217362 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1
ONE CIVIC SQUARE T B A NORTH
CARMEL, INDIANA 46032 309 GRADLE DRIVE CHECK AMOUNT: $357.58
CARMEL IN 46032 CHECK NUMBER: 217362
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 03LC3281 95 . 00 REPAIR PARTS
1110 4237000 03LC5215 164 . 56 REPAIR PARTS
1110 4237000 03LC7988 98 . 02 REPAIR PARTS
TBA North Invoice
309 Gradle Dr. No. 03LC3281
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II IIII III II III II III I II
Page 1
16:38:25 Jan 25 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE ����N TERMS W5 2
318 03LC3281 01/25/13 ET 10TH 030
B ILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317-733-4600 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA
CARTONS OPER
01/25/13, 16:36:15 300001 PERRY WILHITE N NORTH A 301
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
****BUYOUT ORDER, do not
pick. Part is not
returnable after 15 days
from purchase****
CHE WS55GAL 55 GALLON DRUM WASH U EA 1 0 1 205.00 0.00 95.00 0.00 95.00
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
95.00 205.00 95.00 0.00 0.00 0.00 95.00 0.00 95.00
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 Gradle Dr. No. 03LC7988
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Page 1
CUSTOMER NUMBER 1 5:16:13 Feb 04 2013
Invoice NUMBER Invoice DATE PACKING SLIP
318 03LC7988 02/04/13 03SR9575001 NETR 0TH WHSE
030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE CARMEL POLICE CITY GARAGE CARMEL, IN 46032 3400 W 131ST CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE
CSR SHIPPED VIA CARTONS OPER
02/04/13, 15:16:12 000001 ONLINE ORDERS N NORTH A ACX
*** ACX Reference No: AL1979 ***
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2012 CHEVROLET IMPALA
V6-217ci 3.6L FLEX/FI Vin
3 mmoi0
ACD 18A2414A 19241847 ROTOR
U EA 2 0 2 91.98 0.00 49.01 0.00 98.02
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
98.02 183.96 98.02 0.00 0.00 0.00 98.02 0.00 98,02
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. 03LC5215
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 III IIIII II I IIIII I i 1 1111 11 III II II
Page 1
10:51:32 Jan 30 2013
CUSTOMER NUMBER I Invoice NUMBER Invoice DATE PACKING SLIP TERMS I WHSE
318 03LC5215 01/30/13 03SR6514001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
01/30/13, 10:51.22 000001 ONLINE ORDERS N NORTH A ACX
*** ACX Reference No: AL1378 ***
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD1159P AT POLICE PAD SET U EA 4 0 4 92.76 0.00 41.14 0.00 164.56
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT r164.56 OICE TOTAL PAYMENTS BALANCE DUE
164.56 371.04 164.56 0.00 0.00 0.00 0.00 164.56
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.
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))
01/25/13 3LC3281 repair parts $95.00
01/30/13 3LC5215 repair parts $164.56
02/04/13 3LC7988 repair parts $98.02
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
TBA North
IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$357.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 3LC3281 42-370.00 $95.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 3LC5215 42-370.00 $164.56
materials or services itemized thereon for
1110 3LC7988 42-370.00 $98.02 which charge is made were ordered and
received except
Friday, February 08, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund