183473 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 354275 Page 1 of 1
t, ONE CIVIC SQUARE T B A OIL WAREHOUSE, INC CHECK AMOUNT: $644.44
CARMEL, INDIANA 46032 2425 E 30TH ST
INDIANAPOLIS IN 46218 -2724 CHECK NUMBER: 183473
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 184.44 OTHER EXPENSES
601 5023990 W09144 460.00 OIL
1
TBA Warehouse Invoice
2425 E 30th Street No. 01 IY2080
Indianapolis, IN 46218
317 -923 -2222 FAX: 317 -923 -2233
Page 1
08:28:41 Feb 23 2010
'CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 01IY2080 02/23/10 OIQF6147001 NET 10TH 010
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact: /317 -733 -2853
YOUR Ro. NUMBER ORDER DATE CSR SHWED VIA CARTONS OPER
02/23/10, 08:28:40 400003 JIM RATLIFF 3 CARMEL /WESTFIELD A 403
ITEM UNIT ORDER BACK INV LIST CORE NET NET EXT
DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
ANC 31 -20 WPR BLADE U EA 6 0 6 15.61 0.00 7.49 0.00 44.94
2003 CHEVROLET IMPALA V6 -3800 3.8L
RAF D698C BRAKE PAD SET U EA 1 0 1 117.34 0.00 46.13 0.00 46.13
TOTAL PURCHASE. FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
91.07 0.00 0.00 91.07 0.00 91.07
1.5% service charge an past due accounts(18% per annum).
Core returns must be in original box. All new returns must
be resaleable. No return after 30 days without invoice.
1
Prescribed by State Board of Accounts
Form No. 3 °,(Rev.,sss) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
1 19
Signature Title
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.
Officer Title
V' c
vcher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
75 CARMEL, INDIANA No.
I9,.1 L .,'.F or Of
Total Amount of Voucher
Deductions
t Q(gFO
l 0
Amount of Warrant
Month of 18
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service I
Constr. Work in Progress
Materials and Supplies
Customers Deposits
1
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325
TBA North Invoice
309 Gradle Dr. N O. 031Y2659
Carmel, IN 46032
317- 574 -1957 FAX: 317- 574 -1982
Page 1
09:41:12 Feb 24 2010
1 .,USTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 031Y2659 02/24/10 03QF6819001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
�fFli�i r�, llll.. J9.. 11 -0I!I {LIIL�IIIII_IIIIII1111IIIII
Dept: 002 CITY OF CARMEL WATER Contact: /31.7 -733 -2853
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
I. 02/24/10, 09:41 :04 200003 MATT SEGERSON I 3 CARMEL /i7 VESTF I E LD A, I 202
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN OTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
*Buy out Order on the
way out. Part is not
returnable after 15 days
from purchase
BUY OUT 05- 254 1540 -55 1.5W40 NONE EA 1 0 1 0.00 0.00 460.00 0.00 460.00
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
460.00 0.00 0.00 460.00 0.00 •460.00
1.5 service charge on past due accounts(18 per annum).
Core returns must be in original box. All new returns must
be resaleable. No return after 30 days without invoice.
TBA North Invoice
309 Gradle Dr. No 031Y2492
Carmel, IN 46032
317 574 -1957 FAX: 317-574-1982 II IIII IIII IIII IIII II III I II
Page 1
15:29:29 Feb 23 2010
,;CUSTOMER NUMBER =Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03IY2492 02/23/10 03QF657900 I NET 1 I 0
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
l
Dept: 002 CITY OF CARMEL WATER Contact: 04 F250/317- 733 -2853
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
02/23/10, 15:29:29 300001 PERRY WILHITE 3 CARMEL /WESTFIELD A I 301
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2004 FORD TRUCK F250 SUPER DUTY P/U V8 -330 5.41,
SOHC
D45 45DO048 88911419 JOINT KIT FRT UP U EA 1 0 1 65.27 0.00 36.16 0.00 36.16
D45 45D2181 88911674 JOINT KIT FRT LW U EA 1 0 1 103.30 0.00 57.21 0.00 57.21
TOTAL PURCHASE FREIGHT. TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
93.37 0.00 0.00 93.37 0.00 93.37
1.5% service charge on past due accounts(18% per annum).
Core returns must be in original box. All new returns must
be resaleable. No return after 30 days without invoice.
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
l
I 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE �oTT DETAILED ACCOUNTS
MUNICIPAL WATER DFT ACCT.
CARMEL, INDIAN
r N0.
LA a5 E 3C»h s
-15 ��1�
Total Amount of Voucher
yae s
a r-) W
9 'A i
T' 4 Ot --Q L
�t 5 S
Amount of Warrant S53 S
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Su Pies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1.800- 382 -8702 325