248003 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 248600
ONE CIVIC SQUARE POWER TRAIN COMPANIES CHECK AMOUNT: $*******205.51*
CARMEL, INDIANA 46032 PO Box 42729 CHECK NUMBER: 248003
9M�TpN ,` INDIANAPOLIS IN 46242-0729 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 9 911269 205.51 REPAIR PARTS
Page 1
Invoice
9 911269
POWER TRAIN Job Number 9 912464
450 North Enterprise Blvd PO# TRUCK 102
POW�1921 Lebanon, IN 46052 Serving the needs of the
765.482.6525 • 800.999.7116 Transportation Industry Since 1921 SA Code B4
--------------------------------------
Remit to:P.O.Box 42729
*CHARGE* Indianapolis,IN 46242-0729 N
S 1 13596 s GLD
° CARMEL STREET DEPT. H
D .3400 W. 131ST STREET P 7/20/2015
T CARMEL IN 46074 T
0 0 � 10 : 02 : 00
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wpA INVOICE DUE NET 10'PROX.PAST DUE ACCOUNTS WILL BE CHARGED 1 h% RCVD. @
�•-••-••�•^^^} INTEREST PER MONTH. W
`�" RETURNED GOODS MUST BEACCOMPANIED BY ORIGINAL INVOICEAND ARE BY: • w 205 . 51
xewvr veR�nt SUBJECT TOA RESTOCK CHARGE.NO REFUND OR CREDIT ON INSTALLED PARTS.
pRRFE55/ONA15
VOUCHER NO. WARRANT NO.
ALLOWED 20
Power Train
IN SUM OF $
P. O. Box 42729
Indianapolis, IN 46242-0729
$205.51
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE I AMOUNT Board Members
2201 I 9911269 I 42-370.001 $205.51 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
`
ffi u ryI 20151
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))
07/20/15 9911269 $205.51
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