219650 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 367127 Page 1 of 1
ONE CIVIC SQUARE ZACHARY BATIC CHECK AMOUNT: $14.99
CARMEL, INDIANA 46032
CHECK NUMBER: 219650
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 14 . 99 REPAIR PARTS
AutoZone 4533
10560 MICHIGAN RD
CARMEL, IN
(317) 334-0445
#252890 LTH11/55UBX 17.49 N
LTH11/55UBX Tiger
Halogen Headlight, EA k
#862724 H11 14.99 P
Hll
Sylvania Halogen Bulb, EA
VOID ITEM 1 @ 1/17.49
#252690 LTH11/55UBX 17.49-N
LTH11/55UBX Tiger
Halogen Headlight, EA
SUBTOTAL 14:99
TOTAL TAX @ 7.000%
TOTAL 16.04
XXXXXXXXXXXX7819 16.04
APPROVAL # 09172B
REG #02 CSR #05 RECEIPT #047192
STR . TRANS #271994
STORE #4533
DATE 04/22/2013 18:26
# OF ITEMS SOLD 1
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4533271994042213
Take a survey for a
chance to win $ 10000
at wwai.autozonecares.com
or by calling 1-800-598-6943.
No Purchase necessary. Ends 05/31/13.
Subject to full official rules
at wiuw.autozonecares.com
Ref No
4533 -271994 - 130422 -4
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))
04/22/13 headlight $14.99
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
Zachary J. Batic
IN SUM OF $
$14.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 42-370.00 $14.99
I hereby certify that the attached invoice(s), or
I I
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
Wednesday, May 01,2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund