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Home My WebLink About239029 11/11/2014 �• CITY OF CARMEL, INDIANA VENDOR: 355214 i) ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPO�I1f�CK AMOUNT: $"'""1,383.94' ?t ?� CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 239029 9MiroN�� CHICAGO IL 60693 CHECK DATE: 11/11/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 08517995 1,383.94 REPAIR PARTS THIS SECTION INTENTIONALLY LEFT BLANK �11� WWW.NAPAaccount.com Page 2 of 2 INV A Visit our website for invoice and statement copies CUSTOMER NAME:CITY OF CARMEL-STREET DEPT ACCOUNT NO: TERMS TOTAL AMT DUE THIS MONTH $0.00 8517995 45 Day Prx CLOSING DATE 10/31/2014 AGED ACCOUNT STATUS Current Total Past Due Amounts Due Future Months Total Open 0.00 0.00 1,383.94 1,383.94 Past Due 1-30 Days Past Due 31-60 Days Past Due 61-90 Days Past Due 90+Days 0.00 0.00 0.00 0.00 Type Inv Date Due Date Code Invoice# P.O.# Open Amount Explanation Future Due 10/03/14 12/15/14 INV 951202 25.00 10/07/14 12/15/14 INV 951632 17.33 10/09/14 12/15/14 INV 952068 8.10 10/10/14 12/15/14 INV 952182 16.72 10/13/14 12/15/14 INV 952446 31.02 10/13/14 12/15/14 INV 952448 469.00 10/14/14 12/15/14 INV 952583 24.72 10/15/14 12/15/14 INV 952868 28.40 10/15/14 12/15/14 INV 952887 17.63 10/16/14 12/15/14 INV 952977 12.49 10/21/14 12/15/14 INV 810340 561.25 10/22/14 12/15/14 CR 810580 808937 -112.50 10/22/14 12/15/14 INV 953737 kevin 61.48 10/23/14 12/15/14 INV 953909 MIKE 38.76 10/24/14 12/15/14 CR 954172 -82.98 10/28/14 12/15/14 INV 954508 KEVIN 135.48 10/28/14 12/15/14 INV 954553 KEVIN 76.67 10/30/14 12/15/14 INV 954814 45.39 10/31/14 12/15/14 INV 954997 9.98 Total Future Amount 1,383.94 INV-Invoice CR-Credit Memo DED-Charge Back OA-On Account Payment OC-Finance Charge 100006017 CARMEL NAPA Time: 09:24 Invoice Number 951632' t Il APA� ,a 1441 S GUILFORD RD STE 140�a REF BY VER BY Date: 10/07/2014 �---o CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17995 Employee: 36 Tige CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y 3400 W 131ST ST Accounting Day: 7 ; OCR cs CARMEL, IN 46074-8267 --._._..__._ _._.. _._ _. .___ _ .._.._ ._. ,_.._�.._. ��.__ ; 1000060179516327 Part Number Line """Descr .ption=` rQuantly Puce Net Total 6604 SAS `SAFETY GLOVES 1.00= 33.18i 17.3300 17.33 e E Delivery: Subtotal 17.33 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms: Charge Sale 17.33 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 ----------------------------------------------......................... CARMEL NAPA Time: 15:50 :: Invoice Number 952868-- 1441 S GUILFORD RD STE 140 11 111 111ft t[1[ 1111II (NAPA REF BY VER BY _ Date: 10/15/2014 -LI�IIII� III�IIIIIIIIttIIIIIIIII�IIIEIII CARMEL, IN 46032-2922 1 �O (317) 844-3973Page: 1/1 -- •................... ............ •............,,..... ...........................................................------ 17995 Employee: 36 Tige CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y 3400 W 131ST ST Accounting Day: 15 OCR CARMEL, IN 46074-8267 :_................:::::.::._:.....:. :: ....... 1000060179528680 <. ..... ::.. �.................................:::..5:.�. ..........;...... �::t:;:::::::::c . ... ..................... ............�- 2005 International 4400 7.6 L 466 SID L6 International DT466 6870 FIL ;Air Filter (Gold) 1.00. 147.30. 28.4000:: 28.40 R .................................................................................................................................................... Delivery: Subtotal 28.40 Attention: Indiana Sales Tax 7.0000% 0.00 Tax'Exemption: PO#: Terms: A424?112 ............. .Charge wwww Sale............ 28.40.:::::..................... ... Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 17:11 Invoice Number 952887. NAPA , 1441 S GUILFORD RD STE 140 REF BY VER BY Date: 10/15/2014 0 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17995 Employee 12 Marc �. CITY OF CARMEL-STREET DEPT Sales Rep. 36 Tige Y Y 3400 W 131ST ST Accounting Day: 15 OCR CARMEL, IN 46074-8267 _ . a 1000060179528877 Pa r.E Number Line Des_crptiori?, ,Quarlkiye Price Net Total ,': HSD158 BK ,SD DRILL BIT 9 16 t 1.Mi 27.421 17 6300 17.63 E E { i t { E Delivery: Subtotal 17.63 Attention: Drill Bit Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms: € z 17 - 63. Charge Sale 17.63 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 09:38 Invoice Number 952583 El 1441 S GUILFORD RD STE 140 � REF BY_ VER BY Date: 10/14/2014 ; CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17995 Employee: 33 John o CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y 3400 W 131ST ST Accounting Day: 14 OCR CARMEL, IN 46074-8267 -_. __ , .__.____.m .... ------ 1000060179525834...._.._._. ____._.. 1000060179525834 Part Number Line,: = ;Descrptiori. (,Quantify M Price Net Total BP1255H3 LMP ;HALOGEN BULB 6.00' 6.281 4.1200: 24.72 f s Delivery: Subtotal 24.72 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms: e � llhi. Total ChargSale 24.72 24 °12 , Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE , REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 _. .. ... ..._. CARMEL NAPA Time: 11:28 ? Invoice Number 952448 f 1441 S GUILFORD RD STE 140 REF BY_ VER BY Date: 10/13/2014 -- -o CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17995 Employee. 36 Tige ® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y 3400 W 131ST ST Accounting Day: 13 OCR w CARMEL, IN 46074-8267 1000060179524489 Part Number. Line Description; Quantity Prace Net Total' - <- MDX-225TV NBT !ANALYZER W PRINTER 1.00, 469.00]j 469.00W 469.00 I Delivery: Our Truck W 99-23:28 Subtotal 469.00 Attention: tool Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms: _.. o T 469 .-00 �, . . tal Charge Sale 469.00 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 11:25 $ Invoice Number 952446 El REFIBY GUI`L�FRRDBYD STE 140 Date: 10/13/2014 11 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 _,.__.... .. _.. _.., ..,._.. 17995 Employee 12 Marc ® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y 3400 W 131ST ST Accounting Day: 13 OCR a CARMEL, IN 46074-8267 _.__ ,.. _..._.._ ._.. _,,. 1000060179524461 Part Number L" " DescY ption QuantityPrice Net ;Total 817-2010 ;TWD ,SPLASH GUARD - NAPA L 2.00 31.02 15.51001 31.02 i 3 ( t t Delivery: Subtotal 31.02 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms: 2 Total. 31 . 0" Charge Sale 31.02 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 13:44 Invoice Number 952068 1441 S GUILFORD RD STE 140 REF BY VER BY — Date: 10/09/2014 o CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 ................ .................................... 17995 Employee: 36 Tige CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige 3400 W 131ST ST Accounting Day: 9 OCR CARMEL, IN 46074-8267 1000060179520688 Part Number Line bescipt'Lon' Quanti: rice xe t Total' .. 1157NA :LMP BULB 6.00. 2.36; 1.3500. 8.10 Delivery: Subtotal 8.10 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms- A-VI f Charge Sale 8.10 Customer Sian.t. ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 10:59 PlInvoice Number 952182 FMAPA� AM 1441 S GUILFORD RD STE 140 REF BY VER BY Date: 10/10/2014 o CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17995 Employee: 33 John CITY OF CARMEL-STREET DEPTSales Rep: 36 Tige Y Y 3400 W 131ST ST Accounting Day: 10 OCR CARMEL, IN 46074-8267 _........ _. .. 1000060179521829 Part Number :Line Description Quanbs-ty Price x Net Total 1758 FIL INAPAGOLD OIL FILTER 2.00' 33.44, 8.3600 16.72 R t i Delivery: Subtotal 16.72 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms: 16.72 Charge Sale 16.72 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 _ .. CARMEL NAPA Time: 11:54 Invoice Number 952977 1441 S GUILFORD RD STE 140 NAPA � REF BY_ VER BY Date: 10/16/2014 oMW CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17995 Employee 5 JONATHAN ; ® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y 3400 W 131ST ST Accounting Day: 16 OCR ® CARMEL, IN 46074-8267 -_ ._._ .. .... ... ® 1000060179529778 Total Part NumberLine �< Descrgtion' Quantify x c r. 10009 LUC €LUCAS TRANS FIX 1.00? 16 86 12 4900: 12.49 i i j E { { Delivery: Subtotal 12.49 Attention: Lucas oil Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms: T6, aL V,ty 'A) l t Charge Sale 12.49 Customer S' nature ALL GOODS RETURNED MUST BE AC MPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR, CHICAGO ILL. 60693 CUSTOMER COPY 100006013 NAPA AUTO PARTS Time: 14:31 Invoice Number 810340; NAPPa RETURNS IN ORIG BOX W RECEIPT REF BY VER BY Date: 10/21/2014 j 317-733-2180, IN 46077 j F (317) 733-2180 Page: 1/1 17995 � Employee• 5 Mike • CITY OF CARMEL-STREET DEPT Sales Rep: 36 Ted Y Y 3400 W 131ST STOCR i Accounting Day: 21 � # ® CARMEL, IN 46074-8267 1000060138103402 1VUtt�23e 7236 BAT BATTERY U 5.00 161.92 89.7500448.75 �� _ 5.001 22.50 22.500W 112.50 D 7236 BAT Core Deposit O 1 � z 4 i S 1 i r'_'__'____'_"'_____'Delivery: � Subtotal 561.25 Attention: INDIANA SALES TAX 7.0000% 0.00 Tax Exemption: { PO#: Terms: BY TENTH L�/':�3 V - Charge Sale 561.25 ,(--U/tcfmer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT PAYMENT TO 5959 COLLECTION CTR DR CHICAGO IL 60693 CUSTOMER COPY 100006017 :----------' ............. . ...............•-------------•------- - CARMEL NAPA Time: 11:22 ;.Invoice Number 953737: 1441 S GUILFORD RD STE 140 ■i 11111111laa II 11t1t1 NAPA AMREF BY VER BY _ Date: 10/22/2.014 I`I�IIII!�IIIIIIIIItIIIIIIIIIIIIII'IIIIIIII? CARMEL, IN 46032-2922 lli H ° (317) 844-3973 Page: 1/1 ...................................................................................,............................-•--•----..•---------------------------------------- 17995 Employee: 36 Tige CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y 3400 W 131ST ST Accounting Day: 22 OCR CARMEL, IN 46074-8267 :.:............ ::::.-....:....:.:----.....-...-..:-.:............. .......... 1000060179537377 c2009 Ford Truck F250 Super Duty 3/54 Ton - Fick UP-7974A-M :IIP *Brake Pads - Front, Ultra Premium 1.00: 115.76. 54.9900' 54.99 R 765-1351 BK :SIL-GLYDE LUBRIC COMP 1.00: 12.98': 6.4900: 6.49 ......................................................•- -:------------------------------------------------......------------............................ Deliver Our Truck W- 99-23.22 Subtotal 61.48 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: kevin Terms: ------=----------------::-...-.....:--------..::::::. - :::..:::::: ::::::..........------------.. Charge Sale 61.48 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 .---•--•................................................................ CARMEL NAPA Time: 12:29 ; Invoice Number 953909" 1441 S GUILFORD RD STE 140 11111 ill E1E1 I NAPA AMA REF BY VER BY _ Date: 10/23/2014 III�IIII>1IIIIIIIIIII�tIIIII�Illllllllll CARMEL, IN 46032-2922 ° (317) 844-3973 Page: 1/1 ...------•-•-------------------------------------------------------------------------------------------------•--------------- :----................-----------------------...........--------------------- 17995 Employee: 36 Tige CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y 3400 W 131ST STAccounting Day: 23 OCR CARMEL, IN 46074-8267 :........ 1000060179539099 ......... - .- ::. ...::::::::::: ._::::::::::: ::......... .. ..................... ...........- :--:::-:_:.:::::::::::_:::::::.::::: _:::::: ..... :::::::.::::_:.:.:::::::::::: 3813 FIL :=NAPAGOLD FUEL FILTER 2.00. 77.50: 19.3800.: 38.76 R .................................................................................................: Delivery: Our Truck W- 99-00:29 Subtotal 38.76 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: MIKE Terms: ----•----•--------------:.:-::-:..------------...:::::.Charge Sale 38.76 ---------- Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CUSTOMER COPY CHICAGO ILL. 60693 100006017 ..... CARMEL NAPA Time: 09:50 Invoice Number 9549972 1441 S GUILFORD RD STE 140 NAPAd AMP REF BY_ VER BY _ Date: 10/31/2014 �31a CARMEL, IN 46032-2922 I (317) 844-3973 Page: 1/1 17995 Employee: 3 DAVE CITY OF CARMEL-STREET DEPT Y Y ® Sales Rep: 36 Tige r 3400 W 131ST STOCR i Accounting Day: 31 s CARMEL, IN 46074-8267 1000060179549970 Part Number Liner DescriptionysQuantity, Price N_et c Total w. _ v RVAF IWWS 'RV MARINE ANTIFREEZE 2.001 8.981 4.99001i 9.98 1 i E € S Delivery: O� NJ,'��,�f PC Subtotal 9.98 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: Terms: i Tatar=' F 9 98 Charge Sale 9.98 61 ustomer Sign ture ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY - Remit to: 'NAPA' Genuine Parts Company, Inc. - 5959 Collections Center D ® Chicago, IL 60693 NAPA AUTO PARTS IND013 (IND) 4904 WEST 106TH STREET RECEIVED BY X MUST HAVE RECEIPT FOR RETURN 100006013810580 ACCT NO SOLD TO DATE 1INVOICEI STOR EMP SR 17995 CITY OF CARMEL-STREET DEPT .ACCT 7995 CARMEL IN PURCHASE ORDER # (22) 460748267 808937 INVOICE TYPE CHGE TY PART NUMBER LINE DESCRIPTION PRI C NET TOTAL CODE 5 . 00-7236 01 BATTERY . 0 . 00 112 .50- C . 0 00 . 0 . 00 . 00 3 . 0 03 . 0 . 00 . 00 T . 0 00 . 0 . 00 . 00 . 0 . 0 . 00 . 00 . 0 . 00 . 00 . 00 SUE 112 .50-MISC 00 . 000 IJAX . 00 TOT.AL 112 .5 -CHGE E100006017 CARMEL NAPA Time: 09:03 Invoice Number 951202 n 1441 S GUILFORD RD STE 140 H • REF BY— VER BY _ Date: 10/03/2014 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17995 Employee: 33 Sohn • CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y 3400 W 131ST ST Accounting Day: 3 OCR CARMEL, IN 46074-8267 1000060179512027 Part Number Line Description Quantity Price Net Total 765-3172 SK PX DEC ADH REMVR AERO 1.00 9.06• 7.4900 7.49 08088 MMM GEN TRIM ADHV CLEAR 1.00 29.20• 17.5100 17.51 i Anticipated Time: Subtotal 25.00 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: T riRS l -- Total 25. 00 2 Charge Sale 25.00 Custom i a e ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DP CHICAGO ILL. 60693 STORE COPY INS/ NAPA AUTO PARTS IND017 (IND) 1441 SOUTH GUILDFORD ROAD SUITE 140 RECEIVED BY X MUST HAVE RECEIPT FOR RETURN 100006017954172 ACCT NO SOLD TO DATE JINVOICE1 STOR EMP SR 17995 CITY OF CARMEL—STREET DEPT .ACCT 7995 CARMEL IN (24) 460748267 INVOICE TYPE CHGE TY PART NUMBER LINE DESCRIPTION PRIC NET TOTAL CODE 3 . 0 07 . 0 . 00 . 00 T . 0 00 . 0 . 00 . 00 . 0 . 0 c . 00 . 00 . 0 . 0 c . 00 . 00 . 0 . 0 . 00 . 00 . 0 . 0 . 00 . 00 SUEJ 82 .98—MISC 00 . 000 AX . 00 TOTAL 82 . 9 —CHGE - Remit to: (NAPA/ Genuine Parts Company, Inc. - 5959 Collections Center D ® Chicago, IL 60693 NAPA AUTO PARTS IND017 (IND) 1441 SOUTH GUILDFORD ROAD SUITE 140 RECEIVED BY X MUST HAVE RECEIPT FOR RETURN 100006017954508 ACCT NO SOLD TO DATE IINVOICEI STOR EMP SR 17995 CITY OF CARMEL-STREET DEPT .ACCT 7995 CARMEL IN PURCHASE ORDER # (28) 460748267 KEVIN INVOICE TYPE CHGE TY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 6 . 0 1GAL 01 ANTIFRZE . 0 . 000 59 . 94 . 0 00 . 0 . 00 . 00 6 . 0 1DEX 02 DEXCOOL . 0 . 000 75 .54 . 0 00 . 0 . 00 . 00 3 . 0 03 . 00 . 00 . 00 T 0C 00 . 0 . 00 . 00 SUEJ 135 .48 MISC 00 . 000 AX . 00 TOTJNL 13S .44 CHGE - Remit to: (NAPA/ Genuine Parts Company, Inc. -® 5959 Collections Center D Chicago, IL 60693 NAPA AUTO PARTS IND017 (IND) 1441 SOUTH GUILDFORD ROAD SUITE 140 RECEIVED BY X MUST HAVE RECEIPT FOR RETURN 100006017954553 ACCT NO SOLD TO I DATE ITNVOTCEI STOR EMP SR 17995 CITY OF CARMEL-STREET DEPT .ACCT 7995 CARMEL IN PURCHASE ORDER # (28) 460748267 KEVIN INVOICE TYPE CHGE TY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1. 0 90-7550 01 FILTER . 0 . 000 76 . 67 . 00 00 . 0 . 00 . 00 3 . 00 02 . 0 . 00 . 00 T . 0c 00 . 0 . 00 . 00 . 0 . 0 . 00 . 00 . 0 . 0 . 00 . 00 SUE 76 .67 MISC 00 . 000 AX . 00 TOTTJL 76 . 67 CHGE - Remit to: (NAPA/ Genuine Parts Company, Inc. -® 5959 Collections Center D Chicago, IL 60693 NAPA AUTO PARTS IND017 (IND) 1441 SOUTH GUILDFORD ROAD SUITE 140 RECEIVED BY X MUST HAVE RECEIPT FOR RETURN 100006017954814 ACCT NO SOLD TO DATE JINVOICE1 STOR EMP SR 17995 CITY OF CARMEL-STREET DEPT .ACCT 7995 CARMEL IN (30) 460748267 INVOICE TYPE CHGE TY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1 . 00 43315 02 WTR/PUMP . 0 . 000 45 .39 . 0C 00 . 0 C . 00 . 00 3 . 00 03 . 0 . 00 . 00 T . 00 00 . 0 . 00 . 00 . 0 . 0 . 00 . 00 . 00 . 0 . 00 . 00 SUEJ 45 .39 MISC 00 . 000 AX . 00 TOTAL 45 .3q CHGE VOUCHER NO. WARRANT NO. ALLOWED 20 GPC-IND IN SUM OF$ 5959 Collection Center Drive Chicago, IL 60693 $1,383.94 i ON ACCOUNT OF APPROPRIATION FOR. Carmel Street Department 09 5 f 725 PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 I I 42-370.001 $1,383.94 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 Frid , Nov 14 6t�rrnlissa��r i Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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 I Purchase Order No. Terms I Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/06/14 $1,383.94 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