218237 03/13/2013 *f CITY OF CARMEL, INDIANA VENDOR: 00351248 Page 1 of 1
ONE CIVIC SQUARE JEFF STEWART
CARMEL, INDIANA 46032 C/O STREET DEPT CHECK AMOUNT: $523.28
C/O STREET DEPT CHECK NUMBER: 218237
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 523 . 28 REPAIR PARTS
mm 1'11
4JESTFIELD VAMAHA SUZ
18128 MARKET COURT
bIESTFIELD- Itl ,46074
317-867-4422
TERMINAL I.D.; 088600
MERCHANT N 8B000019477
03/11/13 8:44 Aht
�]FTTT m.......... _
SWIPED ESP: l
SALE
BATCH: 1327
IHU: 000006
AUTH: 011462
TRN REF N: MCWPUHPYR0311
DESCRIPTION-----------------------------
TOTAL $523.28
DUPLICATE
S�' - =1= - - -- -- - - -
I EE TO P V RBOUE iOTRL RI90UIIT
ACFA DIN TO RD ISSUER AGREEPIEIIT
(MERCHANT A SENT IF CREDIT VOUCHER)
CUSTOMER COPY
Westfield Powersports Invgice'
18128 Market Ct Ticket Number: 4128432
Westfield, IN 46074
317-867-4422 Salesperson: Corey Mitscher
Cashier:, Corey Mitscher
Sold To.", Date: 3/11/2013
CITY OF CARMEL
3400 WEST 131 ST STREET
CARMEL, IN 46074
h:317-733-2001
Tracking#:
LineItem Breakdown
Sold S/O Lay P/U Part Number Src Cat Description Price Sold Now Bin;-
1 7081308 PO PHP FILTER-AIR INTAKE $29.99 $29.99 SH8
1 2520799 PO PHP FILTER-OIL,10 MICRON(12) $12.98 $12.98 SHELF E-7
220374.7 P_O-_PHP KrT-ASM,PAD,BRAKF_-DB,-1.375- -----$46-.98--$93-.96m
1 2202413 PO PHP KIT-BRAKE PAD,ASM,1.5(INCL 4 P $55.98 $55.98
1 2876160 PO PHP ATV ANGLE DRNE FLUID,QT(12) $9.99 $9.99
1 440024 TR PAC DOT 4 BRAKE FL.355 LITER $7.99 $7.99
1 2877922 PO PHP OIL-DEMAND DRNE PLUS,QT $10.99 $10.99
1 2876244 PO PHP PS4 PLUS SYNTHETIC QT.(12) $10.99 $10.99
1 2877490 PO PHP PS-4 PLUS,2 QT BOTTLE(8) $21.99 $21.99
2 2878068 PO PHP AGL PLUS GEARCASE LUBRICANT QT $14.99 $29.98
1 FE-258 FE PGO SPECTRO YEAR ROUND COOLANT $18.99 $18.99
1 FE-255 FE PGO SPECTRO COOLANT PREMIX 1 QT $9.49 $9.49
Tax Detail.Breakdown Sold Now/Pickup Special Order/Layaway ,
Tax Exempt % $0.00 Tax Exempt#: 0031201550-020
Total Taxes: $0.00 $0.00
Summary
Subtotal $313.32
Invoice Total $313.32
Total Amount Due $313.32
Credit Cards $313.32
Web Order#0, JEFF STEWART
Thank you for your Business!
20% Restock Fee On All Returned Items
No Refund On Electrical Parts/Accessories
No Return on Helmets!
All Returns Must Be With 60 Days Of Purchase
3/11/2013 10:26:47 AM Page 1
03/10/2013 23:05 FAX 3178672220 U001
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Westfield Powersp �_����:�.:.,;:,.n...... :.........:..:.::�: a.
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18128 Market Ct :. {' ,
.= 412 8%11"HEt 215
Westfield IN 46074 ;'" `•" -.,_.
317-867-4422 Cf.#!=.F;f,Sal�spersoii;,! Corey Mitscher
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... �cs'I„';:;a •�;�i;i!N�shi�r�; Corey Mitscher
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:�!j�':!il�:l��'•- - 'I!{R�AI�i. - 1i11�"i .!il'P j�R.t"� ,:r3i'i•")j".,.,::,'� It ti,.:... •,ti
3!8/2013
CITY OF CARMEL
3400 WEST 131 ST E TREET
CARMEL,IN 46074
h:317.733-2001
OnO4 16
Sro
t5ot • S/O• :• :';;B1U•�'a.,Number., ,-.. .. �• _
„ .t. ,..,......,,.,. ..._ t;; scri ! �,.ta.,,,.,,'?::: .„ r,„,:�;� - :s;.+ ,•a,ti,y4,;�i �%F'r e°;So!a; `�w ' "ecli3l;Birfii��„i;r:i_::;.
2 5254999 PO PHP DISC-BRAKE,FRONT $49.99 $0.00 $99.98
2 5248250 PO PHP DISC-BRAKE,REAR,8.625X.188 $54.99 $0.00 $109.98
Tax Exempt % $0.00 Tax Exempt#: 0031201550-020
Total Taxes: $0.00 $0.00
S Subtotal $0.00 $209.96
Invoice Total $0.00 $209.96
Total Amount Due $0.00
Thank you for your Business!
20%Restock Fee On All Returned Items
No Refund On Electrical Parts/Accessories
No Return on Helmets!
All Returns Must Be With 60 Days Of Purchase
DUPLICATE DOCUMENT 3/11/2013 10:57:50 AM Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jeff Stewart
IN SUM OF $
i
c/o Carmel Street Department
1
$523.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 42-370.001 $523.28 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
Monday, March 11, 2013
AM
� y
r
UVVVVStreet LW s er
Street Com Title missioner
Cost distribution ledger classification if
claim paid motor 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 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))
03/11/13 $523.28
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