207675 03/27/2012 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1
ONE CIVIC SQUARE T B A NORTH
i CARMEL, INDIANA 46032 309 GRADLE DRIVE CHECK AMOUNT: $19.97
CARMEL IN 46032
CHECK NUMBER: 207675
CHECK DATE: 3/27/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03KK5991 19.97 TRANSPORTATION EXPENS
TBA North Invoice
309 Gracile Dr. N O. 03KK5991
Carmel, IN 46032
317- 574 -1957 FAX: 317-574-1982 II II II III) I II I III I II III I II
Page 1
10:39:48 Mar 08 2012
CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03KK5991 03/08/12 03RW8142001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
3450 W. 131ST ST. 3450 W. 131ST ST
CARMEL, IN 46074 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact: /317- 733 -2853 Route: CARMEL/WESTFIELD Direction:
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS "PER
03/08/12, 10:39:46 400003 JIM RATLIFF 3 CARMEL /WESTFIELD A 403
ITEM DESCRIPTION UNIT ORDER BACK INV LIST CORE NET NET EXT
BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
*Buy out Order, do not
pick. Part is not
returnable after 15 days
from purchase
2003 CHEVROLET SILVERADO 3500 PU V8 -364 6.OL
MOO 42694 WIPER ARMS GM TRUCK U EA 1 0 1 31.11 0.00 19.97 0.00 19.97
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
19.97 31.11 19.97 0.00 0.00 0.00 19.97 0.00 19.97
2.08 service charge on past due accounts(25 per annum).
Core returns must be in original box. All new returns must
be resaleable. No return after 30 days without invoice.
7z�
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 3/20/2012
Invoice Invoice Description
Date Number (or note attached irivoice(s) or bill(s)) Amount
3/20/2012 03KK5991 $19.97
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
VOUCHER 114029 WARRANT ALLOWED
354275 IN SUM OF
TBA WAREHOUSE -INDY
2425 E 30TH STREET
INDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
03KK5991 01- 6500 -05 $19.97
i
i
I
I
I
Voucher Total $19.97
�tion ledger classification if
�•'ehicle highway fund