223128 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366503 Page 1 of 1
ONE CIVIC SQUARE ON-DUTY DEPOT INDIANAPOLIS CHECK AMOUNT: $68.00
y4�,io CARMEL, INDIANA 46032 2090 RELIABLE PARKWAY
o� CHICAGO IL 60686 CHECK NUMBER: 223128
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1881 68 . 00 REPAIR PARTS
Printed: 8/6/2013 9:29:46 AM Sales Receipt #1881
8/6/2013
Page 1
l _
On-Duty Depot Indianapolis
9750 E 150th St, Suite 900
Noblesville IN 46060
1-800-957-1132
www.ondutydepot.com
Bill To:Carmel Fire Department
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
Customer PO# Code 3 Bulbs
Qty Item# Item Name Attribute Size Price Ext Price
2 1116 Replacement Bulb, Halogen Clear $28.00 $56.00
Subtotal: $56.00
Exempt 0%Tax: +$0.00
Shipping: +$12.00
RECEIPT TOTAL: $68.00
Account: $68.00
Signature
I agree to pay above amount according to card issuer
agreement (merchant agreement if credit voucher).
Total Deposit Taken: $0.00
Balance Outstanding: $0.00
Previous Account Balance: $0.00
Account Balance: $68.00
From Sales Order#1051
Thanks for shopping with us!
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1881
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))
1881 $68.00
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.
ALLOWED 20
On-Duty Depot Indianapolis
IN SUM OF $
9750 East 150th Street, Ste. 900
Noblesville, IN 46060
$68.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1881 I 42-370.00 I $68.00 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
AUG 12 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund