241600 01/27/15 4+�t C��f
J/ .:. CITY OF CARMEL, INDIANA VENDOR: 362878
® �l ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: S••'"1,686.06'
s +`; CARMEL, INDIANA 46032 2425 E 30TH ST CHECK NUMBER: 241600
��TON�` INDIANAPOLIS IN 46218 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 03MU0781 230.99 REPAIR PARTS
1110 4237000 03MU3572 -230.99 REPAIR PARTS
1110 4237000 03MU9480 166.78 REPAIR PARTS
1110 4231500 32297 03MU9486 1,519.28 55 GALLON DRUM OIL
TBA North
Invoke
C 309 Gradle Dr. No. 03MU0781
Carmel, IN 46032
4t 317-574-1957 FAX: 317-574-1982 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
CA2-1 222-2- �"^`--
Page 1
15:19:27 Dec 30 2014
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03MU0781 12/30/14 03UP8152001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: JASON /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
12/30/14, 15:19:27 000001 ONLINE ORDERS N NORTH A 1 ACX
* * ACX Reference No: AU9484'�x'�
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2001 CHEVROLET TRUCK
SILVERADO 2500 V8-364ci
6.OL F/I Vin U ID#24151
GPD 6511396 NEW COMPRESSOR U EA 1 0 1 311.78. 0.00-1230.99, 0.00 230.99
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT.- INVOICE TOTAL PAYMENTS, BALANCE DUE
230.99 311.78 230.99 0.00 0.00 0.00 `" , '230.99. ! 0.00 230.99
2.08% service charge on past due accounts(25.% per:annum).
Core returns must be in original box. All new returns"must -
be resalable. No return after 30 days without invoice.
JAN/23/2015/FRI 01 :01 PM TBA Oil FAX No, P. 001/001
TBA North - I Cr ditM2f11o "=
309 Gradle Dr. p, 03MU3572
Carmel,IN 46032
317-574-1957 FAX:317-574-1982
Page 1
Originally:Inv#03MU0781
16:52:13 Jan 05 2015
CUSTOMER NUMBER Credlt Memo NUMBER Credh Memo DATE PACKING SLIP TERMS vul SE
3,18 03MUS572 01/05/15 03UQ1164001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL,IN 46032 CARAMEL,IN 46074
Dept:002 CARMEL POLICE CITY-GARAGE Contact:,JASON 1317433.4600 Route'.NORTH Direction: .-
YOUR P.O.NUMBER ORDER DATE CBEs SHIPPED VIA CARTONS OPER
RGA,#115174 01105/15,16:52:13 200098 BRAD BOELKE N NORTH A 298
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET SKr
qTY ORDERED Q7 PRICE PRICE PRICE CORE PRICE
WD 6511396 Naw C012RESSOR U EA, -1 0 4 311.78 0.00 -230.99 0.00 -230.99
Now Return'��'
TOTAL PURCHASE TOTAL UST TOTAL MDSE -TOTALCORE FREJUHT TAX PCT TAXAMTINVOICE70TAL PAYMENTS BALANCE OUB
-230.99 311.75 -230.99 0.00 0.00 0.00 -230.99 0.00 230.99
2.08%service charge on past due accounts(25%per annum).
Care returns must be in wigival box.All new returns must
be resalable.No mtom after 30 days without invoice.
- TBA North Invoice
309 Gradle Dr. No. 03MU9480
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIII I I III I III III II III I II
Page 1
10:23:46 Jan 14 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03MU9480 01/14/15 03UQ8029001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL,IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact:JASON /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
01/14/15, 10:23:44 000001 ONLINE ORDERS N NORTH A 1 ACX
ACX Reference No: AV1483 * *
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE. PRICE PRICE CORE PRICE
RAF ATD999P BRAKE PAD SET R U EA 1 0 2 93.19 0.00 41.32 0.00 82.64
TX: 010 1
RAF ATD1159P AT POLICE PAD SET U EA 2 0 2 94.88 0.00 42.07 0.00 84.14
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL- PAYMENTS BALANCE DUE
166.78 376.14 166.78 0.00 0.00 0.00 166.78 0:00• 166.78
2.08% service charge on past due accounts(25% per annum)
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
_ rt
I
TBA North Invoice
309 Gradle Dr. No. 03MU9486
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIII I IIIIIIIIIIIII II II IIIIII IIIIII
Page 1
10:31:08 Jan 14 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03MU9486 01/14/15 03UQ8040001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: ,JASON/317-733-4600 Route: NORTH Direction: -
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
01/14/15, 10:31:07 300001 PERRY WILHITE N NORTH A 1 301
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
****DROP SHIPPED DIRECT
TO CUSTOMER.Part is not
returnable after 15 days
from purchase****
BUY 55GALDEXOS Buyout Template NONE EA 2 '' 0 2.`.1000.00 0.00 759.64` 0.00` 1519.28
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT .TAX AMT INVOICE TOTAL PAYMENTS- 'i BALANCE DUE
1519.28 2000.00 1519.28 0.00 0.00 0.00 1519.28` 0 00 . ' 1519.28
2.08% service charge on past due accounts(25% per annum)
Core returns must be in original box. All.new returns must
be resalable. No return after 30 days without
I ItSI
r
9 +
0 DIANA RETAIL TAX EXEMPT PAGE
uit of Carmel CEINRTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 397
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1 t23.2015
A Noith Carmel Polito Departmet-&
VENDOR SHIP 3 Civic Squw@
009 GIadle Drjv@ TO Cafffid, IN 460312
Carmol, IN 460-32 (317)571-255-9
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Accol.nt ,12.315.00
2 Each 55 gallon dnim oil $759.54 $1,519.28
Sub Total: $1,519.28
Send Invoice To:
Carmel Police Department -
Attn: Pat Young
3 Civic 'Square
Caaml, IN 4603032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $1,519.28
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /'f�
SHIPPING LABELS. / hlef of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 2 9 7 A.P.V. COPY-SIGN AND RETURI4 TO CLERKS OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
1
IN THE SUM OF$
$ 1
rF, :z
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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__
I
f
Signature
Title
I Cost distribution ledger classification if
claim paid motor vehicle highway fund
I '
VOUCHER NO. WARRANT NO.
ALLOWED 20
TBA North
IN SUM OF$
309 Gradle Drive
Carmel, IN 46032
-4,
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1110 03MU0781 42-370.00 $230.99
bill(s) is (are)true and correct and that the
1110 03MU3572 42-370.00 $230.99
materials or services itemized thereon for
1110 03MU9480 42-370.00 $166.78 which charge is made were ordered and
X322-�7 u`�4%G 3rs..ocj\ � ��.z� received except
Friday, January 23, 2015
Chief of Police
Title
Cost distribution ledger classification if i
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))
12/30/14 03MU0781 repair parts $230.99
01/05/15 03MU3572 credit memo ($230.99)
01/14/15 03MU9480 repair parts $166.78
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