178224 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 164126 Page 1 of 1
ONE CIVIC SQUARE INTERSTATE BATTERY SYSTEM
CARMEL, INDIANA 46032 CHECK AMOUNT: $281.85
6848E 21ST ST
:o; r INDIANAPOLIS IN 46219 CHECK NUMBER: 178224
CHECK DATE: 10114/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1120 4237000 44458287 281.85 REPAIR PARTS
ORIGINAL
IBS OF INDIANAPOLIS INVOICE: 44458287
6848 E 21st St.
I TRUCKISLSMN #:4 /RWP
Indianapolis,IN 46219 V RYAN PITCHER
3171322-1818 Tuesday 1010612009
f 10:07 AM
2376
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL I N 46032 PRIOR' ACC UN I "B� NCB 0.00
3171664 0958'x` t b
PAYMENT TYPE CHARGE ACCOUNT
Type Qty Rate Price Upgrade Amount
r .0
SALE 3 31 MHO 93.95 281.85
NET 281.85
1 SUBTOTAL 281.85
INVOICE TOTAL 281.85
Total Consigned Qty"'`'0' Total Number Of Cores Picked Up 3
Core Balance
AT:6 HV.0 11 "0'. MC 0 UT:O' Total:6
CHECK PO °✓1A42
CLOSED HOLD CHARGE -PAID PAID OUT
AGING INCLUDES CURRENT INVOICE:
0 -30 31 -60 61-90 OVER 90 CREDITS
281.85 0.00 0.00 0.00 0.00
NEW DEALER BALANCE 281.85
SIGNATURE f
r -BOB
i j
BOB
PRINT NAME IHERE
J
L
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))
44458287 $281.85
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. W:�RRANT NO.
ALLOWED 20
Interstate Batteries of Indianapolis
IN SUM OF
6848 East 21 st Street
Indianapolis, IN 46219
$281.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 44458287 42- 370.00 $281.85 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund