247497 07/15/15 *f CITY OF CARMEL, INDIANA VENDOR: 362878
ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $***"**"277.58*
CARMEL, INDIANA 46032 2425 E 30TH ST CHECK NUMBER: 247497
INDIANAPOLIS IN 46218 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 03NF7871 277.58 REPAIR PARTS
a
TBA North Invoice
309 Gradle Dr. IVO. 03NF7871
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIIIII III�'llllliilll I IIIIIIIIII III I II
Page 1
11:57:50 Jun 26 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03NF7871 06/26/15 03VD6100001 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
06/26/15, 11:5 000001 ONLINE ORDERS N NORTH A 1 ACX
ACX Reference No: AX6616 ***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
ACD 18A2414A 19241847 ROTOR U EA 2 0 2 98.90 0.00 48.57 0.00 97.14
RAF ATDI159P AT POLICE PAD SET U EA 2 0 2 94.=88 0.00 42.21 0.00 84.42
WTT IAW015 25/BX EURO STYLE .5002 U BX 0 0 1 20.12 0.00 8.50 0.00 8.50
TX: 010 1
WTT IAW020 25/13X EURO STYLE .750Z U BX 1 0 1 22.49 0.00 9.50 0.00 9.50
WTT IAW030 25/BX EURO STYLE IOZ U BX 0 0 2 27.14 0.00 11.47 0.00 22.94
TX: 010 2
WTT IAW035 25/BX EURO STYLE 1.2502 U BX 0 0 1 29..il 0.00 12.47 0.00 12.47
TX: 010 1
WTT IAW045 25/BX EURO STYLE 1.50Z U BX 0 0 1 32.61 0.00 13.78 0.00 13.78
TX: 010 1
WTT IAW050 25/13X EURO STYLE 1.750Z U BX 0 0 1 33.63 0.00 14.21 0.00 14.21
TX: 010 1
WTT IAW055 25/BX EURO STYLE 20Z U BX 0 0 1 34.61 0.00 14.62 0.00 14.62 `I
TX: 010 1
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
277.58 614.81 277.58 0.00 0.00 0.00 277.58 0.00 277.58
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. 03NF787 1
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II I'lllllll IIIIII II IIIIIIIII I II
Page 2
11:57:50 Jun 26 2015
CUSTOMER #: 318 INVOICE NUMBER: NF7871 CSR: 000001 ONLINE ORDERS
ORDER DATE, TIME: 06/26/15, 11:57:47 INVOICE DATE: 06/26/15SHIPPED VIA:N NORTH A
PO NUMBER: PACKING SLIP: 03VD6100001 TERMS: NET 10TH
------------------------------------------------ ----------------
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))
06/26/15 03NF7871 repair parts $277.58
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
$277.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
r
1110 I 03NF7871 I 42-370.00 I $277.58 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
Friday, July 10, 2015
41Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund