217363 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 362878 Page 1 of 1
ONE CIVIC SQUARE T B A WAREHOUSE
€
CARMEL, INDIANA 46032 2425E 30TH ST CHECK AMOUNT: $847.41
INDIANAPOLIS IN 46218 CHECK NUMBER: 217363
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03LC2766 38 . 74 OTHER EXPENSES
601 5023990 03LC5447 185 . 70 OTHER EXPENSES
601 5023990 03LC6990 350 . 00 OTHER EXPENSES
601 5023990 03LC7681 272 . 97 OTHER EXPENSES
I
TBA North Invoice
309 Gradle Dr. No. 03LC6990
Carmel, IN 46032
is 317.574-1957 FAX: 317.574-1982 1111111111 IIIIIIII I IIIIIIIIIIIIIIIIIIIIIIIIIfIIII
Page 1
11:43:29 Feb 01 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03LC6990 02/01/13 03SR8431001 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 H4P R
TRK 12 02/01/13, 11:42:53 400009 CRAIG MILLER N NORTH A 9
U NIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2006 FORD F250 SUPER DUTY P/U V10-415 6.81,SOHC
RAB 715081 RAYBESTOS HUB ASSEM U EA 0 0 1 918.46 0.00 350.00 0.00 350.00
TX: 010 1
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
350.00 918.46 350.00 0.00 0.00 0.00 350.00 0.00 350.00
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.
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TBA North;; c. ' >r IhvoiCe
,, •.
309 Gracile Dr. ' No. 03LC5447
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 VIII VIII IIIVIII II III I IIII+III(f III IIIIII�I
IIII f+ Page 1
14:25:53 Jan 30 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS EE EE ]
314 03LC5447 01/30/13 03SR6794001 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 r" CARMEL, IN 46074
Dept: 002 CITY'6F CARMEL WATER Contact: /317-733-2853 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
'01/30/13, 14:25:42 400003 JIM RATLIFF N NORTH A 403
ITEM « -., DESCRIPTION 4 �- _ '� ti, UNIT ORDER BACK INV LIST CORE NET NET EXT
`BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2006 FORD`=F2M•SUPER DUTY P/U V8-330 5.41,SOHC r.
ACD 17D1069M 19142844 PAD SET H'RT DISC U EA 1 0 1 10.7.67 0.00 64:16+,0.00 64.16
RAS SB690280 DISC BRAKE"ROTOR t• t F r U EA 2 .0 2 127.01 0.00 60.'77".."9.00 121.54
TOTAL PURCHASE TOTAL,LIST TOTAL MDSE TOTAL CORE, FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
185.70 361.69: 185.70 0.00 0.00 0:00 185.70 0.00 185.70
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..
_ r
—4!-----------------------------
TBA North Invoice
309 Gradle Dr. No. .03LC7681
6032
, IN
Carmel 4 ;
317-574-1957 FAX: 317-574-1982 11�I i l 111�11 11� I I 1��1��111� I 11�
Page 1
1 1:12:28 Feb 04 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03LC7681 02/04/13 03SR9212001 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: impllaa/317-733-2853 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS
I OPER
JIM 02/04/13, 11:12:27 200003 MATT SEGERSON N NORTH A 202
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2006 CHEVROLET IMPALA V6-237 3.9L
RAB 713199 RAYBESTOS HUB ASSEM U EA 1 0 1 208.93 0.00 101.18 0.00 101.18
RAF SGDI159C SG DSC PAD SET U EA 1 0 1 61.41 0.00 31.39 0.00 31.39
RAF SGD698C SG DSC PAD SET U EA 1 0 1 57.83 0.00 29.56 0.00 29.56
RAS SB580401 DISC BRAKE ROTOR U EA 2 0 2 55.84 0.00 24.29 0.00 48.58
RAS SB580403 DISC BRAKE ROTOR U EA 2 0 2 67.40 0.00 31.13 0.00 62.26
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
272.97 574.65 272.97 0.00 0.00 0.00 272.97 0.00 272.97
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.
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5 0
-------------------------------------------
TBA North Invoice
309 Gracile Dr. NO. 03LC2766
4ta ) Carmel, IN 46032
Mn 317-574-1957 FAX: 317-574-1982 IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIII�IIIII
I( ( I I I+I+I II Page 1
10;22:01 Jan 25 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS W5 2
314 03LC2766 01/25/13 03SR365900I 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
TRK12 01/25/13, 10:21:26 400009 CRAIG MILLER N NORTH A 409
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2006 FORD F250 SUPER DUTY P/U V8-330 5AL SOHC
STR 4339 HOOD LIFT SUPPORT U EA 0 0 2 39.82 0.00 19.37 0.00 38.74
TX: 010 2
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
38.74 79.64 38.74 0.00 0.00 0.00 38.74 0.00 38.74
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.
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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 2/5/2013
Invoice Invoice Description
Date Number (or note attached- invoice(s) or bill(s)) Amount
2/5/2013 03LC6990 $350.00
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
VOUCHER # 123467 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
03LC6990 01-6500-05 $350.00
63LC54cAZ
b'3LG7��� t,
0-? 2.4-7
03LCa�(oc� I�
38'--7q
Voucher Total X47 0
Cost distribution ledger classification if
claim paid under vehicle highway fund