187705 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 022560 Page 1 of 1
ONE CIVIC SQUARE BATTERIES PLUS CHECK AMOUNT: $366.23
CARMEL, INDIANA 46032 PO Box 382
MENTONE IN 46539 CHECK NUMBER: 187705
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 6- 600462 /65.70 GENERAL PROGRAM SUPPL
1093 4238900 6- 600521 /54.50 OTHER MAINT SUPPLIES
1110 4239099 6- 600679 X161.94 OTHER MISCELLANOUS
1125 4238000 7- 704114 —31.98 SMALL TOOLS MINOR E
651 5023990 7- 705131 X 37.16 OTHER EXPENSES
1120 4237000 7- 705967 X 14.95 REPAIR PARTS
Invoice Please Pay From This Document
e
Remit Pay t To: Batteries Plus #007
y 1701E 116th St Ticket 007 704114
Batteries Plus Carmel, IN 46032 Ticket date: 6117110
P.O. Box 382 Phone: 3175758300 Station: 007 -01
Mentone, IN 46539 Fax: 3175758309
Sold to: CARMEL CLAY PARKS RECRE Ship -to. JUN r C7 {t S'
1411 E 116TH STREET U I
CARMEL, IN 46032
Customer DD3178487275 Ship date: Ship -via code: Cust PO
Sales rep: CRN Location: 007 Terms: Net 30 Tax exempt
Phone 317 571 -2695
Quantity Item Descrtptton Regular pace{ r Your'pnce 1 Selling unit w Extended
t_on d
g escrlptton
2 SLAAl2 -5F 12V 5AH AGM VRIA $15.99 EACH 31.98
SLAAl2 -5F, BBBP5 -12, WKAl2 -5F
_........Purchase
Description
P.O.# PorF
G.L.
Budget
Une Descr
Purchaser Date
Approval Date
User: CJB Total line items: 1 Sale subtotal: 31.98
Tax: 0.00
Total: 31.98
Tender:
Accounts Receivable 31.98
4om
e
Received By: court v chla el
WE VALUE YOUR FEEDBACK!
GO TO SURVEY, BATTERIESPLUS.COM
We want you to be completely satisfied with your Batteries Plus purchase. In the event you wish 10 make use of our return or warranty policy, the following information reflects the policies of
our product manufacturers and will help facilitate your return or warranty,
Return Policy,
Product returns require a proof Of purchase or original receipt.
Gash or credit refunds will be given with a proof of purchase receipt up to fourteen (14) days from, the date of
purchase and apply to merchandi we determine to be unused and In a saleabie condition_
A check for refunds of cash purchases of more thari $20.06 may be mailed to the customer's horne address.
Refunds for purchases made by check require a ten 1 10) day waiting period
Refunds for purchases made by credit card will be credited back to the credit card used to make the purchase,
Returns are not applicable to Tech Center rebuilds.
Warranty Policy
Warranties require a proof of purchase or ortgir.al receipt.
Product warranty applies to the original purchaser. Wananties are nen- transferable.
it is Batteries Plus' policy to honor warranty claims within the warranty periods; however,
Warranty claims mil not be accepted on products that are defec;!ive due to owner abuse or neglect.
Warranty claims will not be accepted on products that are defective due to use in applications for which products are not intended.
A warranty claim may require product analysis by Batteries PIUS personnel prior to issuance of creditReplacement. This process may take up to twenty -four (24) hours.
Specific terms and conditions of warranty policy will vary by product type Modifications of these policies, if applicable. will be posted in the store_ For additional information, please diai
1- 800 -MR -START (1 -800- 677.8278) for the store nearest you.
Invoice Please Pay From This Document
Dat teri6sPlus.
Batteries Plus r d61
Rer It Payment To: 7325 Pendleton Pik IRa 1 Ticket 006 600462 -01
B atteries Plus Indianapolis, IN 46226 JUN Ticketdate: 6110 /10
P.O. BOX 382 Phone: 3175439302 Station: 006 -01
Mentone, IN 46539 Fax: 3175439303 Orig ord 006 600462
Tracking
Sold to: CARMEL CLAY PARKS RECRE Ship to: Monon Center
1411 E 116TH STREET 1235 Center Park Dr E.
CARMEL, IN 46032 Carmel, IN 46032
Attn: Matt Leber
Customer DD3178487275 Ship date: Ship -via code: UGR Cust PO 1096 -22- 4239039
Sales rep: CRN Location: 006 Terms: Net 30 Tax exempt
Phone 317- 571 -2695
Quantity Item Description Regular price Your price Selling unit. Extended
L "ong' description
45 DURPC1604 9V IND ALK BULK $1.46 EACH 65.70
PC1604, DURPC1604
User: ACK Total line items: 1 Sale subtotal: 65.70
Tax: 0.00
Total: 65.70
Tender:
Accounts Receivable 65.70
Customer Signature
Received By: UPS 1ZX119WO0364015709
Order 006 600462
Order total 0.00
Order amt due 0.00
WE VALUE YOUR FEEDBACK!
GO TO SURVEY. BATTERIESPLUS.COM
We vvaot you to be completely satisfied with your Batteries Pius purchase In the e you wish to make use ref rota return or warranty paltry, the `cl!ew ;irig iniorr»aiion re`lecfs the Ptaicies ct
Our product manufacturers end will help facilitate year return or warranty.
Return Policy.
Product returns require a proof of purchase crr a €iginal receipt.
Cash or credit refunds gill be given with a prcof of Purchase receipt up to fourteen 04, days from [he date a` ��i�`{ t0; �atterles Plus
purchase and apply to merchandise we determine to be unused and ir:. a saleable condition P, Box 382
A check for refunds of cash purchases of more than $20 W may tic mailed to the customers home address.
Refunds for ourchases made by check feq�r :.re a ten 0) day waitir ;g pe ou- rvlentone, IN 46539
Refunds for Purchases made by credit card will be credited hack tc the credit card used to make the purchase. Phone: (260) 982 -6720
Returns are not applicable to Tech Center rebuilds.
Warranty Policy,
Warranties require a Proof of purchase or original receipt.
Roduct warranty applies to the original purchaser. Warran"Ies are nary transferable.
It is Batter ps Plus' policy to honor warranty claims within the warranty periods; however.
Warranty claims will not be accepted on products that zue defective due to owner abuse er n)egjf.ct.
Warranty claims will not be accepted on PiOdiacts that are defective due to, use In applications for whic'n p odu^ts are :nor inter =decd.
A warranty claim may require product analysis by Batteries Plus personnel prior to issuance of creditlrepiacernent. This process may to e up to tr enty -tour (24) hou
Spec4ic t•Qrms and conditions of warranty policy will vary by product type Modifications of these policies, it applicable. will be posted in the store. For addiiionai information pleas ^W dial
1- 8004AR- ST (1 -800 -577 -8278) for the Store nearest you.
WI
Invoice Please Pay From This Document
Batierirg'es Plus.
Remit Pay ment To: Batteries Plus #006
y 7325 Pendleton Pike Rd Ticket 006 600521 -01
Batteries Plus Indianapolis, IN 46226 Ticket date: 6118110
P.O. Box 382 Phone: 3175439302 Station: 006 -02
Mentone, IN 46539 Fax: 3175439303 Orig ord 006 600521
Tracking
Sold to: CARMEL CLAY PARKS RECRE Ship to: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK DR. EAST
CARMEL, IN 46032 CARMEL, IN 46032
Attn: ATTN: FRED
Customer M DD3178487275 Ship date: Ship -via code: UGR Cust PO FRED
Sales rep: CRN Location: 006 Terms: Net 30 Tax exempt
Phone 317 -571 -2695
Quantity Item Descrliodon Regular price Your price Selling unit Extended
Lori r 'descriptions:
9
1 DST021 -0128 12V 1.25A BATTERY $49.50 EACH 49.50
TENDER
DBT021 -0128, DBT021 -0128
VM M3
Remit to: Batteries Plus jail",M)TYRD
P.O. Box 382 JU 2 5 2010
Mentone, IN 46539
Phone: (260) 982 -6720
BY:
User: ACK Total line items: 1 Sale subtotal: 49.50
Tax: 0.00
Ship Charge: 5.00
Tota I: 54.50
Tender:
Accounts Receivable 54.50
Customer Signature Purchase
Received By: UPS 1ZX119WO0365784878 Description
P.O. P`& F
Order 006 600521 G.L,
Order total 0.00 Budget
Order amt due 0.00 Line Descr
WE VALUE YOUR FEEDBACK! Purchaser Date
GO TO SURVEY. BATTERIESPLUS.C6Wroval Date
We want you to be completely satisfied with your Batteries Plus purchase. In the event you ,vish to make. use of our return or warranty policy, the: `ol owing int• rmatlon reflects the f, et
orar roduct unanufacturers and will help facilitate your return or wawa
Return Policy-
e product retUrnS require a proof of p {archa5e or oriMinai receipt.
Cash or credit refunds will be given with a proof of purchase receipt up to fourteen 14j days from the date of
purchase and apply to merchandise we determine to be unused and in a saleable cordi"on
A check for refunds of cash purchases ct mwre than $20,00 rr ay i;e inaiied to the customer's trome 'address.
Refunds for purchases made by check regr:ire a ter ;10) :.lay waiting perioci,
Refunds for purchases made by credit card will be creel ted back to the credit card LISed fa make the rsurr,hase_
Returns are not applicable to Tech Center rebU ids.
Warranty policy.
Warranties require a proof of purchase or original receipt.
Product warranty applies to the original purchaser- Warranties are ro trransfr r:Ibis.
It is Batteries Plus' policy to nonor warranty claims within the warranty periods; hc?waver.
Vlarranty Bairns will not be accepted on products that are defective due to owner abuse or neglect,
Warranty claims; will not be accepted on products that are defective due to €ase in apf?lhatiara forwhiah products are scot i^tenoed.
A warranty claim may require product analysis by Batteries Plus persorrrel prior to ,ssLiance of cre;dit/rcpiacerrient- .l .his process Tray take up to twenty -four 2C hours.
Specific terms and cord' €;ions of warranty polio will vas b r'oduci type. Modifications of these boiides, if applicable, will be posied in Lae store. nor additienai r formation pleas a
Y Yp i- Please for the store nearer( you.
,sI
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Batteries Plus Terms
P.O. Box 382
Mentone, IN 46539
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6117110 7- 704114 Backup batteries 31.98
6110110 6- 600462 -01 Program supplies 65.70
6/18110 6- 600521 -01 Battery charger 54.50
Total 152.18
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
Voucher No. Warrant No.
Batteries Plus Allowed 20
P.O. Box 382
Mentone, IN 46539
In Sum of$
152.18
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 109 Monon Center
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
1125 7- 704114 4238000 31.98 1 hereby certify that the attached invoice(s), or
1096 -50 6- 600462 -01 4239039 65.70 bill(s) is (are) true and correct and that the
1093 6- 600521 -01 4238900 54.50 materials or services itemized thereon for
which charge is made were ordered and
received except
15 -Jul 2010
i
Signature
152.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Invoice Please Pay From This Document
tterle sPius. jL*
%A
Remit Payment To Batteries Plus #007
Batteries Plus 1701 E 116th E
St Tick l 007- 705131
l P.Q. Box 382 Carmel, IN 46032 Ticket k 7 /1110
Mentone, IN 46539 Phone: 3175758300 I
Fax:3175758309 Sta f 007 -01
11 u.
Sold to:
CITY OF CARMEL -WASTE WTR
JUANDA 571 -2443 Ship to:
2 760 3RD AVE. SW's.
I SUITE 110
J CARMEL, IN 46032
I�
Customer 1 CD3175712634
Sales rep: RPK Ship date: Ship -via code:
Location: 007 Cust PO Robbie Kinkead
Phone 317/571 -2443 Terms: Net 30
T exemp Y
G
�,,,.:�4 u r r, J oaf -n a Yqs lF�7..� ea a�i��•.a i� 5 er o- 1�' PfICe'�_:tn 't` t'1 N r
F,. 4; k A a 2 14f a 1 a ,Selling t y `t Exterlde(i 5
ca c.,•, w ..r,4.� ,h.'�> ?,"��t'%. r. gs� C�eSCrlptlonp�'� "i
FYI
C NUREC�2 u$9.29 9 k
1 NUREC -2 3.
1 NUREC -2 9.29
C NIMH 2PK
I v_NUREC -2 9
E
1 NUREC-2 C NIMH 2PK
NUREC- 9.2
9.2
t
C NIMH 2 9.29
1 NUREC -2 r
H 2PK
NUREG2 $9.29 I 9.29
I i
User: RLD
Total line items: 4
Sale subtot 37.16
R T
0.00
j To 37.16
Tender:
i
Accounts Receivable
I
u tom r Sig atur 37.16
Receive By: Robbie Kinkead
1 i
t
WE VALUE YOUR FEEDBACK!
e want you to be
GO TO SURVEY.BATTERIESPLUS.COM
r product manuf mp an satisfied with your Batteries Plus purchase. In the event you wish to make use of our return or warren
a mPl and wilt help facilitate your return or warranty
tY Policy, the follavring infor ect5 the policies Of
turn Policy:
d
Product returns require a proof of purchase or original receipt.
Cash or ❑fedit refunds will be given with a proof of purchase receipt up to fourteen (14) day s from t he date o 4
Purchas land apply to merchandise we determine to be unused and in
t 1
A check r refunds of cash purchases of more Phan a saleable condition.
$20.00 may be mailed
Refunds `or purchases made by check require a ten (10) day waitin to the customer's horns address
Refunds �r purchases made by credit card will be credited back to he credit card used to make the purchase 1
Returns r not applicable to Tech Center rebuilds.
rranty Policy
Warranti require a proof Of purchase or original receipt.
Product 1 rranty applies to the origins! purchaser. Warranties are
It is Batts 1 Plus' s w
PO to honor warranty claims non transferable,
the warrant
Warranty claims wilt not be accepted on Products that are detective to owner abuse or neglect.
Warranty claims will not be accepted on products that are defective due to use in applications ic products are not
eri
A warr'an claim may require product analysis by Sat,
Pius personnel prior to issuance of credit/replacement. This process may take up to twent
i for which ntended.
tic terms and co tlitions of warranty policy will vary byproduct type Modifications of these policies, if a
0 -MR -START (f- 0 677 -8278) for the store nearest you. y t 4') hours.
ppticabfe, will be posted in the store. For� additional inf p
1 i 18 i n please die[
VC !OCHER 105790 WARRANT ALLOWED
n
22560
IN SUM OF
BATTERIES PLUS
PO BOX 382
MENTONE, IN 46539
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
007705131 01- 7202 -06 $37.16
Voucher Total $37.16
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
22560
BATTERIES PLUS Purchase Order No.
PO BOX 382 Terms
MENTONE, IN 46539 Due Date 7/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/712010 007705131 $37.16
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
7
Date Officer
Invoice Please Pay From This Document
BatteriesPlus, A L.6
Remit Payment u To Batteries Plus #006
y 7325 Pendleton Pike Rd Ticket 006 600679 -01
Batteries Plus Indianapolis, IN 46226 Ticket date: 718110
P.O. Box 382 Phone: 3175439302 Station: 006 -63
Mentone, IN 46539 Fax: 3175439303 Orig ord 006 600679
Tracking
Promise date: 717110
Sold to: CITY OF CARMEL POLICE Ship to: CITY OF CARMEL POLICE
ROBERT ROBINSON #3 CIVIC SQAURE
#3 CIVIC SQAURE CARMEL, IN 46032
CARMEL, IN 46032 3171571 -2500
Customer CD3175712500 Ship date: Ship -via code: TR1 Cust PO Robert
Sales rep: RPK Location: 006 Terms: Net 30 Tax exempt
Phone 317/571 -2500
Quantity Item Description Price Selling unit Extended
Long description
6 LIGHT1 6V 112D MAG BAT NICD $14.99 EACH 89.94
LIGHT1
12 RAYRL123A -2 3V LITHIUM 2PK $6.00 EACH 72.00
RAYRL123A -2
User: MWE Total line items: 2 Sale subtotal: 161.94
Tax: 0.00
Total: 161.94
Tender:
Accounts Receivable 161.94
Customer Signature
Received By: B. Boles
J"
Order 006 600679
Order total 0.00
Order amt due 0.00
WE VALUE YOUR FEEDBACK!
GO TO SURVEY, BATTER!ESPLUS.COM
�cra�pia`s�ly sca: sfied wit" 0i,j. c3 titter: Plus ;;,�r,:hasa la V)e eve' y
r u .v.ah use r,f vur c :m°r -tt�ty ?tif= €;;Ihvlir ?q irf r rwa'c, r #s h'_ f ,,Cc�s
i:r 3 �+S;,iCi'i ,t,,.:..,,1., _,.o..P;. i },.1g, i�C, ;..f, yt3iat(3 LIz�1 Uf' ,�iY,. ❑hr_
d
c R �y
i" i F t I' e ver d, th rc, E r lase p to 41 d 'er pt t f�€ rcE. ys r_ r,? The ra,e 'o`
tt\S�i�N� 8tt @rFeS l
r r Y �.�a a aa. grad �a ..c. s „ermi 3c 4 c e jr-r„2 d it z sai.awa u� =.:¢.lC,n
k a r s :r t n U r c a 320 r e m� led :o t he r t0 1e S .,r: ar0<uress P.O. BOX 3$2
:c 9, 1 i a i l.y f r t� n, a, aic r1
9 3 tF +,1 ."f E' ca t b— .9€ _a.d .;ac k .he i. c, d *Ie :t4eti to r h: ;:�:,,'ras
enton N 46539
n" ,p abl_..n 1 eC.l Phone: (260) 982 -6 720
c prnol of pt:'&t ja ,e or or: t rr�l receipt.
F ..1.;,,t ::.r 5 t.- ',�.ina€ r,:r `r a�e:r `<1..r a. °c:r .ru n -ir �r €abte
3(; a 4 :.arasy .:fars M;t.=,r fit- �vrr2 ^t; „E is -ds, "ovr der,
.exed ,,da .i,, Nat a <tr e bu due to asp far €;I o'.uc re no,
_irra prco..ct ralpsis y B ?es t'lu
eDor pr =ar to .4s'�ja ncc of crt �r.
cUrc wt e t 7 a1 ay as up to [wenty -Pa,�r 1 24; hours-
i rcdu ^i'.yp T c Lur o¢ t ?ese :f apphca w €ss br.' pOSle.f in ��e st re r W, iiG,taE 'r:far dti�n please a!ai
9 rST A, R 1` 1 .gOrr -c� n ti's€ Yo;.
Prescribe aby 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
Batteris Plus Purchase Order No.
P.O. BOx 382 Terms
Mentone, IN 46539 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/8/10 6- 600679 -0 a ent for batteries 161.94
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
B zz?tteries Plus
IN SUM OF
P.O. Box 382
Mentone, IN 46539
161.94
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
July 16 20 I.0
Signature
Chief of Po11ce
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Invoice Please Pay From This Document
batteneksPlus, AL,
Duplicate Page: 1
Remit Payment To Batteries Plus #007
1701 E 116th St Ticket 007 705967
Batteries Plus Carmel, IN 46032 Ticket date: 7112/10
P.O. BOX 382 Phone: 3175758300 Station: 007 -02
Mentone, IN 46539 Fax: 3175758309
Sold to: CITY OF CARMEL FIRE Ship to:
GARY CARTER
#2 CIVIC SQUARE
CARMEL, IN 46032
Customer CD3175712600 Ship date: Ship -via code: Cust PO mark
Sales rep: RPK Location: 007 Terms: Net 30 Tax exempt
Phone 6171571 -2600
T
Quantity •Item# h�. R �IJeSCCI tlO e >ry>
t P Prtce i Selling untt rExtended
Long, eSCr[ptl on
5 LITHCR2032 3V LITHIUM COIN $2.99 EACH 14.95
NUCR2032 NUCR2032, NUCR2032, NUCR2032,
User: CJB Total line items: 1 Sale subtotal: 14,95
Tax: 0.00
Total: 14.95
Tender:
Accounts Receivable 14.95
Customer Signature
Received By: mark hulett
WE VALUE YOUR FEEDBACK!
GO TO SURVEY. BATTERIESPLUS.COM
We want you to be completely satisfied with your Batteries Plus purchase. In the event you wish to make use of our rettifn or warranty policy, the following information reflects the policies of
our product manufacturers and will help facilitate your return or warranty.
Return Policy:
Product returns require a proof of purchase or original receipt.
Cash or credd refunds wilt be given with a proof of purchase receipt up to f'ourteerr (14) days from the date of
Purchase and apply to merchandise we determine to be unused and in a saleable condition.
A check for refunds of cash purchases of more than $20.00 me y be mailed to the custorne €'s home adCiresg.
Refunds for purohases made by check require a ten (1 o) day waiting period.
Refunds for purchases made by credit card will be credited back to the credit card used to mane the purchase.
Returns are not applicable to Tech Center rebuilds.
Warranty Policy:
Warranties require a proof of purchase or original receipt.
Product warranty applies to the original purchaser, Warranties are nor: transferable.
It is Batteries Pica' Policy to honor warranty claims within the warranty periods hoalever,
Warranty claims will not be accepted on products that ai e defective due to owner abuse or neglect.
o Warranty claims will not be accepted on broducts that are defective due to rise in applications for which products are not intended
A warranty c €ain', may require product analysis by Batteries Plus Personnel prior to issr:ance of c reditlrepl This process may take up to twenty -four (24) hoots.
Specific terrns and conditions of warranty policy will vary by product type. Modifications of these policies, if applicable, will be posted in the store. For additional information please that
1- 800 -MR -START (t. 800 -677 -8278) for the store nearest you.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Batteries Pius
IN SUM OF
1701 East 116th Street
Carmel, IN 46032
$14.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 705967 42- 370.00 $14.95 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
9 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))
705967 $14.95
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