225544 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367664 Page 1 of 1
ONE CIVIC SQUARE S&S SCHOOL BUS SEATS AND PARTS/
CARMEL,INDIANA 46032 211 WALNUT STREET STE C CHECK AMOUNT: $134.35
LEBANON OH 45036
CHECK NUMBER: 225544
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2534 134 . 35 OTHER EXPENSES
S & S School Bus Seats and Parts, LLC Invoice
211 Walnut Street Suite C S.O. No. Date Invoice #
Lebanon, OH 45036
1-800-741-b056 10/2/2013 2534
Bill To Ship To
CARMEL WASTEWATER CARMEL WASTEWATER
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANPOLIS IN 46280 INDIANPOLIS, IN 46280
"We've Got You Covered"
Ordered By Order Date Sales Rep Due Date Ship Date Via P.O. No.
JEFF 10/2/2013 10/2/2013 UPS TRUCK 80
Part# Description Qty Ord Qty Ship Each Amount
15090100 Motor Heater 2 2 59.85 119.70
FRT FREIGHT 1 1 14.65 14.65
We Appreciate Your Business Total $134.35
Phone#-- - Fax# - - - E-mail
513.228.0702 513.228-0704 kcsasseatcovers @yahoo.com
VOUCHER # 136625 WARRANT # ALLOWED
367664 IN SUM OF $
S & S SCHOOL BUS SEATS AND PART
211 WALNUT STREET
SUITE C
LEBANON, OH 45036
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2534 01-7502-06 $134.35
Voucher Total $134.35
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367664
S & S SCHOOL BUS SEATS AND PARTS, LLC Purchase Order No.
211 WALNUT STREET Terms
SUITE C Due Date 10/17/2013
LEBANON, OH 45036
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/201: 2534 $134.35
hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance�with/IIC 5-11-10-1.6
3 (�-°�'41-
Date Officer