175917 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 362878 Page 1 of 1
ONE CIVIC SQUARE TBA WAREHOUSE
CHECK AMOUNT: $735.90
CARMEL, INDIANA 46032 2425E 30TH ST
INDIANAPOLIS IN 46218 CHECK NUMBER: 175917
CHECK DATE: 8/6/2009
DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 lIP8320 735.90 REPAIR PARTS
rt
'ell
TBA Warehouse Invoice
2425 E 30th Street No. 01 IP8320
Indianapolis, IN 46218
317 923 -2222 FAX: 317-923-2233
Page 1
12:55:47 Jul 29 2009
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 011P8320 07/29/09 0l PW2161001 NET 10TH 010
1�
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
Dept: 002 CARMEL POLICE CITY GARAGE Contact /Phone: /317- 733 -4600
YOUR P.O. .NUMBER ORDER DATE CSR SHIPPED VIA RTES= OPER
07/29/09, 12:55:46 400005 TOM SMITH 3 A 405
ITEM .l UNIT ORDER BACK INV LIST CORE NET NET EXT
DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
D60 18A 1 179 19171339 RO'T'OR LEFT PERFO UNKNOW EA 2 0 2 215.72 0.00 106.900 0.000 213.80
Original Product: 18A1179
D60 ISA1180 19171340 ROTOR RIGHT PERF UNKNOW EA 2 0 2 215.92 0.00 107.000 0.000 214.00'
Original Product: 18A 1 180
160 I SA2322 19169879 ROTOR FRT BRK UNKNOW EA 4 0 4 99.94 0.00 49.530 0.000 198.12
Original Product: 18A2322
RAF ATDi159P [DISC BRAKE PAD] UNKNOW EA 2 0 2 134.63 0.00 54.990 0.000 109.98
Original Product: ATD 1 159P
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
735.90 0.00 0.00 735.90 0.00 735.90
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.
PrescriRA by State Board of Accounts City Form No. 201 (Rev. 1995)
7 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
TBA Warehouse Purchase Order No.
2425 E. 30th Street Terms
Indianapolis, IN 46218 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/29/09 1IP8320 payment for repair parts 735.90
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
LBA Warehouse IN SUM OF
2425 E. 30th Street
Indianapolis, IN 46218
735.90
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 lIP8320 370 735.90 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
July 31 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund