220936 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 366946 Page 1 of 1
ONE CIVIC SQUARE ANDY MOHR TRUCK CENTER
1301 S HOLT ROAD CHECK AMOUNT: $130.72
CARMEL, INDIANA 46032
INDIANAPOLIS IN 46241 CHECK NUMBER: 220936
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1056457 130 . 72 REPAIR PARTS
l o Truck Uenter f
1301 S. Holt Road (at Morris) / Indianapolis, Indiana 46241
(317) 244-6811 1-800-234-3455 Fax (317) 244-2291
TERMS: NET PAYABLE 10TH OF MONTH FOLLOWING PURCHASE
RETURN POLICY
Cores and parts must be returned in 30 days. Returned parts must be in the original package and accompanied by this invoice. There
will be a 10% handling charge on merchandise returned after 15 days. No returns on electrical or special order parts.
DISCLAIMER OF WARRANTIES
Any warranties on.the item/items sold hereby are those made by the manufacturer. The seller, ANDY MOHR TRUCK CENTER, hereby expressly disclaims all warranties,
either express or implied, including any implied warranty of merchantability or fitness for a particular purpose, and ANDY MOHR TRUCK CENTER neither assumes nor
authorizes any other person to assume for it any liability in connection with the sale of this item/items.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
04 JUN 13 05 JUN 13 05 JUN 13 NUMBER 1056457
o ACCOUNT NO. 27655 H PAGE 1 OF 1
L I
D P
CARMEL FIRE DEPARTMENT
0 2 CIVIC SQUARE 0
CARMEL, IN 46032
SHIP VIA SLSM. /L NO. TERMS F.0.El POINT
CPU @TCE 40 CHG-NT INDIANAPOLIS, IN
QUAN-
ow SHIP B.O. PART NO. DESCRIPTION NET AMOUNT
0 WIL131973 SENSOR 130 . 72 130 . 72
NOTICE:
SEND TO TRUCK CENTER EAST FINANCE CHARGES
will apply if this
charge is unpaid one
month from the
closing date of
statement. The
"FINANCE
CHARGES" are
computed by a
periodic rate of
1 '/4% per month
which is an
ANNUAL
PERCENTAGE rate
PARTS AND SERVICE HOURS of 21% applied to
MON - FRI 7 : 0 OAM TO 12 : 0 OAM the unpaid balance
SAT 7 : 0 OAM TO 12 : 0 0 PM after deducting
CLOSED ON SUNDAY
current payments
o YZ ® Fuller TTrr„tc2� CA PARTS 130 . 72 and/or credits
� appearing on the
CAT Bendix FLEETGUARD
ENGINES FREIGHT statement from the
:T•N ROCKWELL Spices M(��f{� —�'� 0 . 00
SALES TAX 0 . 00 previous month.
STOMER'S SIGNATURE
TOTAL`.. $130 . 72
CUSTOMER COPY
:t-
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))
1056457 Stock $130.72
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
Andy Mohr Truck Center
IN SUM OF $
1301 S. Holt Road
Indianapolis, IN 46241
$130.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1056457 I 42-370.00 I $130.72 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
,111N _17 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund