217833 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1
ONE CIVIC SQUARE T B A NORTH CHECK AMOUNT: $164.56
CARMEL, INDIANA 46032 309 GRADLE DRIVE
.o� CARMEL IN 46032 CHECK NUMBER: 217833
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 3LD6459 164 . 56 REPAIR PARTS
TBA North Invoice
309 Gradle Dr. NO. 03LD6459
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIII II II I III I I II II III I it
Page 1
08:33:05 Feb 19 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LD6459 02/19/13 03SS9350001 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
02/19/13, 08:33:04 000001 ONLINE ORDERS N NORTH A ACX
*** ACX Reference No: AL3811 ***
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 INVOICE TOTAL PAYMENTS BALANCE DUE
164.56 371.04 164.56 0.00 0.00 0.00 164.56 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))
02/19/13 3LD6459 repair parts $164.56
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
$164.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE N07 ACCT#/TITLE AMOUNT Board Members
1110 I 3LD6459 I 42-370.00 I $164.56 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, February 21, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund