HomeMy WebLinkAbout208518 04/25/2012 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: $156.28
CARMEL IN 46032 CHECK NUMBER: 208518
CHECK DATE: 4125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03KM4765 156.28 TRANSPORTATION EXPENS
TBA North Invoice
309 Gracile Dr. No. 03KM4765
Carmel, IN 46032
317 574 -1957 FAX: 317-574-1982 II IIII IIII III I IIII II III I II
Page 1
14:57:36 Apr 09 2012
CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03KM4765 04/09/12 03RY9209001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
3450 W. 131ST ST. 3450 W. 131ST ST
CARMEL, IN 46074 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact: 06 TRAILBLAZER /317- 733 -2853 Route: CARMEL /WESTFIELD Direction:
YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
04/09/12, 14:57:35 400003 JIM RATLIFF 3 CARMEL/WESTFIELD A 403
ITEM DESCRIPTION UNITr'-ORDER BACK INV LIST CORE NET NET EXT
BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
*Ship in morning
DELIVER TUESDAY
2006 CHEVROLET TRAILBLAZER 6 -256 4.2L DOHC
DOR 622 -001 ELECTRONIC FAN CLUTCH U EA 1 0 1 298.15 0.00 156.28 0.00 156.28
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
156.28 298.15 156.28 0.00 `0`.`00 0.00 156.28 0.00 156.28
2.08 service charge on past due accounts(25 per annum). ll
Core returns must be in original box. All new returns must _U\
be resaleable. No return after 30 days without invoice.
71
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 4/16/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2012 03KM4765 $156.28
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 O er
VOUCHER 114286 WARRANT ALLOWED
354275 IN SUM OF
TBA WAREHOUSE -INDY
2425 E 30TH STREET
INDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
03KM4765 01- 6500 -04 $156.28
Voucher Total $156.28
Cost distribution ledger classification if
claim paid under vehicle highway fund