223001 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1
ONE CIVIC SQUARE IBS OF INDIANAPOLIS CHECK AMOUNT: $286.85
CARMEL, INDIANA 46032 6848 E.21ST STREET
INDIANAPOLIS IN 46219
CHECK NUMBER: 223001
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 107238 -53 . 05 REPAIR PARTS
1120 4237000 44476816 339 . 90 REPAIR PARTS
ORIGINAL "
IBS OF INDIANAPOLIS
6848 E 21st St.
Indianapolis, IN 46219
3171322-1818 '
PRIOR ACCOUNT BALANCE $ -5 3 . 0 5
2376 INVOICE: 44476816
CARMEL FIRE DEPT
2 CIVIC SQ TRUCK/SLSMN#A/RWP
CARMEL,IN 46032-2584 RYAN PITCHER
b 317/664-0958 Tuesday 07109/2013
PAYMENT TYPE: CHARGE ACCOUNT 10:26 AM
Type Qty Description Age Rate Price Upgrade Amount
--------------------------------------------------------------------------------
SALE 2 8D-MHD 169.95 339.90
NET 339.90
2 SUBTOTAL 339.90
INVOICE TOTAL $ 339.90
Total Consigned Qty = 0 Total Number Of Cores Picked-Up = 2
Core Balance:
AT:6 HV:O LT MC:O UT:O Total:6
CHECK # #E4
CLOSED _ HOLD _ CHARGE _ PAID _ PAID OUT _
AGING - INCLUDES CURRENT INVOICE:
0-30 31-60 61-90 OVER 90 aTS
339.90 0.00 0.00 0.0 53.05
NEW LANCE $ 286.85
SIGNATURE:
BOB
PRINT NAME HERE: .
IBS OF INDIANAPOLIS
6848 E 21 st St.
Indianapolis, IN 46219 {
(317)322-1818 1
CARMEL FIRE DEPT
3 CIVIC SQ
CARMEL, IN 46032-2584
STATEMENT DATE
1 . ,
/A/TBRSTi4TE :: . 08/01/13
BATTER/ES
STATEMENT OF ACCOUNT
CODES:T=Ticket P=Payment F=Finance charge
DATE CODE INV. '• NUMBER CHARGES CREDITS BAL.
05/08/13 P 107238 -5105 -53.05'
07/09/13 T 44476816 E49 339.90 286.85.
I
DUE ON RECEIPT
0 to 30 days $339.90
31 to 60 days $0.00 $286.85;
61 to 90 days $53.05-
91 days or more $0.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Interstate Batteries of Indianapolis
IN SUM OF $
6848 East 21 st Street
Indianapolis, IN 46219
$286.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 44476816 42-370.00 $339.90 I hereby certify that the attached invoice(s), or
1120 107238 42-370.00 ($53.05) 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
Irescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
44476816 E49 $339.90
107238 CREDIT ($53.05)
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