205881 01/31/2012 a CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1
ONE CIVIC SQUARE IBS OF INDIANAPOLIS
CARMEL, INDIANA 46032 6848 E. 21ST STREET CHECK AMOUNT: $96.95
INDIANAPOLIS IN 46219 CHECK NUMBER: 205881
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 44468775 96.95 REPAIR PARTS
"ORIGINAL
IBS OF INDIANAPOLIS
6848 E 21st St.
Indianapolis, IN 46219
3171322-1818
PRIOR ACCOUNT BALANCE 0.00
2376 INVOICE: 44468775
CARMEL FIRE DEPT
2 CIVIC SQ TRUCK /SLSMNa:41RWP
CARMEL,IN 46032-2584 RYAN PITCHER
3171664-0958 Tuesday 01/2412012
PAYMENT TYPE: CHARGE ACCOUNT 11:13 AM
Type Oty Description Age Rate Price Upgrade Amount
SALE 1 MTP-78 96.95 96.95
NET 96.95
1 SUBTOTAL 96.95
'a
j
INVOICE TOTAL 96.95
Total Consigned Qty 0 Total Number Of Cores Picked-Up 1
Core Balance:
AT:6 HV:O LT:O MC:O UT:O Total:6
CHECK /PO dSURBIAN
CLOSED HOLD CHARGE PAID PAID OUT
AGING INCLUDES CURRENT INVOICE:
0 -30' 31-60 61-90 OVER 90 CREDITS
96.95 0.00 0.00 0.00 0.00
NEW DEALER BALANCE 96.95
SIGNATURE:
JASON'
PRINT NAME HERE:
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))
44468775 VIN 0323 $96.95
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
VOUCH N O. WARRANT NO.
ALLOWED 20
Interstate Batteries of Indianapolis
IN SUM OF
6848 East 21 st Street
Indianapolis, IN 46219
$96.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 44468775 I 42- 370.00 I $96.95 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
JAN 3 0 2012
R
A X
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund