250862 10/21/15 TBA North Invoice
309 Gradle Dr. NO. 03NNO944
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II ( III I III I III II III I II
Page 1
13:50:52 Oct 13 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03NNO944 10/13/15 03VM2613001 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
10/13/15, 13:50:52 000001 ONLINE ORDERS N NORTH A 1 ACX
*** ACX Reference No: AZ4443 ***
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2012 Chevrolet Impala
3.6L V 6 FLEX`
ACD 18A2414A 19241847 ROTOR-I/ 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
97.14 197.80 97.14 0.00 0.00 0.00 97.14 0.00 97.14
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.
-------------------------------------------------
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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))
10/13/15 03NNO944 repair parts $97.14
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.
TBA North ALLOWED 20
IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$97.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 03NNO944 I 42-370.00 I $97.14 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, October 16, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund