242369 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 365791
® ONE CIVIC SQUARE PEARSON WHOLESALE PARTS CHECK AMOUNT: $*--202.98*
f. ?4 CARMEL, INDIANA 46032 10650 N MICHIGAN ROAD CHECK NUMBER: 242369
+.yiroN�o, ZIONSVILLE IN 45077 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 132401 167.50 OTHER EXPENSES
601 5023990 132452 35.48 OTHER EXPENSES
III II 1111111111111111111111111111111111111111111
0 00
PEARSON PEARSON
AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/items sold hereby are those made by
the manufacturer. The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all
10650 North Michigan Road • Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
aparticular purpose, and PEARSON WHOLESALE PARTS, LLC, neither assumes nor authorizes any
Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items
DATE ENTERED YOUR ORDER NO. DATE SHIPPEDINVOICE DATE INVOICE
NUMBER 1324ni
SACCOUNT NO. 6205 . H PAGE 1 OF 1
L CITY OF CARMEL WATER I
T 3450 W 131ST ST T
0 ESTFIELD, IN 46074-8267 0
SHIP VIA SLSM. B/L NO. TERMS F.O.B.
1 0 AC3Z*3B396*A LINK AS 9 209. 38 167 . 50 167. 50
WEST2
NO RETURNS
WITHOUT THIS
INVOICE.
NO RETURNS AFTER
10 DAYS.
A 15% HANDLING
CHARGE WILL BE
ADDED.
****** THANKS FROM ALL OF US ****** NO RETURNS ON
******* AT PEARSON WHOLESALE ******* PARTS 167 . sn ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FREIGHT PARTS
ALES TAX 0. 00
-O,2° ADI 1nc CUSTOMER COPY 1111111111111111111111111111111111111111111111111111111
III i�;1111 1111111111111111111111111111
10. _0 PEA T%,�OPEARSOim N
r W AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/items sold hereby are those made by
the manufacturer. The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all
10650 North Michigan Road Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
a particular purpose,and PEARSON WHOLESALE PARTS,LLC, neither assumes nor authorizes any
Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items.
DATE ENTERED YOUR ORDER NO. 7 DATE SHIPPED INVOICE DATE INVOICE
FF.RNUMBER
S ACCOUNT 'NO. 6205 H PAGE 1 OF 1
L CITY OF CARMEL WATER': I
D 3450 W 131ST ST P
WESTFIELD, IN 46074'-82670
SHIP VIA SLSM. B/l NO. TERMS F.O.B.
nRn) SHIP RQ PART NUMBER DESCRIPTION -I I qT NFT AMOUNT
2 0 AC3Z*15175*A SEAL WEST1 2 29 . 57 17 . 74 35 .48
-
NO RETURNS
'-
WITHOUT THIS
INVOICE.
NO RETURNS AFTER
10 DAYS.
`�. A 15% HANDLING
^/ � r CHARGE WILL BE
d' ADDED.
****** THANKS FROM ALL OF US ****** NO RETURNS ON
******* AT PEARSON WHOLESALE PARTS 3 ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FREIGHT 0 . 00 PARTS
SALEa-TAX- 0 . 00
s8�/b
.° ,gh'Z0MA CUSTOMER COPY 11111111 IINIII111III 1111111111111111111loll 111111111111
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer) Title
Voucher No. Warrant No.
3(a5-Ig I ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
�e c�--t'sori 4oFavor
l�s�c�
Total Amount of Voucher $
Deductions
5-a-
l3 � dl
Go 50. t tv"i 5o
Amount of Warrant $ o�
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
t
Filed
Official Title j
BOYCE FORMS•SYSTEMS 1-800-382-8702 325 II