192928 12/15/2010 CITY OF CARMEL, INDIANA VENDORS 362878 Page 1 of 1
ONE CIVIC SQUARE T B A WAREHOUSE
CARMEL, INDIANA 46032 2425 E 30TH ST CHECK AMOUNT: $11.97
INDIANAPOLIS IN 46218 CHECK NUMBER: 192928
CHECK DATE: 1 211 512 01 0
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03JL9413 11.97 TPANSPORTATION EXPENS
TBA North Invoice
309 Gradle Dr. N O. 03JL9413
Carmel, IN 46032
317 -574 -1957 FAX: 317 574 -1982 II f II II I I II f III II III I II
f I Page 1
13:39:28 Dec 06 2010
L CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03JL9413 12/06/10 03QVO460001 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 4
t
11u1 11 Pill 1111_
Dept: 002 CITY OF CARMEL WATER Contact: /317 -733 -2853 Route: CARMEL /WESTFIELD Direction.
YOUR P: D. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS 0"R
12/06/10, 13:39:28 400003 JIM RATLIFF 3 CARMELIWESTFIELD A 403
UNIT ORDER BACK INV "LIST CORE NET NET EXT
ITEM DESCRIPTION BIN CITY ORDERED QTY PRICE PRICE PRICE CORE PRICE
A42 PF 1250 25014520 FILTER OIL U EA 3 0 3 7.26 0.00 3.99 0.00 1.1.97
1 7 L PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
11.97 0.00 0.00 11.97 0.00 11.97
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.
�Y
�CHER 103528 WARRANT ALLOWED
IN SUM OF
�54z75
TBA WAREHOUSE -INDY op 2425 E 30TH STREET -nR
INDIANAPOLIS, IN 46218 48
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
03JL9413 01- 6500 -05 $11.97
Voucher Total $11.97
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form Igo. 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 -1NDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 12/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/7/2010 03JL9413 $11.97
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
Date Officer