245476 5 /20/2015 (9,
CITY OF CARMEL, INDIANA VENDOR: 363862
ONE CIVIC SQUARE JASON FORCE CHECK AMOUNT: $********60.79*CARMEL, INDIANA 46032 21589 OVERDORF ROAD CHECK NUMBER: 245476
NOBLESVILLE IN 46062 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 60.79 REPAIR PARTS
Morrison
HYCRA-c3EN Invoice
14233 West Road
Houston, TX 77041 Date Invoice#
5/11/2015 247445
Bill To � Ship To
CARMEL FD CARMEL FD
2 CARMEL CIVIC SQ. 2 CARMEL CIVIC SQ.
CARMEL, IN 46032 CARMEL, IN 46032
S.O. No. P.O. Number Terms Due Date Rep Ship Via
52136 CREDIT CARD 5/11/2015 DRG 5/11/2015 UPS GROUND
Quantity Item Code Description Price Each Amount
1 MS120-CAP31.... CAPACITOR 31.5uF 25.00 25.00
1 MS120-CAP35MF CAPACITOR 35uF 25.00 25.00T
1 /FREIGHT OUT... Ground-PPD 10.79 10.79T
TRACKING#: 1ZE2051 E0363293346
Out-of-state sale, exempt from sales tax 0.00% 0.00
Total $60.79
Payments/Credits -$60.79
Balance Due $0.00
Phone#: 281-807-4420 Fax#: 281-807-4815 Web Site: www.harrisonhyragen.com
512&2015 PNC BankOnlineBankng
Available Credit:6 $15,523.00 Available for Cash Advance: $8,000.00 I Rewards
Credit Limit: $16,000.00 Cash Advance APR 21.99%
L. \-
Pending Charges:0 $80.50 0 4 4`t F
Purchase APR 0 9.99%
G
Next Statement Date: 06/10/2015 .,__
Last Statement Balance: $371.84 on 05/11/2015 1
Last Payment: $450.00 on 05/15/2015
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05/24/2015 IDNR FISH AND WILD 800-236-5446 IN $17 7
05/22/2015 SPEEDWAY 08034 100 CICERO IN .00 Account Si =.,,.::
$61.52 Add Authors-
05/19/2015 GRACE COMMUNITY CHURCH 317-8482722 IN $40.00
Dispute Tran
05/19/2015 GRACE COMMUNITY CHURCH 317-8482722 IN $6.00
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05/16/2015 SPEEDWAY 03303 176 NOBLESVILLE IN $37.38 Request Aut
05/16/2015 SPEED/MY 03303 176 NOBLESVILLE IN $1.41 ( Request Bah
05/15/2015 PAYMENT*THANK YOU DUBLIN OH
-$450.00 Request Cre
05/15/2015 SHOE CARNIVAL#0268 NOBLESVILLE IN -$104.33 Request Cre
05/15/2015 SHOE CARNIVAL#0268 NOBLESVILLE IN $42.80 Turn off Pap
05/15/2015 PIZZA HUT NOBLESVILLE IN
$24.09 Use this Acc I
Save with PNC Purchase Payback!Here's 40 points per$1 at Subway on us.
05/12/2015 GAMINDIANANPINSPAPRCIR 888-426-0491 IN $13.60 Visa Checl—�
05/11/2015 SHOE CARNIVAL#537 CARMEL IN $104.33 Learn More
05/11/2015 HARRISON HYDRAGEN LTD HOUSTON TX $80.79 Sign up for\
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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))
$60.79
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jason Force
IN SUM OF $
$60.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 42-370.00 $60.79 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
MAY 1 8 2015
h- API,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund