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CITY OF CARMEL, INDIANA VENDOR: 140100 �wONE CIVIC SQUARE I B S OF INDIANAPOLIS CHECKAMOUNT: S 689.70CARMEL, INDIANA 46032 6848 E.21 ST STREET CHECK NUMBER: 253669
INDIANAPOLIS IN 46219 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 44489086 689.70 REPAIR PARTS
".ORIGINAL
IBS OF ICIME[IS
p� 6848 E 21st St.
Indianapolis, IN 46219
3171322-1818
PRIOR ACCOUNT BALANCE $ `,i 0 . 00
2376 -- INVOICE: 4448908'6
CARMEL FIRE--DEPT
2 CIVIC SQ- _ _ TRUCKISLSMN#:41RWP
CARMEL,IN 45032-2584, _ RYAN PITCHER
3171664-0958 —• Tuesday 01105!2016
PAYMENT TVPE:'CHAHGL ACCOUNT 10:27 AM
Type Qty Description Age Rale Price _ Upgrade Amount
------------------ - ------------ -------- ------= - ----------------------
SALE 6 31-MHO 114.95 689.70
NET 689.70
....... ---------
6 SUBTOTAL 689.70
- _ I NVD.I CE TOTAL- $ -- 689.70
Total Consigned Qty_n 0 Total Number-Of-Cores Picked-Up = 6
Core Balance:
AT:6 HV:O-- LT:O MC:O UT:O Total:6
CHECK # PO 4E341
CLOSED _ HOLD __CHARGE _ PAID _PAID OUT _
AGING - INCLUDES CURRENT INVOICE:
0-30 31-60 61-90 OVER 90 CREDITS
------------ ----- ------- ------------ ------------ ------------
689.70 0.00 0.00 0.00 0.00
-_ —NEW DEALER BALANCE' $ 689.70
SIGNATURE:
BOB
PRINT NAME HERE:
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
,n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
rhom, 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))
44489086 E341 $689.70
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
120
Clerk-Treasurer