HomeMy WebLinkAbout216895 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 362878 Page 1 of 1
0 ONE CIVIC SQUARE T B A WAREHOUSE
CARMEL, INDIANA 46032 2425 E 30TH ST CHECK AMOUNT: $57.34
INDIANAPOLIS IN 46218 CHECK NUMBER: 216895
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03LE8135 57 .34 OTHER EXPENSES
TBA North Invoice
309 Gracile Dr. No. 03LB8135
Carmel, IN 46032
4@ 317-574-1957 FAX: 317-574-1982 II II it I I I II I I f I I I I II II it 11 l III
I I Page 1
11:02:35 Jan 17 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03LB8135 01/17/13 03SQ8247001 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
trk 118 01/17/13, 11:02:24 200003 MATT SEGERSON N NORTH. 202
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2004 FORD F250 SUPER DUTY P/U V8-330 5.41,SOHC
ACD 17D824MH PAD SET,FRT DISC BRK U EA 1 0 1 96.24 0.00 57.34 0.00 57.34
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
57.34 96.24 57.34 0.00 0.00 0.00 57.34 0.00 57.34
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
r-- ———————————————————————————————
VOUCHER # 123324 WARRANT # ALLOWED
354275 IN SUM OF $
TBA WAREHOUSE-INDY
2425 E 30TH STREET
INDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
M
Board.members
PO # INV# ACCT# AMOUNT Audit Trail Code
03LB8135 01-6500-05 $57.34
i
4
Voucher Total $57.34
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 1/22/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/22/2013 03LB8135 $57.34
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
t
Date Officer