168063 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 164126 Page 1 of 1
ONE CIVIC SQUARE INTERSTATE BATTERY SYSTEM
CHECK AMOUNT: $339.80
CARMEL, INDIANA 46032 6848E 21ST ST
INDIANAPOLIS IN 46219 CHECK NUMBER: 168063
CHECK DATE: 1121/2009
DEPARTMENT ACCO PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1120 4237000 44454882 169.90 REPAIR PARTS
1120 4237000 44455045 169.90 REPAIR PARTS
IBS OF INDIANAPOLIS INVOICE. 44454882
6848 E 21st 'S`t
TRUCKISLSMNa:4/RWP
Indianapolis, IN 46299, 'RYAN PITCHER
317/322-1818 Monday 12/2912008
01:23 PM
2376 J
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL,IN 46032 PRIOR ACCOUNT BALANCE 0.00
3171664-0958
PAYMENT TYPE: CHARGE ACCOUNT
Type Qty Description A,ye Rate; mou
'Price Upgrade Ant
o
SALE 2 MTP-78 -84.95 169.90
NET 169.90
.2— SUBTOTAL 169.90
INVOICE TOTAL 169.90
Total Consigned Qty 0 Total Number Of Cores Picked-Up 2
Core Balance:
AT:6 HV:O LT:O MC:O UT:O Total:6
CHECK PO #4551
CLOSED HOLD CHARGE PAID PAID OUT
AGING INCLUDES CURRENL- INVOICE
0-30 ,•31-60 61 9U OVER 90 CREDITS
169.90 0.00, 0.00 0.00- 6.0U
NEW DEALER BALANCE 169.90
SIGNATURE:
PRINT NAME HERE:
IBS OF INDIANAPOLIS n INVOICE 44455045
6848 E 21st t
TRUCK /SLSMN #:4lRWP
IndianapoIis,1N 46219.- RYAN PITCHER
317!322 -1818 Monday 01!1212009
11:29 AM
2376 f 1
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL,IN 46032 PRIOR ACCOUNT BALANCE 169.90
317!664-0958
PAYMENT TYPE: CHARGE ACCOUNT
Type Qty
2 MTPc78 lion e, Rale 84195
P AcJ
F 169.90
NET 169.90
2 SUBTOTAL 169.90
INVOICE TOTAL 169.90
Total Consigned Oly 0 Total Number Of Cores Picked -Up 2
Core Balance:
AT:6 HV:O LT:O MC:O UT:O Total:6
CHECK PO #OLD BC
CLOSED HOLD CHARGE PA1D PAID OUT
AGING INCLUDES GURREN INVOI[.E
0 30, 31 60 61 90 f i OUER 90 CRED 1 TS
339.80 O .06 0:00 0 00 ,r k 0, 00
NEW DEALER BALANCE 339.80
SIGNATURE:
PRINT NAME HERE:
�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))
44455045 Batteries for VIN 1750 $169.90
44454882 Batteries C4550 $169.90
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.
Interstate Batteries of Indianapolis ALLOWED 20
IN SUM OF
6848 East 21st Street
Indianapolis, IN 46219
$339.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 44455045 42- 370.00 $169.90 1 hereby certify that the attached invoice(s), or
1120 44454882 42- 370.00 $169.90 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
8 l
AAA C
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund