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185291 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1 ONE CIVIC SQUARE IBS OF INDIANAPOLIS QJ� 6848 E. 21ST STREET CHECK AMOUNT: $66.95 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46219 CHECK NUMBER: 185291 �r CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 44460368 66.95 REPAIR PARTS 05/06/2010 10:16 FAX 13173221872 INTERSTATE BATTERIES 001/001 MS OF DOXANA MIS 848 E 21st St Page: i IndiattWlis IN 46219 .4 I�rFs (317) 322 -1818 Invoice Nbr :44460368 FI DEFT, d ocaiibon of Sale !T04 d'ARII DEALER F R 2376 Sales person Name :RYAN PI TCHER Saie9 Person i�lfar :RWP 2 CIVIC SQUARE, PO Number SAF IY HOUSE CARNiE1t. IN 461132 Dzie :0MW2010 nt CHARG,I ACCOUNT :12:44:01 PM Payment Type. Type Qty Part NumberMesc Attt Rata Prlw Ammo $alc 1 SIAM 24 66.95 66.95 Sales Tow 66.95 Cotes Received I ATCORE Sub Total 66.95 Sub Total 66.95 Invoice Total 66.95 Invoice Payment Amows 0.00 Net invoice 66.95 a8 aa a�* aa* 4aaaaaada aa4FFa404a4 *►aa444a44a44aoa DEALER AGING aaaaaaaaaaaaaaaaaaaaaaeaasaaaaaaaaaaaaoaaa Dealer Aging Current Balm ice Trial 398.80 0 to 30 days 331.85 31 to 60 days 66.95 61 to 90 days .00 91 days or mare .00 Invoices 44460368 66.95 44464563 281.85 4446060 50.00 PRIi TT NAME MERE: SIGNATURE: 9- VOUCHER NO. WARRANT NO. ALLOWED 20 InterGtate Batteries of Indianapolis IN SUM OF 6848 East 2.1 st Street Indianapolis, IN 46219 $66.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1120 44460368 42- 370.00 $66.95 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 MAY 10 2010 Fire Chief 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)) 44460368 $66.95 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