190493 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1
ONE CIVIC SQUARE T B A NORTH
CARMEL, INDIANA 46032 309 GRADLE DRIVE CHECK AMOUNT: $266.66
CARMEL IN 46032
CHECK NUMBER: 190493
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 3JI5036 266.66 REPAIR PARTS
TBA North Invoice
3 309 Gracile Dr. N o. 03JI5036
Carmel, IN 46032
317- 574 -1957 FAX: 317 -574 -1982 Il IIII IIII I II III I I II III 1 II
Page 1
14:00:46 Sep 22 2010
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHISE
318 03JI5036 09/22/10 03QR2238001 NET IOTH 030
BILL TO:: SHIPPED TO
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400'W 131ST'
SHIP TO 3400 W 131ST WSTF CARMEL, IN 46074
CARMEL, IN 46032
11311 ILI IIl1111111��111III��Llllllllllllll�lillll�ll
Dept: 002 CARMEL POLICE CITY GARAGE Contact: 7M7-733-4600 Route: CAi MEL,'WESTFIELD..Direct ar,:
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
09/22110, 14:00:46 300001 PERRY WILHITE 3 CARMEL /WESTFIELD A 301
UNIT ORDER BACK INV LIST. CORE NET NET EXT
ITEM DESCRIPTION BIN CITY ORDERED QTY PRICE. PRICE PRICE CORE PRICE
RAF ATD1159P AT POLICE PAD SET U EA 4 0 4 92;85 0.00 40.22 0.00 160.88
D60 18A2322 19169879 KEEP 4 CARMEL U EA 2 0 2 95.86 0.00 52.89 0.00 105.78.
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
266.66 0.00 0.00 266.66 0.00 266.66
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 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
TBA North Purchase Order No.
309 Gradle Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/22/10 3JI5036 pavment for repair parts 266.66
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
TBA North
IN SUM OF
309 Gradle Drive
Carmel, IN 46032
266.66
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
1110 3JI5036 370 266.66 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
September 24:20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund