246995 06/30/15 -; �'8'f. CITY OF CARMEL, INDIANA VENDOR: 362878
s 6 I ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $*--121.02'
x., a° CARMEL, INDIANA 46032 2425 E 30TH ST CHECK NUMBER: 246995
'a,,�r�N Ea. INDIANAPOLIS IN 46218 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 03NE6599 121.02 REPAIR PARTS
TBA North Invoice
309 Gradle Dr. NO. 03NE6599
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIII ( lll I I III III II III I II
Page 1
09:24:15 Jun 11 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03NE6599 06/11/15 03VC2729001 NET 10TH 030
BILL TO: SHIPPED TO:
CARAMEL POLICE CITY GARAGE CARAMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARAMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARAMEL POLICE CITY GARAGE Contact: JASON / Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
06/11/15, 09:24:12 000001 ONLINE ORDERS N NORTH A 1 ACX
*`m ACX Reference No: AX4024 **
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN CITY ORDERED CITY PRICE PRICE PRICE CORE PRICE
2012 Chevrolet Caprice
V8-364cid 6.01- FLEX FI
VIN 2 L77 V8-364ci 6.OL
#1190480013828
ACD 131-160 89018168 THERMOSTAT KIT E U EA 1 0 1 59.95 0.00 38.10 0.00 38.10
RAF ATD999111 BRAKE PAD SET R U EA 1 0 2 93.19 0.00 41.46 0.00 82.92
TX: 010 1
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
121.02 246.33 121.02 0.00 0.00 0.00 121.02 0.00 121.02
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.
*�`* Page 1. Continued on Next Page �`�"`
TBA North Invoice
309 Gradle Dr. No. 03NE6599
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982is II II II IIIIII I I II I III f I II I I II
lI I I I I Page 2
09:24:15 Jun 11 2015
CUSTOMER #: 318 INVOICE NUMBER: NE6599 CSR: 000001 ONLINE ORDERS
ORDER DATE, TIME: 06/11/15, 09:24:12 INVOICE DATE: 06/11/15SHIPPED VIA:N NORTH A
PO NUMBER: PACKING SLIP: 03VC2729001 TERMS: NET LOTH
r'.
--------------------- --?----------------------- -----------------
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))
06/11/15 03NE6599 repair parts $121.02
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
TBA North
IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$121.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 03NE6599 I 42-370.00 I $121.02 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
Wednesday, June 24, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund