219505 04/24/2013 ».F CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1
ONE CIVIC SQUARE T B A NORTH
CARMEL, INDIANA 46032 309 GRADLE DRIVE CHECK AMOUNT: $934.37
2° CARMEL IN 46032 CHECK NUMBER: 219505
CHECK DATE: 4/2412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 3LA1537 478 . 99 REPAIR PARTS
1110 4237000 3LG2934 360 . 38 REPAIR PARTS
1110 4232100 3LG7172 95 . 00 GARAGE & MOTOR SUPPIE
04-12-'13 11:37 FR011- T-727 P001/001 F-226
AV TBA North Invoice
309 Gradle Dr. N0. 03LA1537
Carmel,IN 46032
317-574-1957 FAX: 317.574-1982
Page 1
12:53:38 Dec 12 2012
CUSTOMER NUMBER Irnrolca NUMBER InVoICB DATE I PACKING SLIP TERMS WHSE
318 031 A1537 12/12/12 03509089001 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 PO.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS CPER
12/12/12, 12:53:27 000001 ONLINE ORDERS N NORTH A AGX
ACX Reference No:AK6728 IrsN
ITEM DESCRIPTION BIN UNIT OROER BACK NV LIST CORE NET NET EXT
CITY ORDERED QTY PRICE PRICE PRICE CORE PRICE
ACD 18A2322 19169879 KEEP 4 CARMEL U EA 4 0 4 98.88 0.00 48.57 0.00 194.28
RAF ATb1159p AT POLICE pAD SET U EA 4 0 4 92.76 0.00 41.14 0.00 164.56
RAF ATD698P AT POLICE PAD SET U FA 3 0 3 90.32 0.00 40.05 0.00 120.15
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BAUINCE DUE
478.99 .1037.52 478.99 0.00 0.00 0.00 478.99 0.00 478.99
2.08%senlice 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.
TBA North Invoice
309 Gradle Dr. No. 03LG2934 '
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II III) I I I I I I I I I I II I II �I I �I
l Page 1
13:03:57 Apr 04 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LG2934 04/04/13 03SV9693001 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
r
IIIIi�1III1�IliIIl�Iliilllllllllllllll lllllllllllill
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /Route: NORTH Direction:
r
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
04/04/13, 13:03:53 000001 ONLINE ORDERS N NORTH A ACX
*** ACX Reference No: AL9677 ***
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
ACD 18A2322 19169879 KEEP 4 CARMEL U EA 3 0 4 98.90 0.00 48.57 0.00 194.28
TX: 010 1 I
RAF ATDI159P AT POLICE PAD SET U EA 2 0 2 '94.88 0.00 42.07 0.00 84.14
RAF ATD698P AT POLICE PAD SET U EA 2 0 2 92.41 0.00 40.98 0.00 81.96
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
360.38 770.18 360.38 0.00 0.00 0.00 360.38 0.00 360.38
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.
-------------------------------------------------------
TBA North Invoice
309 Gracile Dr. No. 03LG7172
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIII IIII IIIIII I I II III I II
Page 1
10:23:22 Apr 11 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LG7172 04/11/13 03SW4552001 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: /317-733-4600 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS E!405 ]1 PER
JASON 04/11/13, 10:23:20 400005 TOM SMITH -NN ORTH A
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
CITY ORDERED CITY PRICE PRICE PRICE CORE PRICE
BEING DEL BY OIL DIST.
DEL MONDAY
CHE WS55GAL 55 GALLON DRUM WASH U EA 1 0 1 205.00 0.00 95.00 0.00
95.00
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
95.00 205.00 95.00 0.00 0.00 0.00 95.00 0.00 95.00
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.
— -------------------------------------------------
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))
12/12/12 3LA1537 brake sets $478.99
04/04/13 3LG2934 brake sets $360.38
04/11/13 3LG7172 washer fluid $95.00
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.
TBA North / ALLOWED 20
IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$934.37
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1110 42-370.00
Prior Year bill(s) is (are) true and correct and that the
1110 31-A1537 42-370.00 $478.99
materials or services itemized thereon for
1110 3LG2934 42-370.00 $360.38 which charge is made were ordered and
1110 3LG7172 42-321.00 $95.00 received except
Thursday, April 18, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund