179862 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1
ONE CIVIC SQUARE T B A NORTH CHECK AMOUNT: $52.00
a CARMEL, INDIANA 46032 309 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 179862
CHECK DATE: 11/24/2009
-J
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 3IT5097 52.00 REPAIR PARTS
TBA North Invoice
309 Gradle Dr.
NO. 031T5097
Carmel, IN 46032
317- 574 -1957 FAX: 317 574 -1982 II VIII III III II I I I f II II I I II
Page 1
15:08:53 Oct 23 2009
k 7718 R NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
03IT5097 10/23/09 03QA3049001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE B 3400 W 131ST
SHIP TO 3400 W 131ST WSTF CARMEL, IN 46074
CARMEL, IN 46032
IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�
Dept: 002 CARMEL POLICE CITY GARAGE Contact /Phone: /317- 733 -4600
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
ED 10/23/09, 15:08:51 200003 MATT SEGERSON 3 A 209
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
BUY OUT TJ13920 NONE EA 1 0 1 0.00 0.00 52.000 0.000 52.00
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
52.00 0.00 0.00 52.00 0.00 52.00
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
i
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
A, n 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
TBA North Purchase Order No.
309 Gradle Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/23/0 31T 0 7 a ent for repair parts 52
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
TB North IN SUM OF
309 Gradle Drive
Carmel, IN 46032
52.00
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 3IT5097 370 52.00 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
NOvember 19 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund