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214957 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 022560 Page 1 of 1 ONE CIVIC SQUARE BATTERIES PLUS CHECK AMOUNT: $128.47 �+ CARMEL, INDIANA 46032 PO BOX 382 MENTONE IN 46539 CHECK NUMBER: 214957 CHECK DATE: 1214/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 006-60874701 128 .47 OTHER MISCELLANOUS Invoice -Please Pay From This Document Batteries Plus #006 Remit Payment To: 7325 Pendleton Pike Rd Invoice#: 006-608747-01 Batteries Plus Indianapolis, IN 46226 Ticket date: 11/15/12 P.O. Box 382 Phone:3175439302 Station: 006-63 Mentone, IN 46539 Fax:3175439303 Orig ord#: 006-608747 Sold to: CITY OF CARMEL-POLICE Ship to: CITY OF CARMEL-POLICE ATTN:Accounts Payable 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 317/571-2500 Customer#: CD3175712500- Ship date: Ship-via code: 001 CCustomer PON ROBERT - Sls rep: MJK-NEW Location: 006 Terms: Net 30 Quantity Item# Description Price Selling unit Ext prc Long description 192 WKAAB WERKER AA ALKALINE $0.28 EACH 53.76 WKAAB,WKAAB 192 WKAAAB WERKER AAA ALKALINE $0.28 EACH 53.76 WKAAAB,WKAAAB 5 LITHCR2032 3V LITHIUM COIN $2.99 EACH 14.95 NUCR2032,AUDBPCR2032,AUDBPCR2032,AUDBPCF User: MWE Total line items: 3 Sale subtotal: 122.47 Tax: 0.00 Ship Charge: 6.00 Total: 128.47 Tender: Accounts Receivable A/R Payment Due: 128.47 Received By: UPS 1zx119w00374903203 Net tender: 128.47 Order# 006-608747 Order total 0.00 Order amt due 0.00 WE VALUE YOUR FEEDBACK! GO TO SURVEY.BATTERIESPLUS.COM 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)) 11/15/12 006-608747-01 batteries $128.47 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Batteries Plus IN SUM OF $ P.O. Box 382 Mentone, IN 46539 $128.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 006-608747-01 I 42-390.99 I $128.47 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 Wednesday, November 28, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund