182848 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 354380 Page 1 of 1
g ONE CIVIC SQUARE GILLE COMPANY CHECK AMOUNT: $144.05
CARMEL, INDIANA 46032 1146 SOUTH WEST ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 182848
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 6200550001 144.05 REPAIR PARTS
1146 S. West Street
Indianapolis, IN 46225 INVOICE DATE
INC (888) 74 -GILLE or (888) 744 -4553
cille Phone: (317) 638 -0441 ��i�'�'t�'`¢'�t�' :L COMPANY' I NVOICE NO. PAGE
Fax (317) 632 -3956 (.320 0550001 J,
CUSTOMER NO. BRANCH
REMITTO: 1146 S. West St., Indianapolis, IN 46225 1. {){)::3;':;
SOLD' (:.F NIVI1: 1. fii'TF {i::.l::.T I)E :_I'Tn SHIP (;:I'iFa`'I1 :1...
TO TO
3.400 W. 131 3)•T'I=il:::i ::1 ::3400 Wrr 1 3:1.f: T.r S-TFtil:::E.1
WI ::f:� Tl °':1:1= :1...1[)., :I:ItiI -0ts r''-0 W #...Sl °:CE:::I.- A t+t":.0 -7 .4
Invoices unpaid 31 days after invoice,date are subject to 1 -1/2% per month service charge. Equivalent interest rate per annum is 18 Invoices unpaid after 61 days
�ywill also be•subject to collection, and charged will be responsibility of the customer. 3
CUSTOMER P.O. R/S ORDER NO.
{::3:1. l) 1':C f 040
QUANTITY PART NO. PRICE/PER.. EXTENSION
:I... :i RVI r."N3 -14) i%}6 ....E-1 1... :i. t {).r 144.. 0'5l:::A 1 /44.. {);.5
h 1 (:::E:'TY 01 ::1..'I'VE'Ry (a
f
TI.1:1: :3 :I:: :3 YOUR 0141 :1I'1V(:)TC;I:
G
r' G
�kf f
FREIGHT TAXABLE SUB TOTAL TAX STATMSTATE I SALES PLEASE PAY
Jt v Q :I.�.c -0.�i�':, �,;I::. #.I'I• e {),r o E:a4n
Any warranties on the.p�>Uet sold hereby are those made by the manufacturer -The seller hereby expressly disclaims
all warranties eithei.expme s`or implied, including any implied warranty of merchantability or fitness for a particular
G t purpose, and�the seller neither assumes nor authorizes any other person to assume for It any liability in connection with c
CUSTOMER SIGNATUR� the sale of said products. Any limitation contained herein does not apply where prohibited by law.
R. o
VOUCHER N WARRAN N O.
Gille Company, Inc. ALLOWED 20
IN SUM OF
1146 S. West Street
Indianapolis, IN 46225
$144.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 G200550001 42- 370.00 $144.05 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
Monday, March 01, 2010
Street Commissidner
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))
02/24/10 G200550001 $144.05
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