178409 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 354275 Page 1 of 1
ONE CIVIC SQUARE T B A OIL WAREHOUSE, INC CHECK AMOUNT: $71.14
CARMEL, INDIANA 46032 2425 E 30TH ST
INDIANAPOLIS IN 46218 -2724 CHECK NUMBER: 178409
CHECK DATE: 10114/2009
bEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03IS2930 34.90 OTHER EXPENSES
601 5023990 03IS3131 -9.32 OTHER EXPENSES
601 5023990 03IS53135 -8.00 OTHER EXPENSES
601 5023990 03IS7713 20.37 OTHER EXPENSES
601 5023990 01IS7044 33.19 OTHER EXPENSES
TBA North Invoice
309 Gracile Dr. No. 031S2930
Carmel, IN 46032
317 574 -1957 FAX: 317-574-1982 II IIII II II II II II II II IIIIII II
I f f Page 1
13:32:16 Sep 24 2009
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03IS2930 09/24/09 03PY9407001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact /Phone: 98 K2500/317- 733 -2853
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
09/24/09, 13:32:16 400009 CRAIG MILLER 3 A 409
UNIT ORDER BACK INV UST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
1998 CHEVROLET TRUCK C &K2500 PICKUP Non Specified
RAK FRC4414 FRICTION READY CALIPER UNKNOW EA 1 0 1 57.79 8.00 26.900 8.000 34.90
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
34.90 0.00 0.00 34.90 0.00 34.90
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.
-is TBA North Credit Memo
309 Gradle Dr. No. 031S3135
Carmel, IN 46032
317 574 -1957 FAX: 317-574-1982 II IIII II I IIIIII II II III I II
Page 1
Originally: Inv# 031S2930
16:52:36 Sep 24 2009
CUSTOMER NUMBER Credit Memo NUMBER Credit Memo DATE PACKING SLIP TERMS WHSE
314 03IS3135 09/24/09 03PY9630001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact /Phone: /317- 733 -2853
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
RGA14636 09/24/09, 400009 CRAIG MILLER 3 A 290
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAK FRC4414 FRICTION READY CALIPER UNKNOW EA -1 0 -1 65.79 -8.00 N/C 0 -8.00
Core Return
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
-8.00 0.00 0.00 -8.00 0.00 -8.00
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.
TBA Warehouse
Invoice
2425E 30th Street No. 011S7044
Indianapolis, IN 46218
317 923 -2222 FAX: 317 923 -2233
Page 1
15:56:31 Oct 05 2009
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 01IS7044 10/05/09 OIPZ3997001 NET 10TH 010
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
IIIIIIIIIIIIIIIIIIIIIIIII�I'If 1IIl I1fIt11lllllllllll
Dept: 002 CITY OF CARMEL WATER Contact /Phone: /317 -733 -2853
HOUR PO. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
10/05/09, 15:56:31 400000 BRIAN TROMLEY 3 A 400
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
i WGL 3157 MINI LAMP UNKNOW EA 20 0 20 2.01 0.00 1.180 0.000 23.60
.2000 CHEVROLET TRUCK C &K2500 PICKUP V8 -350 5.7L
610 -332 DORMAN PART UNKNOW EA 2 0 2 3.57 0.00 1.960 0.000 3.92
DOR 611 -115 BX i0 UNKNOW EA 3 0 3 3.46 0.00 1.890 0.000 5.67
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
33.19 0.00 0.00 33.19 0.00 33.19
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.
0
TBA North Credit Memo
309 Gradle Dr. No. 031S3131
Carmel, IN 46032
317- 574 -1957 FAX: 317-574-1982 II IIII II II IIII I III III III I II
Page 1
Originally: Inv# 031S2478
16:50:11 Sep 24 2009
CUSTOMER NUMBER Credit Memo NUMBER Credit Memo DATE PACKING SLIP TERMS WHSE
314 03IS3131 09/24/09 03PY9625001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact /Phone: /317- 733 -2853
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
RGA14635 09/24/09, 400003 JIM RATLIFF 3 A 290
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAH HSO44 DSC BRK HW UNKNOW EA -1 0 -1 18.64 0.00 -9.320 0.000. -9.32
New Return
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
-9.32 0.00 0.00 -9.32 0.00 -9.32
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.
TBA North Invoice
309 Gracile Dr. No 031S7713
Carmel, IN 46032
317- 574 -1957 FAX: 317 -574 -1982 II IIII II II II II IIII II III I II
Page 1
16:06:43 Oct 06 2009
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WH :E
314 03IS7713 10/06/09 03PZ4743001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
1 CIVIC SQUARE 3450 W. 131ST ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact /Phone: /317- 733 -2853
f
k
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
10/06/09, 16:06:43 400009 CRAIG MILLER 3 A 409
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
*Ship in morning l Z
2006 FORD TRUCK F250 SUPER DUTY P/U V8 -330 5AL Z (ez
SOHC
HAS AF1219F AIR FILTER KNOW EA 1 0 1 22.95 0.00 11.390 0.000 11.39
2007 FORD TRUCK F150 PICKUP V8 -281 4.6L SOHC
HAS AF484F FED AIR FLTR(FA1632) UNKNOW EA 1 0 1 19.98 0.00 8.980 0.000 8.98
TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
20.37 0.00 0.00 20.37 0.00 20.37
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
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 10/5/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2009 031S2930 $26.90
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 Off r
VOUCHER 093145 WARRANT ALLOWED
354275 IN SUM OF
�TBA WAREHOUSE -INDY
2425 E 30TH STREET
I NDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
03IS2930 01- 6500 -05 0
g, O6)
bl t�5o0 G�
33 1C(
Cctc k b Lq 5 Q�
03T-S 713
VZ-XS1 6(• i CYk ll•��
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund