173560 06/10/2009 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: $143.38
CARMEL IN 46032 CHECK NUMBER: 173560
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3- 1032614 124.46 OTHER EXPENSES
1120 4237000 31032599 82.33 REPAIR PARTS
1120 4237000 34145 -63.41 REPAIR PARTS
rederated
a
TBA North Thank you for business! Page 1 OF 1
309 Gradle Dr. Date 05/27/2009
Carmel, IN 46032 Time 04:20 PM
(317) 867 -4463 Ship Via
Driver
City Of Carmel Fire DEPT. INVOICE Ref No 3- 1032599
2 CIVIC SQUARE F Employee T. SMITH
CARMEL, IN 46032 Payment: Charge Customer 332
3-17) 571 -2600 g PO No CAR4599
del in am
003 C EVROLET TRAILBLAZER L6 4.2, FI, GAS, VIN: S:
1 AC1 15 -80581 [HVAC Blower Motor] 162.86 82.33 82.33
89018747 MOTOR ASM BLO (W/
IMP
Subtotal 82.33
Tax .00
CAP
TERMS: A finance charge is made on all past due accounts at the rate of 1.5% per month (18% per annum) on the unpaid RECEIVED
balance. In the event this and/or other invoices are referred to an attorney or agency for collection, the undersigned agrees BY y X 82.33
to pay all costs of collection, including a reasonable attorn
CUSTOMER AGREES TO TERMS HEREIN.
reaeratea
AcAvelco
TBA orth Thank you for business! Page 1 OF 1
309 Gradle Dr. Date 05/29/2009
Carmel, IN 46032 Time 09:51 AM
(317) 867 -4463 Ship Via
Driver
City Of Carmel Fire DEPT. INVOICE Ref No 3 -4145
2 CIVIC SQUARE F Employee J. RICHTER
CARMEL, IN 46032 Customer 332
(317) 571 -2600 Payment: Charge
PO No BOB
-1 AC1 22071947 22071947 ACTUATOR ASM -DR LK 113.28 63.41 -63.41
R New Return
Item was originally purchased on 5/11/2009 8:42:32 AM Ref No. 180579
Subtotal -63.41
Tax .00
TERMS: A finance charge is made on all past due accounts at the rate of 1.5% per month (18% per annum) on the unpaid RECEIVE D
balance. In the event this andfor other invoices are referred to an attorney or agency for collection, the undersigned agrees y 63.41
BY
to pay all costs of collection, including a reasonable attom X
CUSTOMER AGREES TO TERMS HEREIN.
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))
3 -4145 ($63.41)
3- 1032599 $82.33
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. WARRA NO.
TBA North ALLOWED 20
IN SUM OF
309 Gradle Drive
Carmel, IN 46032
$18.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 3 -4145 42- 370.00 ($63.41) 1 hereby certify that the attached invoice(s), or
1120 3- 1032599 42- 370.00 $82.33 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
reaeratea
TBA North „z Thank you for business! Page 1 OF 1
309 Gradle Dr. Date 05/28/2009
Carmel, IN 46032 Time 07:58 AM
(317) 867 -4463 Ship Via
Driver
CITY OF CARMEL WATER INVOICE Ref No 3- 1032614
3450 W. 131ST ST Employee J. RATLIFF
CARMEL, IN 46074 Customer 314
(317) 733 -2853 B Payment: Charge PO No
004 FORD F -250 SUPER DUTY V8 5.4, FI, GAS, VIN: L:
1 A61. 17D824CH [Disc Brake Pad] 19157245 123.39 66.90 66.90
PAD SET FRT DISC BRK
1 AC1 17D757C [Disc Brake Pad] 89056374 106.31 57.56 57.56
PAD SET RR DISC BRK
Subtotal 124.46
Tax .00
TERMS: A finance charge is made on all past due accounts at the rate of 1.5% per month (18% per annum) on the unpaid REC E I
balance. In the event this and/or other invoices are referred to an attomey or agency for collection, the undersigned agrees BY 124.46
to pay all costs of collection, including a reasonable attom
7 STOMER AGREES RMS HEREIN
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. p
Payee
354275
TBA WAREHOUSE -INDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 6/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2009 3- 1032614 $124.46
�l
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 091958 WARRANT ALLOWED
354275 N IN SUM OF
c
G'7 gt1&E -4N DY •8�
2425 E 30TH STREET
INDIANAPOLIS, IN 446218 4a
Ca mmeI l til
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3- 1032614 01- 6500 -04 $124.46
Voucher Total $124.46
Cost distribution ledger classification if
claim paid under vehicle highway fund