179709 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1
`f ONE CIVIC SQUARE IBS OF INDIANAPOLIS
CARMEL, INDIANA 46032 6848 E 21ST STREET CHECK AMOUNT: $400.85
INDIANAPOLIS IN 46219
CHECK NUMBER: 179709
CHECK DATE: 11/2412009
DEPARTMENT ACC OUNT PO NU INVOICE N AMOUNT DESCRIPTION
1120 4237000 44458704 400.85 REPAIR PARTS
J
"ORIGINAL
IBS OF INDIANAPOLIS INVOICE; 44458704
6848 E 21st St.
TRUCKISLSMNp:41RWP
Indianapolis,IN 46219 RYAN PITCHER
317/322 -1816 .1
2376
CARMEL FIRE —DEPT` r7
2 CIVIC SQUARE!"
CARMEL IN 46032 w PRIORACCOUNT BALANCE 0.00
317/664-0958: ri
PAYMENT TYPE CHARGE'ACCOUNT
Type Oty Description Age Rate Price Upgrade Amount
SALE 2 80-MHD 157.95 315.90
SALE 1 BLEMOP g, `mac 84.95 84.95
NET 400. 85
3 J�a 7d -7� SUBTOTAL 400.85
=INVOICE TOTAL 400.85
Total Luniigrieil Qty, �Oj To 'I Number Of Cores Picked -Up 3
Core Balance 13 r
AT:6 1kV 0 LT 0 ftC 0 UT:O Total:6
CHECK �PO #R45 CAR4 50
CLOSED HOLD CHARGE 2PAIO PAID OUT
AGING INCLUDES CURRENT INVOICE:
0-30 31 61 OVER 90 CREDITS
400.85 0.00 0.00 0.00 0.00
z/
DEALER BALANCE 400.85
r, r
z
x
;SIGNATURE
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))
44458704 R45,4550 $400.85
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. WARRANT NO.
ALLOWED 20
Ixa# lis
IN SUM OF
6848 -5 21st Street
Indianapolis, IN 46219
$400.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 44458704 42- 370.00 $400.85 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
NOV 2 3 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund