219357 04/24/2013 CITY OF CARMEL, INDIANA VENDOR'. 140100 Page 1 of 1
L• i. ONE CIVIC SQUARE IBS OF INDIANAPOLIS
CARMEL, INDIANA 46032 6848 E.21 ST STREET CHECK AMOUNT: $919.60
INDIANAPOLIS IN 46219 CHECK NUMBER: 219357
CHECK DATE: 4/2412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 44475591 919 . 60 REPAIR PARTS
• ORIGINAL " ' " "
I&S OF II�IANAPOLIS
6848 E 21st St.
Indianapolis, IN 46219
3171322-1818
PRIOR ACCOAT BALANCE $ 0 . 00
2376 INVOICE: 44475591
CARMEL FIRE DEPT
2 CIVIC SO TRl1CKISLSMNx:41RNP
CARMEL,IN 46032-2584 RYAN PITCHER
31716640956 Tuesday 0411612013
PAYMENT TYPE: CHARGE ACCOUNT 01:55 PH
Type Oty Description Age Rate Price Upgrade AirounI
_-_.___-----------------_---
__-__-_-__ ____-_-__-__-
SALE B GC2-KHD-UTL 114.95 919.60
NET 919.60
------- .........
B SUBTOTAL 919.60 `
s
x
1
INVOICE TOTAL $ 919.60
.a
Total Consigned Oty 0 Total Nwrber 01 Cares Picked-Up = 8 }
Core Balance:
AT:6 HV:O LT:O MC:O UT:O Total:6
CHECK W PO aEMS41
CLOSED HOLD CHARGE PAID PAID OUT
AGING - INCLUDES CURRENT INVOICE:
0.30 31-60 61-90 OVER 90 CREDITS
------------ ------------- ---------I-- ---------- .-----------
919 60 0.00 0.00 0.00 0.00
NEW DEALER BALANCE $ 919.60
SIGNATURE:
BOB
BOB
PRINT NAME HERE:
Irescribed by Stale Board of Accounts City Form No 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n 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))
44475591 EMS 41 Batteries $919 60
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
, 20_
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Interstate Batteries of Indianapolis
IN SUM OF $
6848 East 21st Street
Indianapolis, IN 46219
$919.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept INVOICE NO ACCT#/TITLE AMOUNT Board Members
1120 I 44475591 I 42-370.00 I $91960 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
APR 2 2 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund