HomeMy WebLinkAbout232516 05/13/14 CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPQLIWCK AMOUNT: $....***139.10*
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 232516
CHICAGO IL 60693 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 139.10 OIL
100006017 __ _. ..� . ..._-..._._ _._.
CARMEL NAPA Time: 13:47 € Invoice Number 927655;
N APAI 1441 S GUILFORD RD STE 140
a REF BY_ VER BY Date: 05/01/2014 €
CARMEL, IN 46032-2922 i
(317) 844-3973 Page: 1/1
18032 Employee: 1 Duane 1
CITY OF CARMEL ENGINEERING Sales Rep: 10 Store Y Y €
1 CIVIC SQ ?i OCR
Accounting Day: 1 '
o CARMEL, IN 46032-2584
1000060179276559
;,y ,
Net. u,:'T
_. Part,Number;" Line' 3 °;,� W" wDescription 4uantity , P.rice- g w w^ otal'<<
(� ' 2005 Ford Truck Escape 2.3 L 138 GID L4 Hy rid
48880271 ;NB Brake Rotor Only - 'Rear - Premium 2.00 67.381 41.44001 82.88
AD-7961 !ADO ;Brake Pads - Rear, Adaptive One - 1.00 103.14]] 56.22001 56.22
< - t
Delivery: Our Truck 1-14:17 Subtotal 139.10
i
Attention: ( Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: E4 €
( Terms:
t
a
Charge Sale 139.10
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
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
GPC-IN Purchase Order No.
5959 Collections Center Drive Terms
Chicago, IL 60693 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
5/1/2014 927655 Brake rotors and pads-Tiffany Boone $ 139.10
Total $ 139.10
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.
GPC-IN ALLOWED 20
5959 Collections Center Drive IN SUM OF $
Chicago, IL 60693
$ 139.10
ON ACCOUNT OF APPROPRIATION FOR
086 j"jQo3Z
Board Members
PO#
or
DEP INVOICE NO. ACCT#/TITLE AMOUNT
DEPor
I hereby certify that the attached invoice(s), or
0 927655 2200-4231500 s 139.10 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
5/5/2014
Si nature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund