189382 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1
ONE CIVIC SQUARE IBS OF INDIANAPOLIS CHECK AMOUNT: $469.75
CARMEL, INDIANA 46032 6848 E. 21ST STREET
INDIANAPOLIS IN 46219 CHECK NUMBER: 189382
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 44462074 469.75 REPAIR PARTS
=OR I G I NAL
1K OF INOI ME[ IS
6848 E 21st St.
Indianapolis, IN 46219
3171322 -1818
PRIOR ACCOUNT BALANCE 0 0 0
2376 INVOICE: 44462074
CARMEL FIRE DEPT
2 CIVIC SQUARE TRUCKISLSMNM:4IRWP
CARMEL,IN 46032 RYAN PITCHER
3171664 -0958 Thursday 0811912010
PAYMENT TYPE: CHARGE ACCOUNT 02:53 PM
y ,F
Type Qty Description ,Age Rate Pr ,ice "Upgrade Amount
SALE 5 31 MHD 93.95 469.75
NET 459.75
--S UBTOTAL 469.75
INVOICE TOTAL 469.75
Total Consigned Qty 0 Total Number Of Cores Picked-Up 5
Core Balance:
AT:6 HV:O LT:O MC:O UT:O Total:6
CHECK a C 42
CLOSED HOLD CR ID PAID�OUT
AGING INCLUDES CURRENT ;INVOICE:
0-30 ?31 -_60 -61-90 OVER 90 CREDITS
469:75 0.00 0.00 0:00 0.00
NEW DEALER BALANCE 469,75
SIGNATURE:
a -JASON
PRINT NAME HERE:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Interstate Batteries of Indianapolis
IN SUM OF
6848 East 21st Street
t
Indianapolis, IN 46219
$469.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #MTLE AMOUNT Board Members
1120 44462074 42- 370.00 $469.75 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
AUG 3 0 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: bind 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))
44462074 $469.75
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