248535 08/12/15 ,r CITY OF CARMEL, INDIANA VENDOR: 362878
® it ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $**.....223.77
CARMEL, INDIANA 46032 2425 E 30TH ST CHECK NUMBER: 248535
°.y.oN, `• INDIANAPOLIS IN 46218 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 03NH3719 223.77 REPAIR PARTS
TBA North Invoice
309 Gradle Dr. No. 0:3NH3719
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982is II IIII IIII II I III II I IIII I� III VIII IIII II.
Page 1
08:23:02 Jul 21 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS =WHSEd
318 03NH3719 07/21/15 03VF4819001 NET IOTH 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 Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
07/21/15, 08:23:01 200003 MATT SEGERSON N NORTH A 1 202
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN CITY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD1 I59P AT POLICE PAD SET ' U EA 3 0 3. 94.88 0.00 42.21 0.00 126.63
ACI) 18A2414A 19241847 ROTOR U EA 2 0 98.90 0.00 48.57 0.00 97.14
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
223.77 482.44 223.77 0.00 0.00 0.00 223.77 0.00 223.77
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.
----------------------------------------------------------
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))
07/21/15 03NH3719 repair parts $223.77
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
$223.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 03NH3719 I 42-370.00 l $223.77 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, August 07, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund