207627 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1
ONE CIVIC SQUARE T B A NORTH
CARMEL, INDIANA 46032 309 GRADLE DRIVE CHECK AMOUNT: $1,803.00
CARMEL IN 46032
CHECK NUMBER: 207627
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231500 26104 1KL1295 1,478.00 OIL
1110 4237000 3KL3398 325.00 REPAIR PARTS
TBA Warehouse Invoice
2425 E 30th Street No. 01 KL1295
Indianapolis, IN 46218
317 923 -2222 FAX: 317 923 -2233
46i Page 1
16:36:11 Mar 16 2012
CUSTOM BER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 OIKL1295 03/16/12 OIRX4225001 NET 10TH 010
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317- 733 -4600 Route: CARMEL/WESTFIELD Direction:
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
SHOP 03/16/12,16:36:10 300007 BRIAN HALPER 3 CARMEL/WESTFIELD A 307
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
ALREADY DELIVERED SEND
CUSTOMER COPY
BUY OUT ENTER PART NUMBER HERE NONE EA 2 0 2 0.00 0.00 739.00 0.00 1478.00
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
1478.00 0.00 1478.00 0.00 0.00 0.00 1478.00 0.00 1478.00
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.
TBA North Invoice
309 Gradle Dr. NO. 03KL3398
Carmel, IN 46032
317 574 -1957 FAX: 317-574-1982 II IIII II IIII IIII I I II III I II
Page 1
10:15:56 Mar 21 2012
CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03KL3398 03/21/12 03RX6631001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317 733 -4600 Route: CARMEL/WESTFIELD Direction:
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS EiER
03/21/12, 10:15:53 1 400012 THAD EDWARDS 1 3 CARMEL /WESTFIELD A 1 412
ITEM DESCRIPTION UNIT ORDER BACK INV LIST CORE NET NET EXT
BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF FD 1159P AT POLICE PAD SET U EA 4 0 4 92.85 0.00 41.18 0.00 164.72
RAF ATD698P AT POLICE PAD SET U EA 2 0 4 90.32 0.00 40.07 0.00 160.28
TX: 010 2
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
325.00 732.68 325.00 0.00 0.00 0.00 325.00 0.00 325.00
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.
c 0 INDIANA RETAIL TAX EXEMPT PAGE
i ly CERTIFICATE NO. 003120155 002 0 o �+l Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
q
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
30/2012
'i BA N ooth Carmel Pollco Dopatmonk
VENDOR SHIP 3 Civic Squam
TO
SM Grzdlo Ddvo CumoI, IN 4M
Cumol, IN 4M (31 f) 579.2
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42.3% %0
2 Each 55 gallon drum $730.00 $1,478.00
Seib Total: $1 A78.00
cc)
Send Invoice To:
Qyair of Polleo Dopartmont
Aim: TorwB Andueson
3 Ci vic squim
Cumol, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cwne1 Police Dept. PAYMENT $1,476.0%
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER S ORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T E E IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRI ON UFF IENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. �y
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE r WlGf B Y" ®ll�i�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
t�
CLERK TREASURER
DOCUMENT CONTROL NO r- 0310 4 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.__._.._ WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
i
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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_
20
Signature
Title
Cost distribution ledge r'classification if
claim paid motor vehicle highway fund
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))
03/16/12 1 KL1295 oil $1,478.00
03/21/12 3KL3398 brake pads $325.00
1 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
TBA North
IN SUM OF
309 Gradle Drive
Carmel, IN 46032
$1,803.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
26104 1KL1295 42 315.00 $1,478.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 3KL3398 42 370.00 $325.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, March 22, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund