HomeMy WebLinkAbout239259 11/19/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP0�3h!£CK AMOUNT: $*****1,448.18*
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 239259
CHICAGO IL 60693 CHECK DATE: 11/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 08517983 516.54 954667
1110 4237000 08517983 372.57 954804
1110 4237000 08517983 10.49 954860
1110 4237000 08517983 3.99 954883
1110 4237000 08517983 29.75 954907
1110 4237000 08517983 -75.00 954913
1110 4237000 08517983 75.54 954973
1110 4237000 08517983 166.70 955209
1110 4237000 08517983 -15.00 955504
1110 4237000 08517983 172.90 955908
1110 4237000 08517983 59.96 955930
1110 4237000 08517983 51.99 956296
1110 4237000 08517983 35.94 956497
1110 4237000 08517983 41.81 956728
Genuine Auto Parts November 13, 2014
5959 Collection Center Drive
Chicago, IL 60693
Acct: 08517983 - City of Carmel Police Department
Invoices paid:
Date Invoice# Debit Credit
10/29/14 954667 $516.54
10/30/14 954913 $75.00
10/30/14 954907 $29.75
10/30/14 954860 $10.49
10/30/14 954883 $3.99
10/30/14 954804 $372.57
10/31/14 954973 $75.54
11/03/14 955209 $166.70
11/04/14 955504 $15.00
11/07/14 955930 $59.96
11/07/14 955908 $172.90
11/11/14 956296 $51.99
11/12/14 956497 $35.94
11/13/14 956728 $41.81
$1,538.18 $90.00
BALANCE $1,538.18 $90.00
TOTAL AMOUNT PAID $1,448.18
100006017 :................................................•---••-------------
CARMEL NAPA Time: 09:31 :: Invoice Number 954667:
1441 S GUILFORD RD STE 140 1 11)111tt1F1 ttttEtE
FN A'Wi AMIAM REF BY VER BY _ Date: 10/29/2014 II�IIII� IIIIII �IIIIIIIII�llllllllilll
w CARMEL, IN 46032-2922
MOM
° (317) 844-3973 Page: 1/2
------------------•---------------------- .....-..-..................
17983 Employee: 36 Tige
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y
3 CIVIC SQ -Accounting Day: 29 OCR
�s CARMEL, IN 46032-7570 1000060179546679
.;:::: 3fzts::: : = :: : :=.' c�32 . = :;2$ f=_x_::2=::i::::: =; 2v :::tt k: :::;::: A7 3}_::::_t:: ::::::: ..........;:: ::
.................................. ... ............ ....................................................................................................................
............................................................. ................ .---.....:..:......-----....:....-------------�---------.................--------- -::::::12:...00,:::::.....:::::12.74..:::::----::::::2...550.0,..::---.........:::::30.60:::::.R.::::.....
7502 =FIL NAPAGOLD OIL FILTER
55525 :EXH :INTERMEDIATE PIPE 1.00; 108.94: 54.4700: 54.47
21569 =EXH -RESONATOR 1.00: 111.62: 55.8100;: 55.81
21570 ;EXH ::QUIET FLOW MUFFLER 1.00' 188.40; 94.2100:: 94.21
21571 :EXH ;QUIET FLOW MUFFLER 1.00; 188.40; 94.2100; 94.21
733L5344 -BK U-BOLT 2.00. 4.24: 2.1200: 4.24
733-5337 EBRU-BOLT - 2.00: 4.70: 2.0000:: 4.00
855-2506 NOE :DUAL FAN ASSEMBLY 1.00: 310.40: 179.0000; 179.00
..............................•---•--•----•--................................................................................................................
Delivery: Our Truck W- 99-21:31
Attention: exh
Tax Exemption:
PO#:
s
Terms:
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: 09:31 Invoice Number 954667:
1441 S GUILFORD RD STE 140
NAPA REF BY VER BY _ Date: 10/29,2014 -Ii111111111111111lINIIIIII�IIIIIIIIIIII
CARMEL, IN 46032-2922
° (317) 844-3973 Page: 2/2
.....................
....................................................................... .................. ......--
17983 Employee: 36 Tige
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige
3 CIVIC SQ Accounting Day: 29 OCR
CARMEL, IN 46032-7570 - --- - - - -- -
1000060179546679
�x ,� 33r3>rt.: a� 3 Pae Sear
.............. ......... - ......... ..............................................................
2011 Chevrolet Impala 3.9 L 237 CID V6 OHV with
VVT
:..........................................................................................................................................................
Delivery: Our Truck w- 99-21:31 Subtotal 516.54
Attention: exh Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
.........................: :: : ::::;::;::;; fi::i ':: ::: :: :: `-;'::;- ::i::`:.::t::;'c8;;::':>.:;:::s
----------': >:att_...............>:: >:<::::<:>: ::>::::: >k.-; :a::c>::>::>::s>::>::at::{�:may-:::x}:::.Yr:>:_. :> ::
.....................:W.-wSv. :.F.: ...............
. ..............................................................................................................................................
...............................................................................................................................................
..............................................................................................................................................
Charge Sale 516.54
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: 15:01 Invoice Number
954913
. 1441 S GUILFORD RD STE 140
NAPAe+� REF BY VER BY _ Date: 10/30/2014 t E
MOWWA o CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
...._.__ .._. _ .EPto ee: 3 DAVE17983t
CITY OF CARMEL POLICE DEPTSales Rep: 36 Tige 11 Y Y
3 CIVIC SQ ) OCR
Accounting Day 30
® CARMEL, IN 46032-7570 _. _ _ ....:.........
1000060179549131
Part Number Line" Description, w' Quant�ty Price„a:s2. Net Total ;
7534 BAT Core Deposit I -4.00 15.00 15.0000 60.0'0CRFD
( a
This item was purchased on invoice # 954658j10/29/2014)
7548 BAT Core Deposit -1.00# 15.00 15.0000 15.00CR(D
[ This item was purchased on invoice # 954658210/29/2014
i ( a
Delivery: Subtotal 75.00CR
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
,
Credit Memo 75.00 CR
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: 14:43 ; Invoice Number 954907:
1441 S GUILFORD RD STE 140
INAPA� REF BY VER BY _ Date: 10/30/2014 II��IIIIIIIIIIII [IIIII�IIIIIIIIII
®Q CARMEL, IN 46032-2922 f [
(317) 844-3973 Page: 1/1
-----------------------------------------------------------------------•----------------......------................:.....................-•-•---•-•--------------------......------............•....
17983 Employee: 36 Tige
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige
3 CIVIC SQ Accounting Day: 30 OCR
CARMEL, IN 46032-7570 1000060179549079
.........:::-::..::::: . ..._.:. ._ . .:.:..:..
31512 _EXH ;EXHAUST GASKET 1.00: 4.32: 2.15002.15
7060\r FIL :NAPAGOLD OIL FILTER 12.00 11.50: 2.3000; 27.60 ?R
........................................................ .:.......................................................................---------..............-
DeliverySubtotal 29.75
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
.................. - ::::::. ..
ChargeSale::::.:::::::29.75:::::-- ... :.............
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017 __ w..........._..
CARMEL NAPA Time: 11:55 Invoice Number 954860;
E3 � 1441 S GUILFORD RD STE 140
� REF BY_ VER BY Date: 10/30/2014
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17983 Employee. 33 John
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige ( Y Y
3 CIVIC SQOCR
Accounting Day: 30 ;
CARMEL, IN 46032-7570
1000060179548604
Part Number I i ne) 5 . .> Descrpta om:, s...; r ss+ Quantity Price _ r. Net
106259 1CTC (LUBE BTL 1.00 18.74 10.49001 10.49
8
t
Delivery: j Subtotal 10.49
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
0
Charge Sale 10.49
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017
......................................................................:
NAPA Time: 13:28 :: Invoice Number 954883'41 S GUILFORD RD STE 140
�NAPA� AM F BY_ VER BY Date: 10/30/2014RMEL, IN 46032-2922
17) 844-3973 Page: 1/1
-------------------------------------------------------------------------------------------------------------------------------..:--------------------------------------------.............----------------------:
17983 Employee: 36 Tige
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y
3 CIVIC SQ
Accounting D30 OCR
ngay:
CARMEL, IN 46032-7570 :.:. 1000060179548837
. .................... ........-------------
::. .....:: .::_:.:_.:::_._:._.::::::::::::::::�.__:.::.:_::._::::::::::._::::::::::::.:: .:.::::::::_
000491 _CTC -SWAB 1.00: 7.12; 3.9900:: 3.99
.;........................................................ .:.. ........................................................................------.............;.
Deliver Our Truck W- 2-14:13 Subtotal 3.99
Attention: Indiana Sales Tax 7.0000o 0.00
Tax Exemption:
PO#:
Terms:
--------------------------------- Charge Sale
3...99:::::----------.....-. .....
-
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: 08:54 [ Invoice Number 954804;
1441 S GUILFORD RD STE 140
(NAPA � REF BY VER BY Date: 10/30/2014
o
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17983 Employee: 3 DAVE
CITY OF CARMEL POLICE DEPT d) Y Y
® Sales Rep: 36 Tige
3 CIVIC SQ Accounting Day: 30 OCR
CARMEL, IN 46032-7570 _._ ...... __.. _._. _. __ _......___. .. _._...._. ._...w_ r
m
1000060179548043
Part Number Line E Desczption r Quants ty' c PYYce Net rr Tbtal K s,-
1.00 931.42] 372.5700:
255570 � N �1 €TEM NEW COMPRESSOR ) r 372.57 ;R
j_ 2011 Chevrolet Impala 3.9 L 237 CID V6 OHV #ith I q
( 4 VUT
k
Delivery: Our Truck W- 99-20:54 ! Subtotal 372.57
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: €
i
Terms:
{ (, N 'Dotalx,372 57
Charge Sale 372.57
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: 08:57 [ Invoice Number 954973;
1441 S GUILFORD RD STE 140
INAPAIAMR= REF BY VER BY Date: 10/31/2014
CARMEL, IN 46032-2922
° (317) 844-3973 Page:
17983 Employee: 3 DAVE
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige ( Y Y
3 CIVIC SQ Accounting Day: 31 OCR
CARMEL, IN 46032-7570
1000060179549738
Part Nllmlier IL'lne L o- DESC }7t1CY1 F Px Qildnflyl PY1C2r Fxa Net »s%, TOtd� F e„>•
1DEX NAF NAPA DEX COOL ANTIFRZ 6.001 22.381 12 5900 75.54
i
_..._ Delivery.-�” Subtotal 75.54
Attention: Indiana Sales Tax 7.0000% 0.00
Tax-Exemption:
PO#: 1
Terms: _...._
> ✓ t 5 s a" "'5
Total 5
Charge Sale b75.54
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: 09:31 ! Invoice Number 9552091
FA i
1441 S GUILFORD RD STE 140
INAPA� REF BY VER BY _ Date: 11/03/2014
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17983 Employee 36 Tige (_
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige
3 CIVIC SQAccounting Day: 3 OCR t
CARMEL, IN 46032-7570
1000060179552091 S
p =_
Part NumbeY �, e Desciitzou; IQuan �rxc Net 5` Total
.r .� .._..:,.�,. ;-; -') 'BATTERY
� .�
7594R BT BATTERY 1.00 237.03 151 7000, 151.70 �R
7594R BAT Core Deposit 1.00 15.00 15.0000: 15.00 iD
2012 Chevrolet Caprice 6.0 L 364 CHID V8 OHV�
(Pushrod Engine) i
s
2
(( a
Delivery: Subtotal 166.70
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Charge Sale 166.70
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: 14:47 Invoice Number 955504;
NAPA 1441 5 GUILFORD RD STE 140 E
REF BY_ VER BY Date: 11/04/2014
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17983 Employee: 3 DAVE
e CITY OF CARMEL POLICE DEPT = Sales Rep: 36 Tige
3 CIVIC SQ ( Accounting Day: 4 OCR
CARMEL, IN 46032-7570 ""�""" '" �__� �� ..- 1000060179555043
-Part NumberLine) DescrlptionF i{Quantxy PYYce Net Total
._ _.2� � _wM_ _.j. . ._.
7594R � BAT Core Deposit -1.00, 15.001 15.00001 15.00CR?D
., ,.na...s.....ua c-, I E
This item was purchased on invoice[ # 95520911/03/2014
}
S fi
I
Delivery: Subtotal 15.00CR
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Credit Memo 15.00 CR
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: 11:32 iInvoice Number 955930;
1441 S GUILFORD RD STE 140
[NAPA REF BY VER BY _ Date: 11/07/2014
CARMEL, IN 46032-2922
AMP
(317) 844-3973 Page: 1/1
17983 Employee 3 DAVE Y Y
® CITY OF CARMEL POLICE DEPT Sales Rep 36 Tige
3 CIVIC SQ )
Accounting Day: 7 ��� OCR
CARMEL, IN 46032-7570
1000060179559307
Part Number €L�nett DescYiption _..11 Quantify§ Pr'ice ;p Net _ .. =z_ ._ dotal
21569 EXH RESONATOR �� � 1.00! 111.62 55.8100; 55.81
31512 1EXH EXHAUST GASKET 1.00 4.32 2.1500 2.15
733-5337 jBK U-BOLT 1.001 4.70 2.0000„ 2.00
I i
3
t£ 3 {
i � k
Delivery: Subtotal 59.96
Attention: exh Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Charge Sale 59.96
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: 10:17 jInvoice Number 955908:
NAPA 1441 S GUILFORD RD STE 140 P
REF BY_ VER BY _ Date: 11/07/2014
CARMEL, IN 46032-2922
o � F
(317) 844-3973 Page: 1/1
_.....,...,. _. ._ _..._.,... x ..::: :..a ro
17983 l» _---- ,W- Employee 33 John ¢
CITY OF CARMEL POLICE DEPTSales Rep: 36 Tige Y Y
3 CIVIC SQg OCR
Accounting Day: 7
m CARMEL, IN 46032-7570
a 1000060179559085
Desar tionsQr�ankx Prices Net
Past Number n Lines p � Toba�
._.. .. ,w_
60-022-PP WIP ''ACCUFIT BEAM 6.00 23.98 12.74001 76.44
60-022-HB WIP ACCUFIT HYBRID 2.00 30.38 16.1400' 32.28 j
60-021-HB WIP ACCUFIT HYBRID 2.00 30.38 16.1400; 32.28
2012 Chevrolet Impala 3.6 L 217 C D V6 LOHQ 24
NB22 OWI WIPER BLADE 10.001 7.16 3.1900 31.90
(
Delivery: Subtotal 172.90
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
1 i
Terms:
Charge Sale 172.90
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: 07:42 € Invoice Number 9562961
1441 S GUILFORD RD STE 140
MrAP REF BY_ VER BY _ Date: 11/11/2014
t
CARMEL, IN 46032-2922 ,
(317) 844-3973Page: 1/1 ^.
::....____.,,...�..: �.._.,...�,..,e_.�_._.w.._..�,.:__::.:
17983 ..._..,..,..._.....__..._...:...,..Employee: 36 Tige �--�---�}
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 TigeI Y Y
3 CIVIC SQ Accounting Day: 11 OCR
CARMEL, IN 46032-7570 � --- ---------- - -- --- ---- � 1000060179562963
Part Number wLirie x Description f M. Quantity Price ? Net -' Tatal
61032 _ .su� ...,.., . NPT~r^3 ERASER PADS W ARBOR V 1.00151.9900 Y 51.99
}p
i E
1
Delivery: Our Truck W- 2-08:27 Subtotal 51.99
Attention: NPT Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Charge Sale 51.99
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017 _-. ........,.,.:..._. w.
CARMEL NAPA Time: 09:43 Invoice Number 9564971
MFA
1441 S GUILFORD RD STE 140
REF BY_ VER BY Date: 11/12/2014
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1 " s
17983 Employee: 33 John
® CITY OF CARMEL POLICE DEPTSales Rep: 36 Tige
f
3 CIVIC SQ ( ing Day: 12 OCR
Account
CARMEL, IN 46032-7570 -_'_ count
1000060179564970
Parc Number x � Line >k Descgta on sQuantzt Price N4r ,rW Total '
, ( , . _ . b.._ � w .. �s
92-10740 ECH TPMS SENSOR 1.00 69.22 34.6100 34.61
92-0448 �ECH TPMS SENSOR KIT 1.00 2.58 1.3300; 1.33 4
2009 Jeep Grand Cherokee 4.7 L 287 CID V8 S HC 16
Valve
Delivery: - Subtotal 35.94
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
POO:
Terms:
Charge Sale 35.94
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: 13:24 Invoice Number 956728;
1441 S GUILFORD RD STE 140
,NAPillAMPAW
REF BY VER BY _ Date: 11/13/2014
ommmumawft FCARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17983 W - Employee: 33 John 33
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige i Y Y
3 CIVIC SQ Accounting Day: 13 OCR
CARMEL, IN 46032-7570 -- - --- - - - - - 1000060179567281 t
Part NumberLine a DeScrzption Quante tx PrYcew ,Net ) ry Total
1_. _ _.k
BP1255H11/ __ ..... - LMP HALOGEN BULB 3.00 20.28 11.59001 34.77 ;
BP1210H3 ILMP HALOGEN BULB 2.00 7.40 3.5200; 7.04
j
i I
s__....._..._.W._.._.__._. _Delivery Subtotal 41.81
i ?
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
To�alf �. 41 X81 ti
Charge Sale 41.81
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.
Genuine Auto Parts
IN SUM OF$
5959 Collection Center Drive
Chicago, IL 60693
$1,448.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
08 Sl 79,F;5
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-370.00 $1,448.18 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
d
which charge is made were ordered and
received except
Friday, No ember 14, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/13/14 repair parts $1,448.18
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
120
Clerk-Treasurer