192559 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 354275 Page 1 of 1
0 ONE CIVIC SQUARE T B A OIL WAREHOUSE, INC CHECK AMOUNT: $95.67
CARMEL, INDIANA 46032 2425 E 30TH ST
INDIANAPOLIS IN 46218 -2724 CHECK NUMBER: 192559
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03JL1689 35.88 OTHER EXPENSES
601 5023990 03JL1860 59.79 OTHER EXPENSES
TBA North Invoice
309 Gradle Dr. No 03JL1689
Carmel, IN 46032
317- 574 -1957 FAX: 317- 574 -1982 II II II III II I I I II II II II I I II
Page 1
08:09:26 Nov 18 2010
CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03JL1689 11/18/10 03QU1948001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Dept: 002 CI'T'Y OF CARMEL WATER Contact: /317 733 -2853 Route: CARAMEL /WEsTF -1ELD Direction:
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
Truck 132 11/18/10, 08:09:26 400012 THAD EDWARDS 3 CARMEL /WESTFIELD A 412
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED CITY PRICE PRICE PRICE CORE PRICE
D15 15 -81086 89019088 RESISTOR 4 BOLT U EA 1 0 1 66.82 0.00 35.88 0.00 35.88
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
35.88 0.00 0.00 35.88 0.00 35.88
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.
TBA North Invoice
309 Gradle Dr. No 03,11-1860
Carmel, IN 46032
317 574 -1957 FAX: 317 574 -1982 II II II III VIII III I I IIIIII I I III
Page 1
10:24:46 Nov 18 2010
CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03JL1860 11/18/10 03QU2139001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIII
Dept: 002 CITY OF CARMEL WATER Contact: /317- 733 -2853 Route: CARMELAVESTFIELD Direction:
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
Truck 132 11/18/10, 10:24:46 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
2006 CHEVROLET SILVERADO 250OHD PU V8 -364 6.OL
D16 PT2195 15862656 CONNECTOR RES -131, U EA 1 0 1 104.65 0.00 59.79 0.00 59.79
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
59.79 0.00 0.00 59.79 0.00 59.79
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.
i
VOUCHER 103431 WARRANT ALLOWED
354275 IN SUM OF
TBA WAREHOUSE -INDY
2425 E 30TH STREET Op W.q�
INDIANAPOLIS, IN 46218 �nONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
03JL1860 01- 6500 -05 $59.79
c` 3x1.1 lob 9 di "65Ca �S q5, S�
Voucher Total
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
354275
TBA WAREHOUSE -INDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 11/30/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/30/201( 03JL1860 $59.79
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
,z//, C --A'^-- A
Date Officer