241284 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 355214
1� P�
® z. : ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPOWCK AMOUNT: $********65.98*
?Q; CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 241284
tai"ox"E°' CHICAGO IL 60693 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 08518011 65.98 963844
100006017
CARMEL NAPA Time: 14:24 Invoice Number 963844;
NAPA �PAM 1441 S GUILFORD RD STE 140
,� REF BY_ VER BY
Date: 01/08/2015
REMo CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
18011 Employee: 3 DAVE
CARMEL-CLAY PARKS/RECREATION Sales Rep: 10 Store Y y
1411 E 116TH STOCR
Accounting Day: 8
ae CARMEL, IN 46032-7611
1000060179638446 �
__ h 77eSCY-1 t�OTl ., t uaT tlta Price N2t ) TOta
_Past Number Q �'� � a
SDSB-1G/02 _ NCB SLIME TIRE SEALANT O _ 2.00 62.36 32.9900 65.98
710-1891
--rt ire SCOJOFtf S s
X 158( ---- ---
1 ► 4360 o 0 0
Delivery: Subtotal 65.98
Attention: 7JA
-- � � . Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: 1581 Terms: ., 2V��
'
Charge Sale 65.98
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
(NAPA Auto Parts) Terms
355214 Genuine Parts Company Date Due
5959 Collections Center Drive
Chicago, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/8/15 963844 Tire sealant supplies xx1581 $ 65.98
Total $ 65.98
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
i
j Voucher No. Warrant No.
(NAPA Auto Parts) f Allowed 20
355214 Genuine Parts Company
5959 Collections Center Drive
Chicago, IL 60693 In Sum.of$
1
$ 65.98
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
095
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 963844 4350000 $ 65.98 y 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
I received except
I
j January 15, 2015
I
i
Signature
$ 65.98 !t Accounts Payable Coordinator
Cost distribution ledger classification if y Title
claim paid motor vehicle highway fund f
I