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238104 10/15/2014
CITY OF CARMEL, INDIANA VENDOR: 355214 L/ ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPaWCK AMOUNT: $......***2.35* CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 238104 9y�roN CHICAGO IL 60693 CHECK DATE: 10/15/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4237000 08518032 2.35 REPAIR PARTS 100006017 CARMEL NAPA Time: 13:25 Invoice Number 951913 El � a 1441 S GUILFORD RD STE 140 REF BY_ VER BY _ Date: 10/08/2014 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 18032 Employee: 33 John CITY OF CARMEL ENGINEERING Sales Rep: 10 Store Y Y 1 CIVIC SQ Accounting Day: 8 OCR w CARMEL, IN 46032-2584 _..... _...___..._._.._. .. 1000060179519137 Part'Number Line Description Quantit Price Net `Total' 2010 Ford Truck Escape 3.0 L 2967 ;CC V6 DOH'2 24 Valve 4157LL tLMP Turn Signal Bulb - Rear 1.00 4.601 2.3500. 2.35 i { Delivery: Subtotal 2.35 Attention: 22Op_ q-23-4000 : Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: kurt anderson Terms: E Total 2 :3:5 Charge Sale 2.35 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 10/8/2014 951913 Tum signal bulb for E-2 $ 2.35 Total $ 2.35 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. r. GPC-IN ALLOWED 20 5959 Collections Center Drive IN SUM OF$ Chicago, IL 60693 j $ 2.35 ON ACCOUNT OF APPROPRIATION FOR ©�5 I��z Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 951913 2200-4237000 $ 2.35 bill(s) is (are) true and correct and that the materials or services itemized thereon for I i which charge is made were ordered and received except ' I I 1' 10/13/2014 Signature r' City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund f