244070 04/08/2015 i 4Aq
CITY OF CARMEL, INDIANA VENDOR: 362878 "•'*•••658.13•
ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $
CARMEL, INDIANA 46032 2425 E 30TH ST CHECK NUMBER: 244070
INDIANAPOLIS IN 45218 CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 03MZ5976 658.13 AUTO REPAIR & MAINTEN
TBA North Invoice
309 Gradle Dr. No. 03MZ5976
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIIIIIIIII�IIIIIIIIII IIIIIIIIIIII III I II
Page 1
12:20:30 Mar 26 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS :EKE
332 03MZ5976 03/26/15 03UW2494001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL FIRE DEPT. CITY OF CARMEL FIRE DEPT.
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Dept: 001 CITY OF CARMEL FIRE DEPT. Contact: CHEVY 2500/317-571-2600 Route: CARMEL Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
ED --03/26/15, 12:20:274400013 MIKE BYRD W CARMEL A 1 413
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
****Special order part
****This part is
NON-RETURNABLE. Shipping
charges are
NON-RETURNABLE
ACD 19149234 VALVE ASM BRK PRESS MOD U EA 0 0 1 554.15 0.00 314.34 0.00 314.34
TX: 010 1
2000 CHEVROLET SILVERADO 2500 PU V8-364 6.OL
DOR 599-707 ABS CONTROL MODULE U EA 1 0 1 465.80 100.00 229.79 100.00 329.79
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
644.13 1019.95 544.13 100.00 14.00 0.00 658.13 0.00 658.13
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.
*x Page 1. Continued on Next Page "*"
TBA North Invoice
' 309 Gradle Dr. No. 03MZ5976
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIII IIIIII I I IIII II II III I II
l Page 2
12:20:30 Mar 26 2015
CUSTOMER #: 332 INVOICE NUMBER: MZ5976 CSR: 400013 MIKE BYRD
ORDER DATE, TIME: 03/26/15, 12:20:27 INVOICE DATE: 03/26/15SHIPPED VIA:W CARMEL A
PO NUMBER: ED PACKING SLIP: 03UW2494001 TERMS: NET 10TH
----------------------------------------------------------------
VOUCHER NO. WARRANT NO.
ALLOWED 20
TBA A�etttr r��`Lb"�-��
IZ 30,4j IN SUM OF $
Gar -�-4v��
$658.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 03MZ5976 43-510.00 $658.13 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 APR 6
II&MA
Fire Chief
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))
03MZ5976 $658.13
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