240684 01/07/2015 a°�C4gM
CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPCgWCK AMOUNT: $"*""*'"8.40'
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 240684
CHICAGO IL 60693 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 085-18039 8.40 959642
100006017
CARMEL NAPA Time: 11:02 Invoice Number 959642-
1441
596421441 S GUILFORD RD STE 140
REF BY_ VER BY _ Date: 12/05/2014
Q CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
18039 Employee: 36 Tige
CITY OF CARMEL-WATER Sales Rep: 36 Tige Y Y
3450 W 131ST ST Accounting Day: 5 OCR
CARMEL, IN 46074-8267
a
1000060179596428
Part Number Line Description ;= Quantity'; Prig Net Total
7202 FIL NAPAGOLD OIL FILTER 2.001 22,16 4.2000 8.40 ;R
_ � t
i ; 1
9
Delivery: Subtotal 8.40
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: truck -72
Terms: `lMk 7�
.. �,�� _ �'�,st� � '`. •. . * Total �.�...., 8 . 40
Charge Sale 8.40
Customer S gnature
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
355214
NAPA AUTO PARTS- INDIANAPOLIS, IN Purchase Order No.
5959 COLLECTIONS CENTER DRIVE Terms
CHICAGO, IL 60693 Due Date 12/10/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/201, 959642 $8.40
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
/G//� r i �`,a...�.-+-!�✓Y-�../�'1 y,,.�._.�--moi
Date Officer
VOUCHER # 142501 WARRANT # ALLOWED
355214 ! IN SUM OF $
NAPA AUTO PARTS- INDIANAPOLIS, II
5959 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
0?5-1 '0�9 Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
959642 01-6500-05 $8.40
I
I
Voucher Total $8.40
Cost distribution ledger classification if
claim paid under vehicle highway fund