220361 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00351248 Page 1 of 1
ONE CIVIC SQUARE JEFF STEWART CHECK AMOUNT: $222.99
CARMEL, INDIANA 46032 C/O STREET DEPT
v s� C/O STREET DEPT CHECK NUMBER: 220361
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 222 . 99 REPAIR PARTS
Westfield Powersports Invoice
18128 Market Ct Ticket Number: 4133806
Westfield, IN 46074
317-867-4422 Salesperson: Tracy Shidler
Cashier: Ray Baisden
Sold_To:,:, Date: 5/6/2013
CITY OF CARMEL
3400 WEST 131 ST STREET
CA RMEL, IN 46074
h:317-733-2001
Tracking#:
Une;ltem Breakdown
Sold ;S/O Laj•::•P/U Part Number Src Cat Description Price Sold Now Bin
1 1911374 PO PHP ASM-CALIPER,BRAKE,I.5,RH,R MET $222.99 $222.99
Tax Lie*tall Breakdown Sold Now/Pickup_., Special Order/Layaway'
Tax Exempt % $0.00 Tax Exempt#: 0031201550-020
Total Taxes: $0.00 $0.00
SUmmSry" Subtotal $222.99
Invoice Total $222.99
Total Amount Due $222.99
Credit Cards $222.99
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
i
t
5/6/2013 10:58:40 AM Page 1
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))
05/07/13 $222.99
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jeff Stewart
IN SUM OF $
c/o Carmel Street Department
$222.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 1 1 42-370.001 $222.99 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
J I y, May 17, 2013
Str et Com, i loner
RtrApt C��mmissloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund