217543 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 366946 Page 1 of 1
ONE CIVIC SQUARE ANDY MOHR TRUCK CENTER
CARMEL, INDIANA 46032 1301 S HOLT ROAD CHECK AMOUNT: $218.96
INDIANAPOLIS IN 46241
CHECK NUMBER: 217543
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1048248 218 . 96 OTHER EXPENSES
v
Truck Center
1301 S. Holt Road (at Morris) / Indianapolis, Indiana 46241
(317) 244-6811 1-800-234-3455 Fax (317) 244-2291
TERMS: NET PAYABLE 10TH OF MONTH FOLLOWING PURCHASE
Cores and parts must be returned in 30 days. Returned paREsTm must POLICY in te original package and accompanied by s invoice.'nvoice. There
will be a 10% handling charge on merchandise returned after 15 days. No returns on electrical or special order parts.
Any warranties on the item/items sold hereby are those made by the manufacturer. The seller, ANDY MOHR TRUCK CENT
DISCLAIMER OF WARRANTIES
authorizes rany other plersonntouas'sume orritpa1ny liability in connection nwiitthtt a fitness
this item/items.
particular purpose, and ANDY MOHRe TRUCK rCENTER cnelithealassumes tlnor
DATE ENTERED I YOUR ORDER NO.
2 9 JAN 13 J. COOPER TR 31 T JAPED INVOICE DATE
13 31 JAN 13 INVOICE
S
NUMBER 1048248
O ACCOUNT NO. 27675 S
L H
D I PAGE 1 OF 1
CARMEL STREET DEPARTMENT P
0 3400 W 131ST ST T CARMEL WASTEWATER
WESTFIELD, IN 46074 o 9609 HAZELDELL PARKWAY
SHIP VIA SLSM.
INDIANAPOLIS, IN 46280
/L NO. TERMS
UPS GROUND 40 F.O.B. POINT
SHir E.O. PART N0. DESCRIPTION CHG-NT INDIANAPOLIS IN
0 46009-3202
EXTENSION NET AMOUNT
206 . 78 206. 78
PURCHASE ORDER NUMBER:
JEFF COOPER TRUCK 10 I NOTICE:
FINANCE CHARGES
will apply if this
charge is unpaid one
month from the
closing date of
statement. The
"FINANCE
CHARGES" are
computed by a
periodic rate of
1 '/4% per month
which is an
ANNUAL
PARTS AND SERVICE HOURS PERCENTAGE rate
MON - FRI 7: OOAM TO 12 : OOAM of 21% applied to
SAT 7: 0 OAM TO 12 : 0 0 PM the u
CLOSED ON SUNDAY unpaid balance
after deducting
Fuller Stemco current payments
TM'��ucts PARTS
Bendix 206 . 78 and/or credits
CAT FL E ETC UARD
F;T• R appearing on the
ROCKWELL Spicer FREIGHT
CUSTOMER'S SIGNATURE Moto — SALES TAX 12 . 18 statement from the
X 0 . 0 0 previous month.
`< TOTAL 218 . 9 6
CUSTOMER COPY
i
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
366946
ANDY MOHR TRUCK CENTER Purchase Order No.
1301 S. HOLT ROAD Terms
INDIANAPOLIS, IN 46241 Due Date 2/21/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/21/2013 1048248 $218.96
hereby certify that the attached invoice(s), or bill(s) is(are) true and
correct and I have audited same in accordance with ICS 5-11-10-1.6
Date Officer
VOUCHER # 126734 WARRANT # ALLOWED
366946 IN SUM OF $
ANDY MOHR TRUCK CENTER
1301 S. HOLT ROAD
INDIANAPOLIS, IN 46241
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1048248 01-7502-06 $218.96
Voucher Total $218.96
Cost distribution ledger classification if
claim paid under vehicle highway fund