180278 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 354275 b Page 1 of 1
ONE CIVIC SQUARE T B A OIL WAREHOUSE, INC CHECK AMOUNT: $349.40
CARPEL, INDIANA 46032 2425 E 30TH ST
INDIANAPOLIS IN 46218 -2724 CHECK NUMBER: 180278
CHECK DATE: 12/8/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 001109010 90.55 OTHER EXPENSES
601 5023990 001145233 47.88 OTHER EXPENSES
601 5023990 OlIU7220 111.70 OTHER EXPENSES
601 5023990 03414550 99.27 OTHER EXPENSES
TBA Warehouse Invoice
2425 E 30th street No. 01 IU9010
Indianapolis, IN 46218
317- 923 -2222 FAX: 317 -923 -2233
Page 1
09:28:47 Dec 01 2009
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 OlIU9010 12/01/09 OIQB8469001 NET 10TH 010
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact /Phone: /317 -733 -2853
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
12/01/09, 09:28:42 400000 BRIAN TROMLEY 3 A 400
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
*Buy out Order, do not f
pick. Part is not
returnable after 15 days
from purchase O
SHIP ASAP..... THANKS...
BUY OUT MM972 BLOWER MOTOR NONE EA 1 0 1 189.63 0.00 90.550 0.000 90.55'
[TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
90.55 0.00 0.00 90.55 0.00 90.55
1.5% service charge on past due accounts(18% per annum).
Core returns must be in original box. All new returns must
be resaleable. No return after 30 days without invoice.
i
TBA North Invoice
309 Gradle Dr. No 031U5500
Carmel, IN 46032
317 574 -1957 FAX: 317-574-1982 II II II III I IIIIII I I II III I II
Page 1
14:33:52 Nov 19 2009
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03IU5500 11/19/09 03QB4638001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
I II] IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I
Dept: 002 CITY OF CARMEL WATER Contact /Phone: /317- 733 -2853
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
11/19/09, 14:33:49 400005 TOM SMITH 3 A 405
ITEM DESCRIPTION BIN UNIT ORDER BACK INV .LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
DO NOT TAKE WHERE OIL
I FILTERS WENT......
2006 CHEVROLET TRUCK TRAILBLAZER V8 -325 5.3L
D16 PT2195 15862656 CONNECTOR RES -BL U EA 1 0 1 106.94 0.00 57.340„0.000 57.34
2006 FORD TRUCK E150 VAN V8 -281 4.6L SOHC
RAF M 104 BRAKE PAD SET U EA 1 0 1 101.88 0.00 41.930 0.000 41.93'
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
I 99.27 0.00 0.00 99.27 0.00 99.27
1.5 service charge on past due accounts(18% per annum).
Core returns'm'st be in original box. All new returns must
be resaleable. No return after 30 days without invoice.
TBA Warehouse
Invoice
2425 E 30th Street I!I O. o I U 7 220
Indianapolis, IN 46218
317 923 -2222 FAX: 317-923-2233
Page 1
16:14:36 Nov 24 2009
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 OlIU7220 11/24/09 O1QB6525001 NET 10TH 010
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
r I CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact /Phone: /317 -733 -2853
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
I
11/24/09, 16:14:12 400005 TOM SMITH 3 A 405
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
BPU M4799446
BtV!Of T PGD1064M NONE EA 1 0 1 0.00 0.00 96.000 0.000 96.00
CHE 05359 8 OZ BRUSH -T SYN CAL GREA U EA 1 0 1 23.95 0.00 15.700 0.000 15.70
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
111.70 0.00 0.00 111.70 0.00 111.70
1.5% service charge on past due accounts(18% per annum).
Core returns must be in original.. box. All new returns must
be resaleable. No return after 30 days without invoice.
j��
TBA Warehouse invoice
2425 E 30th Street
IndianapoliS IN 46218 No. 01 IU5233
317 -923 -2222 FAX: 3 17 -923 -2233
Page 1
CUSTOMER NUMBER Invoice NUMBER 10:02:37 Nov 19 2009
314
Svolce j11A1
E PACKING SLIP O11U5233 TEAMS w HSE
O1QB4350001 NET 10TH 010
BILL TO:
CITY OF CARMEL WATER SHIPPED TO;
1 CIVIC SQUARE CITY OF CARMEL WATER
CARMEL, IN 46032 3450 W. 131ST ST
CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER ContacVnone- /317 733.2853
YOUR PO. NUMBER
ORDER DATE
MOCK CSR SMIPPED VIA
11/19/09, 10:02:37 400009 CRAK3 MILLER
CARTONS OPER
3 A 409
ITEM
DESORIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET
A42 PF1250 25 Ol 4 OlY ORDERED OTy PRICE PRICE PRICE CORE EX7 PRICE
5201~II,TER OII. U BA 12
0 12 Z 1 00 0.00 3.990 0.000 47.88
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
47-88 0.00 0.00
47.88 0.00 47.88
1.5% service Charge on past due accounts(1890 per suuurn).
Core returns must be in original box. All new returns must
be resaleable. No return after 30 days without invoice.
CUSTOMER NAME PLEASE RETURN THIS PORTION
CITY OF CARM L WATER Signature
CUI NUMBER PACKING
SLIP Invoice NUMBER DATE TOTAL PURCHASE
314 FgE1GF{r TAX P AYMENTS
0 1QB4350001 01 233 11/19/09
TBA Warehouse 4788 0.00 0.00 0.00
Strect 4 6218
Indianapolis, IN 4 Invoice BALANCE DUE: 47.88
**.Page 1 of 1
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354275'
TBA WAREHOUSE -INDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 11/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/30/2004 01 I U7220 $111.7
�A t
�x
.r
S
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
Date Officer
a VbUCHER# 093691 WARRANT ALLOWED
:154275 IN SUM OF
TBA WAIREHOUSE INDY
425 E 310TH STREET ca
NDIANAIPOLIS, IN 46218
i
Carmel Water Utility
ON ACCOiUNT OF APPROPRIATION FOR
Board members
PO INV,# ACCT AMOUNT Audit Trail Code
1_
r
011U722) 01- 6500 -05 $111.70
03 tQ5 Se,, 0.�5cn.6S �9,�
C I I U 5 -23 bx G bS t
o f �t (o.c'� Qb�55
49
V ou c h q T otal $1
Cost distribution �e✓ad classification if
claim paid under vas mu icle highway fund