170859 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 354380 Page 1 of 1
ONE CIVIC SQUARE GILLE COMPANY CHECK AMOUNT: $101.94
CARMEL, INDIANA 46032 1146 SOUTH WEST ST
INDIANAPOLIS IN 46225 CHECK NUMBER:. 170859
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER A MOU NT DESCRIPTI
�C2201 4232100 G290960004 101.94 GARAGE MOTOR SUPPIE
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A, 1146 S. West Street INVOICE DATE
Indianapolis, IN 46225 {)4 ?t,i f.'. {)(?`::1
Phone: (317) 638-0441
COMPANY INC (888) 74 -GILLE or (888) 744 -4553 INVOICE NO. PAGE
Fax: (317) 632 -3956 Gir`.:' el l'?9 G, 0 0 0 4 1
CUSTOMER NO. BRANCH
REMITTO: 1146 S. West St. Indianapolis, IN 46225
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SOLD SHIP
TO TO
3400 W. 1,31 f :3I ,1 ::I :::'1' I' ;3400 W. 1; :3:1 fG: f 1 :3J'R[ "I' I
Wl :.'S *T F* 1:1 :a...:t), :I: hI 4 1::,0'r 4 t,11 i3'T'1 :I:I:::L..:t) 1. h•I 4607.4
Invoices unpaid 31 days after invoice date, are subject to 1 -1/2% per month service charge. Equivalent interest rate per annum is 18 Invoices unpaid after 61 days
will also be subject to collection, and fees charged will be responsibility of the customer.
CUSTOMER P.O. R/S ORDER NO.
alt :lI•�IE::S t:5•� 2I'".5C, :3:1.':'? l 3.:6....2001. K, C.- {)40.� 00 {)�t{)
QUANTITY I PART NO. PRICE/PER EXTENSION
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1146, SO.. WIEK 3•T ST., IN 46,2
T I II= 11�I1: YOU I °'OR YOUR t: FTIH,R I I I I
FREIGHT TAXABLE SUBTOTAL TAX STATUS /STATE SALES TAX PLEASE PAY'
.1.01. 9 <a :I: I I 10 94
Any warranties on the product sold hereby are those made by the manufacturer. The seller hereby expressly disclaims all
warranties, either express or implied, Including any Implied warranty of merchantability or fitness for a particular
purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with
0 1. 0 1 :7 IDit1 CUSTOMER SIGNATURE the sale of said products. Any limitation contained herein does not apply where prohibited by law.
Prescribed by State Board of Accounts City Form No. Z01 (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))
04/06/09 6290960004 $101.94
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. WA RRANT NO.
Gille Company, Inc. ALLOWED 20
IN SUM OF
1146 S. West Street
Indianapolis, IN 46225
$101.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 G290960004 42- 321.00 $101.94 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
Thursday 0 09
f f
E
Street Co mmissioner:�;C.'r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund