209536 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 363862 Page 1 of 1
ONE CIVIC SQUARE JASON FORCE
CARMEL, INDIANA 46032 30 SLEEPY HOLLOW COURT CHECK AMOUNT: $10.00
WESTFIELD IN 46074 CHECK NUMBER: 209536
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 110708 10.00 REPAIR PARTS
DETRO SALES
7080 N. US Highway
BAINBRIDGE, IN 46105
(765) 522-6277
CUSTOMER'S ORDER NO. P HONE DATE
NA-F
:I
ADD S
CASH C.O.D. CHARGE 71 MDSE. RETD. PAID OUT
TAX
SOLD BY
TOTAL
RECEIVED BY
C PRODUCT 609 All claims and returned goods MUST be accompanied by th
1 IL 0 7 0 8
DE'M SALES
7080 N US HIGHVVM 231 A
BAINBRIDGE, IN 46105
05�24�2012 14:00:06
Merchant ID: 000000001883963
Terminal ID: 02817590
277213556990
CREDIT CARD
CARD 9 XXXXXXXXXXXX
INVOICE 0004
Batch 000399
Approval Code: 024606
Entry Method: Swiped
Mode: Online
SALE AMOUNT $10.00
CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jason Force
IN SUM OF
$10.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 110708 I 42- 370.00 I $10.00 1 hereby certify that the attached invoice(s), or
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
t
�o
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
110708 $10.00
1 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