HomeMy WebLinkAbout239031 11/11/14 �,CAq
y o._,`+, CITY OF CARMEL, INDIANA VENDOR: 355214
® ,
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPaWCK AMOUNT: $......**59.19*
:q ��,
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 239031
MM9d+ CHICAGO IL 60693 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 59.19 REPAIR PARTS
100006017
CARMEL NAPA Time: 11:00 Invoice Number 953572
NAPA , 1441 S GUILFORD RD STE 140
e� REF BY VER BY Date: 10/21/2014
i
o CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17996 Employee. 12-",—Marc,-
CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Tige Y Y
2 CIVIC SQUARE Accounting Day 21 OCR
CARMEL, IN 46032-2584 _._. ..,_ ........... ......__ _ s
1000060179535725
3
Part iption E 3,.Quantzy Price ;Net Total
13150 =KAT (!TANK HEATER 1.00 123 11; 59.1900 59.19
f
Delivery. Subtotal 59.19
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
E
PO#:
Terms:
Charge Sale 59.19
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Napa Auto Parts
l IN SUM OF $
5959 Collections Center Drive
Chicago, IL 60693
$59.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
og1 -7q,%
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 953572 42-370.00 $59.19 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 10 2014
g 6
r +T%�t! i�9'�� ✓
Fire Chief
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
953572 $59.19
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