192260 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1
ONE CIVIC SQUARE T B A NORTH CHECK AMOUNT: $120.66
CARMEL, INDIANA 46032 309GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 192260
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 3JK6442 120.66 REPAIR PARTS
TBA North Invoice
309 Gradie Dr. No. 03JK6442
s Carmel, IN 46032
317 -574 -1957 FAX: 317 574 7 1982 II II II II II II III I i I II III I II
ll l J Page 1
09:10:33 Nov 08 2010
CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03JK6442 11/08/10 03QT6052001 NET LOTH 030
BILL TO- SHIPPED TO;
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE Bs
3 CIVIC SQUARE 3400 W 131ST
SHIP TO 3400 W 131ST'WSTF CARMEL, IN 46074
CARMEL, IN 46032
IIIIIIIIIIIILIIIIIIIIIILIIII�I�IIIIJIIIIlli ,1111111
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317- 733 -4600 Route: CARMEL /WESTIiIELD Direction:
YOUR P.O.NUMBER: ORDER DATE CSR SHIPPED VIA CARTONS OPER
11/08/10, 09:10:33 400012 THAD EDWARDS 3 CARMEL /WESTFIELD "A 412
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD I 159 AT POLICE PAD SGT U EA 3 0 3 92.85 0.00 40.22 0.00 120.66
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
126.66 0.00 •0.00 1.20.66 0.00 120.66
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.
s
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
11/8/10 3JK6442 payment for repair parts 120.66
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
120.66
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 3.7x6442 370 120.66 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
November 1$ 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund