246002 06/03/15 ��p;F• CITY OF CARMEL, INDIANA VENDOR: 354275
® ONE CIVIC SQUARE T B A &OIL WAREHOUSE, INC CHECK AMOUNT: $*****1,625.39`
9 ,��� CARMEL, INDIANA 46032 2425 E 30TH ST CHECK NUMBER: 246002
.y,�roN�` INDIANAPOLIS IN 46218-2724 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 03ND4343 82.22 REPAIR PARTS
1110 4237000 03ND4875 23.89 REPAIR PARTS
1110 4231500 32888 03ND5688 1,519.28 55 GALLON DRUM
TBA North Invoice
309 Gradle Dr. No. 03ND4343
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II I!�II II I I II II i II III I II
Page 1
14:03:53 May 22 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03ND4343 05/22/15 03VA8212001 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 CARTONSOPER
05/22/15, 14:03:51 000001 ONLINE ORDERS N NORTH A 1 I ACX
*xM ACX Reference No: AX1132***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD698P AT POLICE PAD SET U EA 1 0 2 92.41 0.00 41.11 0.00 82.22 _
TX: 010 1
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
82.22 184.82 82.22 0.00 0.00 0.00 82.22 0.00 82.22
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.
TBA North Invoice
309 Gradle Dr. NO. 0:3ND4875
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II 111 [11 II I1�
II1��11
II III I 11�
Page 1
09:42:34 May 26 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03ND4875 05/26/15 03VA8827001 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
05/26/15, 09:42:31 000001 ONLINE ORDERS N NORTH A 1 ACX
ACX Reference No: AX1248M"
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2010 Ford Crown Victoria
V8-281cid 4.61,FLEX FI
VIN V V8-281ci 4.6L
#960630008034
MOT YH1717 RESISTOR NONE EA 0 .0 1 41.12 0.00 23.89 0.00 23.89
TX: 010, 1
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
23.89 41.12 23.89 0.00 0.00 0.00 23.89 0.00 23.89
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.
�W
TBA North Invoice
309 Gradle Dr. NO. 03ND5688
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II III II III IIII IIIIIIIII I II
Page 1
08:29:49 May 27 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03ND5688 05/27/15 03VA9876001 - NET 1OTH '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/317-571-2546,Route: NORTH-Directtonr�-
YOUR P.O.NUMBER ORDER DATE - CSR' SHIPPED VIA- CARTONS OPER
POLICE 05/27/15, 08:29:48 300007 BRIAN HALPER N NORTH A 1 307
i
UNIT ORDER BACK INV, LIST CORE€ NET NET. - `= EXT :-
ITEM DESCRIPTION - BIN QTY ORDERED QTY PRICE. PRICE:`. PRICE CORE PRICE
DELIVERED SEND CUSTOMER
-COPY
BUY 55GALDEXOS Buyout Template NONE EA 1 0 2 '1000.00 01.00',759.64 0.00. 1519.28;
TOTAL PURCHASE TOTAL.LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS 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 invoice.-
INDIANA RETAIL TAX EXEMPT PAGE
City ® Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3me
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
TSA North Carmel Police Department
VENDOR SHIP 3 CIVIC: squam
309 Gradle Drrlve TO Carmel, IN 4
Can-nee, IN 4 (317)571 0
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-315.00
2 Each 55 gallon drum oil $760.00 $1,520.00
Sub Total, $1,520.00
f i
V 21
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✓i .F;}�f .,„ . r,.o ` fir,
a .r art , ,
Send Invoice To: 1 t
Carmel Police Department
Attu: Pat Young
3 Civic Square
Carmel, IN 45032® PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
f Carmel Police Dept. \ `�� s'3,um.00
�- PAYMENT
r • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT�THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATI N S FFICIENT TO PAY FOE THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY l,L/ .9
SHIPPING LABELS. Lf of pollc'o
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 8 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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_
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
TBA North
IN SUM OF$
309 Gradle Drive
Carmel, IN 46032
$1,625.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 03ND4343 42-370.00 $82.22 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 03ND4875 42-370.00 $23.89
materials or services itemized thereon for
32888 03ND5688 42-315.00 $1,519.28 which charge is made were ordered and
received except
Thursday, May 28, 2015
Chief of Police
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))
05/22/15 03ND4343 repair parta $82.22
05/26/15 03ND4875 repair parts $23.89
05/27/15 03ND5688 oil $1,519.28
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