190795 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1
ONE CIVIC SQUARE IBS OF INDIANAPOLIS
r, CHECK AMOUNT: $57.95
CARMEL, INDIANA 46032 6848 E. 21ST STREET
INDIANAPOLIS IN 46219 CHECK NUMBER: 190795
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1120 4237000 44462400 57.95 REPAIR PARTS
i I 'G I.H A•L
-IBS-OF INDIANAPOLIS
6848 E 21st St.
Indianapolis, IN 46219
3171322 -1818
PRIOR ACCOUNT BALANCE 0.00
2376 INVOICE: 44462400
CARMEL FIRE DEPT
2 CIVIC SQUARE TRUCKISLSMNa:41RWP
CARMEL; IN 46032 RYAN PITCHER
317/664 p .Thursday 0911612010
PAYMENT TYPE: CHARGE ACCOUNT' 90".27 AM
T ype Qty" Description Age- Rate Price. Upgrade Amount
SALE 9- t 70 57.195 57.95
NET 57.95
1 SUBTOTAL 57.95
INVOICE TOTAL_ 57.95
Total Consigned Qty 0 Total Number Of Cores Picked-Up 1
Core Balance:
AT:6 H41— V 0�''. T- MC 0 UT:O Total:6
CHECK a PO ME MMAND C
CLOSED HOLD PAID OUT
AGING INCLUDES CURRENT INVOICE:
0-30 31-66 61.90' OVER 90 CREDITS
57.95 0.00 0.00 0.00 0.00
NEW DEALER BALANCE 57.95
SIGNATURE:
JASON
PRINT NAME.HERE:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Interstate Batteries of Indianapolis
IN SUM OF
6848 East 21 st Street
Indianapolis, IN 46219
$57.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 44462400 42- 370.00 $57.95 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
n CT r Y 209n
r
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))
44462400 $57.95
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