HomeMy WebLinkAbout239033 11/11/14 �%���'t`. CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPOMCK AMOUNT: $......**56.63*
9� ,?�; CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 239033
,y,...o CHICAGO IL 60693 CHECK DATE: 11/11/14
()N Gp.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 56.63 OIL
100006017 _... _ _.._.
CARMEL NAPA Time: 11:55 Invoice Number 955454:
1441 S GUILFORD RD STE 140
IN REF BY_ VER BY _ Date: 11/04/2014
MMMIIIIIIIIIIIIIIIIIIfto CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1 (::5�/l
18032 f Employee: 33 John t�)�
o CITY OF CARMEL ENGINEERINGSales Rep: 10 Store € Y Y
1 CIVIC SQOCR 3
Accounting Day: 4
a CARMEL, IN 46032-2584 I
® 1000060179554543
Part Number &Linea( Descrsption �Quant�ky'�f Price Net ', Dotal
75530 )NOL 15W20 SYNTHETIC MOTOR 6.00 9.56 3.7900 22.74
Above Item on Sale
7203 FIL NAPAGOLD OIL FILTER 1.00 12.58 7.2400 7.24
75155 NOL NAPA 5W20 5 QUART 1.00 33.90 19.4900] 19.49
1372 FIL Oil Filter (Gold) 1.00 12.44 7.16001 7.16
{ (
Delivery: Subtotal 56.63
Attention: 200- 423) 5 0� }}' Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
� 56 63 �
Charge Sale 56.63
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
11/4/2014 955454 Oil change-E5 and E3 $ 56.63
Total $ 56.63
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 f ALLOWED 20
5959 Collections Center Drive IN SUM OF$
Chicago, IL 60693 I
t
$ 56.63
1
I
ON ACCOUNT OF APPROPRIATION FOR
i
095. 1 9032. i
1
Board Members
PO#or
DEPT# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or yl
0 955454 2200-4231500 $ es.sa 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
i
if
i
11/10/2014
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
J