HomeMy WebLinkAbout251073 11 /04/15 W.��q
�( f• CITY OF CARMEL, INDIANA VENDOR: 100000
® G1. CHECKAMOUNT: $********13.87*
.I; , ONE CIVIC SQUARE DWIGHT D FROST
:� �_�; CARMEL, INDIANA 46032
CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 2622521951 13.87 REPAIR PARTS
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Page: 1 of 1
1445 S RANGE LI
CARMEL, IN 46032
317 846-1274
Customer Information Order Information
CARMEL POLICE DEPARTMENT INVOICE NUMBER. . 2622521951
3 CIVIC SQ COMM SPECIALIST. WATSON,KERSTEN
CARMEL, IN 46032- ORDER DATE. . . . . . 10/21/2015 9 : 53p
PHONE. . . . . . 317 571-2500 QUOTE DELIVERY. . 10/21/2015 10 : 17p
PO NUMBER. . 0653
Items
Qty Sku Description List Cost Core Amount
1 862724 H11 HALOGEN CAPSULE 27.74 13 .87 0.00 13.87
H11 Sylvania Basic
NO VEHICLE GIVEN For The Above Items
NO VEHICLE GIVEN For The Above Items
MSDS can be ordered upon request
Payment Appry Amount
3305 591057 0 AEJPCM 14 . 84
2622521951102115C
Subtotal13 . 87
Tax 0 . 7
Total 14 . 84
AZC Savings -1 . 12
*The signature above acknowledges customer's agreement to be bound by all terms outlined in the AutoZone Commercial Customer Charge Account
Aareement.as amended from time to time.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dwight D. Frost
IN SUM OF$
$13.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 2622521951 I 42-370.00 I $13.87 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
Thursd , October 29, 2015
Chief of Police
Title
Cost distribution ledger classification if
claimaid motor vehicle highway fund
P 9 Y
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))
10/21/15 2622521951 replacement bulb $13.87
I 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