Tax License No. Federal Exemption No.
o
c CARMEL, IN 46074 IN057
F.E.I.N. No.36-2484344 Salesperson
JEF
DESCRIPTION
ORDER#: 014755
************** CALL FOR A FREE UNDERCARRIAGE INSPECTION ******************
Part# DESCRIPTION Bin ORD ISS SHP B/O UTT Price Amount
AT161072 PEDAL I10910 2 2 2 179.21 358.42
19M7775 CAP SCREW V7D1 6 6 6 1.01 6.06
T126170 SPACER I10910 2 2 2 9.05 18.10
AT173073 VALVE I10910 1 1 1 1097.47 1097.47
R26448 PACKING V3D3 4 4 4 2.72 10.88
AT150024 SWITCH I10910 1 1 1 216.22 216 .22
38H1160 FITTING V28A4 1 1 1 6.73 6.73
R27216 PLUG I10910 1 1 1 7.38 7.38
R51031 FITTING 1 1 1 5.76 5.76
T68704 SLEEVE I10910 2 2 2 6.12 12.24
24M7313 WASHER 4 4 .23
FRT MISC 1 1 1 35.00 35.00
mike
317-670-1676
TOTAL CHARGE 1774.26
LATE CHARGE %PER MONTH( %PER ANNUM) TERMS Parts and service invoices are due net 30 days from date of invoice Special
order goods are not returnable. All returns must be accompanied by this invoice. Returned
goods are subject to a restocking charge. Parts and service are under warranty for ninety
RESTOCKING %MINIMUM SERVICE CHARGE. (90)days Rentals and whole goods invoices are payable cash in advance or payable
upon receipt of invoice if an open account accomodation has been granted. There is a
$25.00 service charge on all returned checks. Title to all items remains with West Side
Tractor Sales until purchase price,interest and other charges are paid in full.
SIGNATURE DATE
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))
01/22/14 116448 $1,774.26
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
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
West Side Tractor Sales
West Side Exchange
IN SUM OF $
Dept#4570 P. O. Box 87618
Chicagyo, IL 60680-0618
$1,774.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/-rITLE AMOUNT Board Members
2201 I 116448 I 42-370.00j $1,774.26 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
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Fr ida nua A
F014
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Stre�.� ner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund