243340 03/18/15 i
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v`! CITY OF CARMEL, INDIANA VENDOR: 362878
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ONE CIVIC SQUARE T B A'WAREHOUSE I CHECK AMOUNT: $********32.97*
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s. ? CARMEL, INDIANA 46032
2425 E 30TH ST CHECK NUMBER: 243340
INDIANAPOLIS IN 46218 CHECK DATE:, 03/18/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03MX1112 32.97; OTHER EXPENSES
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TBA North Invoice
309 Gradle.Dr. No. 03MX1112
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982is II IIII I VIII II I I II II III I II
Page 1
14:56:14 Feb 17 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03MX1112 02/17/15 03UT3350001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
3450 W. 131ST ST. 3450 W. 131ST ST
CARMEL, IN 46074 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact: /317-733-2853 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
02/17/15, 14:56:14 400003 JIM RATLIFF N NORTH A 1 403
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
**"*Next time that
way****
HAS LF11OF HASTINGS OIL FILTER//• U EA 12 0 5.99 0.00 1.55 0.00 18.60
HAS LF157F HASTINGS OIL FILTER/ , U EA 2 0 5.99 0.00 1.55 0.00 3.10
HAS LF232F HASTINGS OIL FILTER.,,// U EA 7 0 C7j 6.43 0.00 1.61 0.00 11.27
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
32.97 128.87 32.97 0.00 0.00 0.00 32.97 0.00 32.97
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.
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VOUCHER # 151179 WARRANT # ALLOWED
354275 IN SUM OF $
TBA WAREHOUSE-INDY
2425 E 30TH STREET
INDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
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03MXl112 01-6500-04 $32.97
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Voucher Total $32.97 j
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354275
TBA WAREHOUSE-INDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 3/10/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/10/2015 03MX1112 $32.97
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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
Date Officer