209676 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00351248 Page 1 of 1
ONE CIVIC SQUARE JEFF STEWART CHECK AMOUNT: $57.98
4�,?a CARMEL, INDIANA 46032 C/O STREET DEPT
C/O STREET DEPT CHECK NUMBER: 209676
CHECK DATE: 6/512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 57.98 REPAIR PARTS
Westfield Yamaha Suzuki Polaris Invoice
18128 Market Ct Ticket Number: 4103983
Westfield, IN 46074
317- 867 -4422 Salesperson: Ray Baisden
Cashier: Ray Baisden
Sold To: Date: 5/31/2012
CITY OF CARMEL
3400 WEST 131 ST STREET
CARMEL, IN 46074
h:317- 733 -2001
Line Item Breakdown
Sold S/O Lay P/U Fart Number Src Cat Description Price Sold Now Bin
1 3211077 PO PHP BELT,DRNE (5) $57.98 $57.98
Tax Detail Breakdown Sold Now /Pickup Special Order /Layaway
Tax Exempt $0.00 Tax Exempt 0031201550 -020
Total Taxes: $0.00 $0.00
Summary
Subtotal $57.98
Invoice Total $57.98
Total Amount Due $57.98
Credit Cards $57.98
Thank you for your Business!
20% Restock Fee On All Returned Items
No Refund On Electrical Parts /Accessories
No Return on Helmets!
All Returns Must Be With 60 Days Of Purchase
4JESTFIELD VAhIAHA SU2
18128 MARKET COURT
WESTFIELD. IN 46074
317 867 -4422
TERPIIHAL I.D.; 088600
MERCHAHT 88800019477
05/31/12 10:19 AM
SWIPED EXP• >k
SALE
BATCH: 1078
INU: 000005
AUTH: 031732
TRH REF MCWDFIDHP0531
DESCRIPT IOH-
TOTAL $57.98
DUPLICATE#
4RCA[ T PAV ABOVE TOTAL Ah10UIIT
6 TO CARD ISSUER ABREEMEHT
ASREDIPIT IF CREDIT VOUCHER)
Cti3g;D} B CUB 5/31/2012 10:54:51 AM Page 1
VOUCHER NO. WARRA N
ALLOWED 20
Jeff Stewart
IN SUM OF
c/o Carmel Street Department
$57.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
2201 4103983 I 42- 370.001 $57.98 I 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
Friday; June 01, 2012
:r
Street Commissi
d
Title �IOer
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))
05/31/12 4103983 $57.98
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