215781 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 362878 Page 1 of 1
�.0 ONE CIVIC SQUARE T B A WAREHOUSE
a CARMEL, INDIANA 46032 2425 E 30TH ST CHECK AMOUNT: $393.48
INDIANAPOLIS IN 46218 CHECK NUMBER: 215781
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03LA0058 360 . 21 TRANSPORTATION EXPENS
601 5023990 03LA0072 27 . 29 OTHER EXPENSES
601 5023990 03LA1233 5 . 98 OTHER EXPENSES
TBA North Invoice
309 Gradle Dr. No. 03LA0072
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II VIII IIIIIIIIIIIIIIIIIINIIIIIII 111�IIII111�
f Page 1
13:16:14 Dec 10 2012
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03LA0072 12/10/12 03S07356001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
3450 W. 131ST ST. 3450 W. 131ST ST
to CARMEL, IN 46074 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact: /317-733-2853 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
12/10/12, 13:15:39 400005 TOM SMITH N NORTH A 405
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
DOR 615-170 AXLE/SPINDLE NUT BOX OF 2 U EA 0 0 1 51.98 0.00 27.29 0.00 27.29
TX: 010 1
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
27.29 51.98 27.29 0.00 0.00 0.00 27.29 0.00 27.29
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
TBA North Invoice
309 Gracile Dr. NO. 03LA 1233
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 =>, IIII IIIIIII I I I I III II III III IIII III IIIIIII
I I I Page 1
09:13:08 Dec 12 2012
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03LA1233 12/12/12 03S08726001 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
IIIIIIt�I111I111I111ItIi1�I1111�IIIII'IIIIIIIIIIIIII
Dept: 002 CITY OF CARMEL WATER Contact: /317-733-2853 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
12/12/12, 09:12:58" 400013 MIKE BYRD N NORTH A 413
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
OIL 5W20F FED. 5W20 SYN BLEND 12/1 U QT 2 0 2 5.07 0.00 2.99 0.00 5.98
TOTAL PURCHASE TOTAL LIST', TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
5.98 10.14. ..: 5.98 0.00 0.00 0.00 5.98 0.00 5.98
2.08,% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
VOUCHER # 123057 WARRANT # ALLOWED
354275 IN SUM OF $
TBA WAREHOUSE-INDY
2425 E 30TH STREET
INDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
1
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
03LA1233 01-6500-05 85.98
b 31-AOo°7 a 0l.&sc a-7,�9
:6�C�-I
Voucher Total 3 -5, 9-7
Cost distribution ledger classification if
claim paid under 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 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 12/13/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/13/201: 03LA1233 $5.98
I 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 Officer
TBA North Invoice
309 Gradle Dr. No. 03LA0058
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II�II II II IIIIIII�IIII�IIIIIII�IIIIIIIIIIIIIII
111 f Page 1
13:04:37 Dec 10 2012
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE _
314 03LA0058 12/10/12 03SO7336001 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: /317-733-2853 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
12/10/12, 13:04:25 400005 TOM SMITH N NORTH A 405
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN OTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2005 FORD F150 PICKUP V8-330 5AL SOHC
ACD 18A1623 19175292 ROTOR ASM,FRT BR U .EA 2 - 0 2 365.38 0.00 125.99 0.00 251.98
RAF PGD1012C BRAKE PAD SET U EA 1 0 1 94.50 0.00 48.31 0.00 48.31
RAF PGD1083C BRAKE PAD SET U EA 1 0 1 117.18 0.00 59.92 0.00 59.92
TOTAL PURCHASE TOTAL LIST 'TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
360.21 . 942.44 360.21 0.00 0.00 0.00 360.21 0.00 360.21
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
(� 5
---------------------------------------------------------
VOUCHER # 123035 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
i
03LA0058 01-6500-04 $36021
Voucher Total $360.21
Cost distribution ledger classification if
claim paid under 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 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 12/10/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/201, 03LA0058 $360.21
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer