252097 12/02/15 y p1_C�IN'�l
�r�/ CITY OF CARMEL, INDIANA VENDOR: 248600
ONE CIVIC SQUARE POWER TRAIN COMPANIES CHECK AMOUNT: S•`•"5,866.40'
ra; CARMEL, INDIANA 46032 PO BOX 42729 CHECK NUMBER: 252097
9M,�'O'N�� INDIANAPOLIS IN 46242-0729 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 911590 5,866.40 AUTO REPAIR & MAINTEN
Page 1
POWER TRAIN Invoice 9 911590
,/ Job Number 9 912816
/�_�lME�a� 450 North Enterprise Blvd PO# E346
PY��s�l921 �N 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 13736 S GLD
0 CARMEL FIRE DEPT H
D 2 CARMEL CIVIC SQUARE P 11/19/2015
T CARMEL IN 46032 T
0 0 10 : 01: 00
USE F13 FOR EQUIP # 46
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��'��'�i INVOICE DUE NET 10TM PROX.PAST DUE ACCOUNTS WILL BE CHARGED 1'f:°,4 RCVD.
�S1t�' RETURNED GOODS MUST BEACCOMPANIED BY ORIGINAL INVOICEAND ARE BY: • 5 8 6 6 .4 0
Rea——)R SUBJECT TOA RESTOCK CHARGE.NO REFUND OR CREDIT ON INSTALLED PARTS.
PR.-E '.N s
VOUCHER NO. WARRANT NO.
ALLOWED 20
Power Train
IN SUM OF $
PO Box 42729
Indianapolis, IN 46242-0729
$5,866.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 911590 43-510.00 $5,866.40 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1
materials or services itemized thereon for
which charge is made were ordered and
received except
NOV 3 0 20,15
I
a r
i Ch'ref
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))
f 911590 $5,866.40
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