213503 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1
6 ONE CIVIC SQUARE IBS OF INDIANAPOLIS CHECK AMOUNT: $529.75
CARMEL, INDIANA 46032 6848 E.21 ST STREET
?y,roM`o INDIANAPOLIS IN 46219 CHECK NUMBER: 213503
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 44472506 529 . 75 REPAIR PARTS
ORIGINAL
IBS OF INDIANAPOLIS
6848 E 21st St. ;
Indianapolis, IN 46219
317/322-1818
PRIOR ACCOUNT BALANCE $ 0 . 06"
2376 INVOICE: 44472506 —
CARMEL FIRE DEPT
2 CIVIC SQ TRUCKISLSMN#A1RWP
CARMEL,IN 46032-2584 RYAN PITCHER
3171664-0958 Friday 0912112012
PAYMENT TYPE: CHARGE ACCOUNT 11:31 AM
Type Qty Description Age Rate Price Upgrade Amount
--------------------------------------------------------------------------------
SALE - 5- 31-MH0 105.95 529.75
NET 529.75
5 SUBTOTAL 529.75
I NVO I CE,TOTAL $ 529.75
Total Consigned Qty ° 0 Total Number Of Cores Picked-Up = 5
Core Balance:
AT:6 HV:O LT:O MC:O UT:O Total:6
CHECK a PO #E43
CLOSED _ HOLD _ CHARGE _ PAID'_.PAID OUT _
! AGING - INCLUDES CURRENT INVOICE:
0-30 31-60 61-90 OVER 90 CREDITS
------------ ------------- ------------ ------------ ------------
529.75 0.00 0.00 0.00 0.00
NEW DEALER BALANCE $ 529.75
SIGNATURE:
JASON
PRINT NAME HERE:
'7.
.", WARRANT NO.
ALLOWED 20
Interstate Batteries of Indianapolis `65
��✓✓ IN SUM OF $
6848 East 21 st Street
Indianapolis, IN 46219
$529.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 44472506 I 42-370.00 I $529.75 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
OCT °8 2012
if j
0 r
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
Nhom, 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))
44472506 $529.75
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