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169204 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00350697 Page 1 of 1 ONE CIVIC SQUARE WAYMIRE TRAILER TOWING VEHICLF AMOUNT: $58.45 5% CARMEL, INDIANA 46032 820 CHADWICK ST INDIANAPOLIS IN 46225 CHECK NUMBER: 169204 CHECK DATE: 2/1712009 DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000, 261070 58.45 REPAIR PARTS i WAYMIRE A.P.S., INC. d /b /a THE WAYMIRE GROUP 820 Chadwick Street, Indianapolis, IN 46225 TEL: (317) 634 -4824 FAX: (317) 634 -4833 Warehouse Tel: (317) 631 -7551 Fax: (317) 631 -7552 BUSINESS HOURS: 8:00 --5:00 MON -FRI CLOSED SAT /SUN ACCOUNT CPD50 INVOICE 261070 DATE....: 02/04/09 'PO JASON OGLE Stk /Rel PURCHASED BY: SHIPPED /DELIVERED TO: CARMEL POLICE DEPT CARMEL CITY GARAGE 3 CIVIC SQUARE 3400 W 131st ST CARMEL, IN. 46032 WESTFIELD, IN. 46074 317 733 -4600 317 733 -4600 TERMS: PAYMENT DUE IN FULL WITHIN 30 DAYS OF INVOICE DATE,THANK YOU! DESCRIPTION: UPS VEHICLE: YEAR N/A WC CAPACITY: WDH CAPACITY: SLS PER: MIKE Tag MAKE N/A GTW: N/A GTW: N/A MECH.. 35396 MODEL: N/A TW N/A TW N/A WRNTY QTY PART ITEM DESCRIPTION MFG SRP COST EA PARTS LABOR TOTAL 1 KKK9DPSSKB K9 KENNEL GAS SHOCK 63.00 49.95 49.95 49.95 O N 5 Call US for QUALITY Products Service! Ref: W# 94196 MERCHANDISE 49.95 SALES TAX 0.00 RECEIVED BY S &H /COD, ETC 8.50 Amount Method of Payment... INVOICE TOTAL..$ 58.45 Invoice Total Charged To Customer Account AMOUNT RCVD 0.00 BALANCE DUE 58.46 Use of emergency equipment in any vehicle is the driver's sole responsibility!!! Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) i t 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 Waymire Purchase Order No. 820 Chadwick Street Terms Indianapolis, IN 46225 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) J 2/4/09 261070 payment for repair part 58.45 Total 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 Waymire IN SUM OF 820 Chadwick Street Indianapolis, IN 46225 58.45 ON ACCOUNT OF APPROPRIATION FOR police generalfund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 261070 370 58.45 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 Fehrnary 12 20 09 Signature chief of police Title Cost distribution ledger classification if claim paid motor vehicle highway fund