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166719 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1 ONE CIVIC SQUARE IBS OF INDIANAPOLIS 6848 E. 21ST STREET CHECK AMOUNT: $64.95 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46219 CHECK NUMBER: 166719 CHECK DATE: 12/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 68202 64.95 REPAIR PARTS 12/02/2008 12:53 FAX 13173221872 INTERSTATE BATTERIES /6002/003 4 IBS OF 1NDIANAPDLIS 6848 E 21st St. Page: 1 Indianapolis IN 46219 (317) 322 -1818 Invoice Nbr :68202 DEALER NBR. 2376 Location of Sale :W01 CARMEL FIRE DEPT, Sales Person Name :RYAN PITCHER 2 CIVIC SQUARE, Sales Person Nbr :RWP CARMEL IN 46032 PO Number :org. 44454218 Date :12/02/2008 Payment Type; CHARGEACCDUNT Time :11:54:01 AM Type Qty Part Number /Desc Age Rate Price Amount Sale 1 MT -34 64.95 64.95 Sales Total 64.95 Cores Received I ATCORE 5u6 Total 64.95 Sub Total 64.95 Tnvoice Total 64.95 Invoice Payment AmaunL 0,00 Nct Invoice $64.95 W 4 f Ww *W�w'�� +Ww'�WWM'Wi +7WWweWW• #w WWAWW +T4MMWMwW} W�aYw *w *w'�"� *'MWWWWW4 +�WwwMww DEALT =R AG1NG frt�wwwWk #t +eWWw�Ww Dealer Aging Current Balance Total 64.95 0 to 30 days 64.95 31 to 60 days .00 61 to 90 days .00 91 days or mare 00 Invoices 44454219 69201 84.95 68202 -84.95 64,95 al ba �c X32 7"L PRINT NAME HERE SIGNATURE VOUCHER NO. WARRANT NO, ALLOWED 20 ner e eriff es of Indianapolis IN SUM OF 6848 Eat 21 st Street Indianapolis, IN 46219 $64.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 68202 42- 370.00 $64.95 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 DEC 8 Z008 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)) 68202 Battery for C4504 $64.95 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 20 Clerk- Treasurer