225102 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 362878 Page 1 of 1
ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $537.02
CARMEL, INDIANA 46032 2425 E 30TH ST
INDIANAPOLIS IN 46218 CHECK NUMBER: 225102
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 3LQ6802 196 . 04 REPAIR PARTS
1110 4237000 3LQ7762 340 . 98 REPAIR PARTS
TBA North Invoice
309 Gradle Dr. NO. 03LQ6802
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II II II II III III II I
Page 1
10:35:47 Sep 20 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LQ6802 09/20/13 03TIO029001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARIbIEL POLICE CITY GARAGE Contact: JASON /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
09/20/13, 09:53:02 000001 ONLINE ORDERS N NORTH A 1 ACX
ACX Reference No: A01868 ***
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2012 CHEVROLET IMPALA
V6-217ci 3.6L FLEX/FI Vin
3 ID'141010
ACD 18A2414A 19241847 ROTOR U EA 0 0 4 92.00 0.00 49.01 0.00 196.04
TX: 010 2
TX: 040 2
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TTA -
,�M-
X NVO ICE TOTAL PAYMENTS BALANCE DUE
196.04 368.00 196.04 0.00 0.00 0 196.04 0.00 196.04
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
-----------------------------------------------------------
TBA North Invoice
309 Gradle Dr. No. 03LQ7762
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIII II III it I III I II III I II
Page 1
11:31:04 Sep 23 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LQ7762 09/23/13 03TI117 0001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact:JASON /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
09/23/13, 11:26:57 000001 ONLINE ORDERS N NORTH A 1 ACX
* * ACX Reference No: A02119
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE''i„ CORE PRICE
2009 CHEVROLET IMPALA
V6-3880cc 3.9L FLEX/FI
Vin M ID#39056
DOR 620-974 DUAL FAN ASSEMBLY NONE EA 1 0 2 325.24 0.00 .170.49 0.00 340.98
TX: 010 1
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT F3c,4 ICE TOTAL PAYMENTS BALANCE DUE
i340.98 650.48 340.98 0.00 0.00 0.00 0.98 0.00 340.98
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
-----------------------------------------------------------
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))
09/20/13 3LQ6802 repair parts $196.04
09/23/13 3LQ7762 repair parts $340.98
I 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
TBA North
IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$537.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 3LQ6802 42-370.00 $196.04 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 3LQ7762 42-370.00 $340.98
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, October 03, 2013
l/
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund