225852 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 140100 Page 1 of 1
;1. ONE CIVIC SQUARE IBS OF INDIANAPOLIS CHECK AMOUNT: $217.90
CARMEL, INDIANA 46032 6848 E.21 ST STREET
INDIANAPOLIS IN 46219 CHECK NUMBER: 225852
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 44478263 217 . 90 REPAIR PARTS
i-
ORIGINAL
18S OF I NO I AN>hPOL I S
6848 E 21st St. `
Indianapolis, IN 46219
317/322-1818
PRIOR ACCOUNT BALANCE $ 2 0 7 . 9 0
2376 INVOICE: 44478263
CARMEL FIRE DEPT
2 CIVIC SQ 1RUCK/SLSMNa:4/RWP
CARMEL,IN 46032-2584 RYAN PITCHER
3171664-0958 Thursday 10/17/2013
PAYMENT TYPE: CHARGE ACCOUNT 12:42 PM
Type Qty Description Age Rate Price Upgrade Amount
SALE 2 MTP-65 108.95 217.90
NET 217.90
k ------- ---------
y 2 SUBTOTAL 217.90
9,
INVOICE TOTAL $ 217.90
Total Cons•igned'Qty = 0 Total Number Of Cores Picked Up = 2
Core Balance:
AT:6 HV:O LT:O MC:O UT:O Total:6
CHECK # PO #F450
CLOSED HOLD CHARGE PAID PAID OUT
AGING - INCLUDES CURRENT INVOICE:
0-30 31-60 61-90 OVER 90 CREDITS
425.80 0.00 0.00 0.00 0.00
NEW DEALER BALANCE $ 425.80
SIGNATURE:
JASON
PRINT NAME HERE: __--
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))
44478263 A45 $217.90
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
IBS of Indianapolis
IN SUM OF $
6848 East 21 st Street
Indianapolis, IN 46219
$217.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 44478263 I 42-370.00 I $217.90 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 NOV 4 zc
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund