241978 2 /10/2015 (9,
CITY OF CARMEL, INDIANA VENDOR: 355214CK AMOUNT: S*****3,107.45ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP0ILCARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 241978
CHICAGO IL 60693 CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 08517995 3,107.45 REPAIR PARTS
THIS SECTION INTENTIONALLY LEFT BLANK
-------------------------------------------- -7
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Visit our website for invoice and statement copies
CUSTOMER NAME: CITY OF CARMEL-STREET DEPT
ACCOUNT NO: TERMS TOTAL AMT DUE THIS MONTH $49.00
8517995 45 Day Prx
CLOSING DATE
01/31/2015
AGED ACCOUNT STATUS
Current Total Past Due Amounts Due Future Months Total Open
49.00 0.00 3,107.45 3,156.45
Past Due 1 -30 Days Past Due 31 -60 Days Past Due 61-90 Days Past Due 90+Days
0.00 0.00 0.00 0.00
Tvoe
Inv Date Due Date Code Invoice P.O.# Open Amount Explanation
01/28/15102/20/15 1 INV1 10000023680 49.001
Total Current Due 49.00
Future Due
01/02/15 03/15/15 CR 962907 954288 -27.50
01/05/15 03/15/15 INV 822079 SHOP 21.52
01/05/15 03/15/15 INV 963216 mike 19.13
-01/06/15 03/15/15 INV 963376 205.70
01/06/15 03/15/15 INV 963377 205.70
01/06/15 03/15/15 INV 963378 38.98
01/06/15 03/15/15 CR 963546 -67.69
01/07/15 03/15/15 INV 963583 230.86
01/08/15 03/15/15 INV 963777 14.74
01/09/15 03/15/15 INV 963912 MIKE 17.78
01/09/15 03/15/15 INV 963984 35.56 -
01/12/15 03/15/15 INV 823247 173.00
01/12/15 03/15/15 INV 964243 kevin 218.26
01/12/15 03/15/15 INV 964244 6.99
01/14/15 03/15/15 INV 964553 48.40
01/20/15 03/15/15 INV 824629 Truck#3 440.39
01/20/15 03/15/15 INV 965333 397.36
01/21/15 03/15/15 INV 824802 42.00
01/21/15 03/15/15 CR 824822 -141.10
01/21/15 03/15/15 INV 965461 47.66
01/22/15 03/15/15 INV 824979 truck 3 19.10
01/22/15 03/15/15 INV 825064 truck 22 222.62
01/22/15 03/15/15 INV 965617 truck 3 222.62
01/22/15 03/15/15 INV 965641 58.80
01/22/15 03/15/15 INV 965705 shop 48.49
01/22/15 03/15/15 CR 965731 954013 -54.42
01/23/15 03/15/15 INV 825138 truck#22 62.76
01/23/15 03/15/15 INV 825212 SHOP 21.05
INV-Invoice CR-Credit Memo DED-Charge Back OA-On Account Payment OC-Finance Charge
ANOPage 3 of 3
CUSTOMER NAME: CITY OF CARMEL-STREET DEPT
ACCOUNT NO: TERMS TOTAL AMT DUE THIS MONTH $49.00
8517995 45 Day Prx
CLOSING DATE
01/31/2015
jype
Inv Date Due Date Code Invoice# P.O.# Open Amount Explanation
01/23/15 03/15/15 INV 965874 39.37
01/26/15 03/15/15 INV 966029 504.85
01/27/15 03/15/15 INV 966254 mike 22.34
01/30/15 03/15/15 1 INV 966590 shop 12.13
Total Future Amount 3,107.45
INV-Invoice CR-Credit Memo DED-Charge Back OA-On Account Payment OC-Finance Charge
DO nn 000000 4476.92
- , Remit to:
(NAPA/ Genuine Parts Company, Inc.
-® 5959 Collections Center D
Chicago, IL 60693
NAPA AUTO PARTS IND017 (IND)
1441 SOUTH GUILDFORD ROAD
SUITE 140
RECEIVED BY X
MUST HAVE RECEIPT FOR RETURN
100006017966590
ACCT NO SOLD TO I DATEIINVOICEI STOR EMP SR
17995 CITY OF CARMEL-STREET DEPT
.ACCT 7995
CARMEL IN PURCHASE ORDER #
(30) 460748267 shop
INVOICE TYPE CHGE
TY PART NUMBER INE DESCRIPTION PRIG NET TOTAL CODE
1 . 0 90-664 01 COUPLER . 0 . 00C 12. 13
. 0 00 . 0 . 00 . 00
3 . 0 02 . 0 . 00 . 00 T
. 0 00 . 00 00 . 00
. 0 . 00 ' . 00 . 00
. 0 . 0 . 00 . 00
Sug 12 . 13 MISC 00 . 000 AX . 00 TOT L 12 . 1 CHGE
100006017
CARMEL NAPA Time: 11:04 Invoice Number 962907
(NAPA AM 1441 S GUILFORD RD STE 140
REF BY_ VER BY _ Date: 01/02/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee: 5 JONATHAN
CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 2 OCR
me CARMEL, IN 46074-8267
1000060179629072
Pazt Number Liieb DescRX
pkaonQuanity( Price NetVvPota1 •:
13-4807 BRAY Core Deposit O -1.00 27.50 27.5000 27.50CRD
This item was purchased on invoiCE # 901191 10/23/2013
Delivery: Subtotal 27.50CR
Attention: Returns Indiana Sales Tax 7.0000% 0.00
1 Tax Exemption:
PO#: 954288
Terms:
r;771 ' € otal 27 50'CRYs
Credit Memo 27.50 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: 11:14 Invoice Number 963216,
NAPA AM1441 S GUILFORD RD STE 140
REF BY_ VER BY _ Date: 01/05/2015
o CARMEL, IN 46032-2922
(317) 844-3973Page: 1/1
17995 Employee: 36 Tige
® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y
3400 W 131ST STAccounting Day: 5 OCR
CARMEL, IN 46074-8267
1000060179632166
Part`Number� Li%
35101 NBF BRK FLUID DOT 3-GAL (200) 1.00 37.78 19.1300 19.13
f
Delivery: Subtotal 19.13
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: mike
Terms:
W,
FjY 750,t-""' 1913
Charge Sale 19.13
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: 08:33 Invoice Number 963376
AM 1441 S GUILFORD RD STE 140
NAPAT1 REF BY_ VER BY Date: 01/06/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee: 3 DAVE
CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 6 OCR
CARMEL, IN 46074-8267 1000060179633762
m �"`
c;
Ll£llb � ��a�4�"r ,��
7565 BAT BATTERY (BAT,170) 2.00 157.31 87.85001 175.70 R
75-65 BAT Core Deposit (BAT,170) 2.00 15.00 15.0000 30.00D
I
m• �..H_• Delivery: Subtotal 205.70
Attention: Indiana Sales. Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
1
Charge Sale 205.70
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017
E3:� CARMEL NAPA Time: 08:35 Invoice Number 9633781
¢NAPA `* � 1441 S GUILFORD RD STE 140
r� REF BY VER BY Date: 01/06./2015
MMMMMOWFAMMO- o CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee 3 DAVE
® CITY OF CARMEL-STREET DEPT :Sales Rep. 36 Tige Y Y
3400 W 131ST ST Accounting Day: 6 OCR
® CARMEL, IN 46074-8267 1000060179633780 1
,ParCNuit�ber ° Dine` _ Desrpt�o7iS2iiant .k ,Prx�e Net Tota� �_ ' s
�� _• s
819-5952 NOE WIPER ARM O 2.00 34.38 19.4900µ 38.98
1
- Delivery: Subtotal 38.98
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Charge Sale 38.98
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: 08:33 Invoice Number 963377.1
NAPA 1441 S GUILFORD RD STE 140
e® REF BY_ VER BY Date: 01/06./2015
E3
tMMOMCARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1 - -
17995 Employee: 3 DAVE
® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 6 OCR
a CARMEL, IN 46074-8267
1000060179633771
PartNiimber
21M
7565
De5CXp UriF -r QL1aTlt i 7PS1C0„ ,` 1@t (;£ a Total '`
7565 BAT BATTERY (BAT,170) 2.00 157.31 87.8500~ 175.70 R
7565 BAT Core Deposit (BAT,170) 2.00 15.00 15.0000 30.00 D
Delivery: Subtotal 205.70
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
F t MTotala k2057°0
ate .
Charge Sale 205.70
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE -
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006013 ------
NAPA AUTO PARTS Time: 10:55 Invoice Number 8232474
NAPAC: AMRETURNS IN ORIG BOX W RECEIPT tt
� REF BY VER-BY Date: 01/12%2015
-� --� oMUMUNINAWN317-733-2180, -TN,46077
(317) 733-2180 Page: 1/1
.—------
' 17995 {�_._ ...., Employee: 1_.,ryKeith ...xw_._�..._....._.,.... .�,w._,. .a....�.,, ._,.. �.....m....w...,__,..,.,.. .�
CITY OF CARMEL-STREET DEPT
® Sales Rep: 36 Ted Y Y
3400 W 131ST ST Accounting Day: 12 OCR
� CARMEL, IN 46074-8267 ""-�,
® -- 10000601138232479
I? 1�UR1�72 r1klEx n a G SC 7,�t10�12n a 'x�+„u`'�i1dTS 7�.Y*'�
736118 ria 5
BEL (BULK BATTERY CAB �0
p
� ' LE O - •I 100.00, 3.26€ 1.7300.; 173.00
3400 W Main St (Willow Rd) i
qc t
Delivery. Our Truck Subtotal 173.00
Attention: Mike INDIANA SALES TAX 7.0000% 0.00 sys:k'
Tax Exemption:
PO#:
Terms: BY TENTH
i ..J
ou - Charge Sale 173.00
—�. Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CTR DR
CUSTOMER COPY
CHICAGO IL 60693
100006017
CARMEL NAPA Time: 10:42 Invoice Number 963777
NAPA � 1441 S GUILFORD RD STE 140
REF BY_ VER BY _ Date: 01/08/2015
oMMMOMM01111IM& CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1t
i
17995 {( Employee: 37 DAVE
® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige
3400 W 131ST STOCR
Accounting Day: 8
CARMEL, IN 46074-8267 1000060179637777
_Part Number �Deseipt��on _ .Quantxy� :PrxCe Net
9067455 NTH ADAPTER ()
2.00 2.081.0400, 2:08
90610 NTH COUPLER (630) 2.00 10.42 5.21001 10.42
90676SS NTH ADAPTER () 2.00 2.24 1.1200 2.24
Delivery: Subtotal 14.74
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
�_� ..
Charge Sale 14.74
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: 09:40 Invoice Number 9635834
1441 S GUILFORD RD STE 140
INAWA.2`
REF BY_ VER BY Date: 01/07/2015
zo CARMEL, IN 46032-2922
(317) 844-3973P age: 1/1
17995 Employee: 36 Tige
c CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige
3400 W 131ST ST Accounting Day: 7 OCR
CARMEL, IN 46074-8267
1000060179635831
a: ^• - s r t , rt ,� r4 4 ' A r �a
Part Number rBA
e4 AeSca.ptzon. ,.>, Quan ,8. ce . � , ? � .s LoCa1....
.,.,_ ea ..._ � 69d
843478 BATTERY (BAT,170) 2.00 156.92 100.4300 200.86 IR
843478 Core Deposit (BAT,170) 2.00 15.00 15.00001 30.00 D
s
4
Delivery: Our Truck W- 2-10:25 _ Subtotal 230.86
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
(1Tot [_ 7ir- . 230 tt8
.C� �,,.....�ita.wFt�.i- w� a." a.r14.u..;:., �5 ..,z
Charge Sale 230.86
Customer ure
ALL GOODS RETURNED MUST BE ACCO ANIED BY THIS INVOICE
REMIT:GPC—IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006013 ----.—._
NAPA AUTO PARTS Time: 16:21 ; Invoice Number 822079,.
,� RETURNS IN ORIG BOX W RECEIPT
El
® REF BY VER BY Date: 01/05/2015
4
317-733-2180, IN 46077
� i
(317) 733-2180 Page: 1/1
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17995Em5------- -,---.__�.pl____._-.___________�-_._...___.___ .__..---._________-____.,,..._.._.._.�.__._..._._...,,.v_.___ _.__�,..�.�__._--- -•--,
oyee: 6 Tina
CITY OF CARMEL-STREET DEPT 1 Y Y
• Sales Rep: 36 Ted
3400 W 131ST ST +
Accounting Day: 5 OCR
CARMEL, IN 46074-8267 — - ..-. .. ------ __ _--__-- .._._. ..__._..___ _T_-__..-__.
1000060138220794
3
Part Number Line` pEonce DescriitQuantkty PriN_et Total
- _ ._ ... . ..,.. r _
MINUS20 IWWS -20 WINDSHIELD WASH O 1.00 4.30 2 3900 2.39
35101 1NBF ;BRK FLUID DOT 3-GAL (200) ' 1.00' 37.78? 19.1300; 19.13
i
Delivery: ? Subtotal 21.52
Attention: JAMES i INDIANA SALES TAX 7.0000% 0.00
Tax Exemption:
PO#: SHOP
erms:..BY TENTH
Tota1�
2
1 52
Charge Sale 21.52
CustItneer Signature
//1--ODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CTR DR
CHICAGO IL 60693 CUSTOMER COPY
` 100006017
CARMEL NAPA 12(Z Time: 11:30 I nvoice Number 965333
LI [ AM 'a 1441 S GUILFORD RD STE 140
1Ur111 REF BY_ VER BY Date: 01/20/2015
o — CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee: 36 Tige
CITY OF CARMEL-STREET DEPT F Sales Rep: 36 Tige Y Y
s,
3400 W 131ST ST Accounting Day: 20 OCR
mCARMEL, IN 46074-8267 :.. ..._�...:.... ... ........_...,___.m........._...._.___ ...._.,_..�...�.,._...,. _..�
10000.60179653339
Part.Numbee. Line' Description' Quantity PriceD F _ Net Total;
_. .__ M_
` 2002 Chevrolet Truck Silverado 25 HD 3/4 Ton - Pic 6.1 L 364 CID r
25-040378 :NBH Belt - A/C O 2.001 37.66 18.8300 37.66
25-060923 [NBH Belt - Serpentine () 2.001 59.70 29.8500 59.70
38158 NBH Drivebelt Tensioner Assy () 2*00,1
67.64 33.82001 67.64
38159 NBH Drivebelt Tensioner Assy O 2.001 66.32 30.5300= 61.06
213-4837 ;RAY 'Alternator - Remfd - Standar (RAY) 1.001 254.60 127.3000 127.30 R
213-4837 €RAY Core Deposit (RAY) [ 1.00; 44.00 44.0000) 44.00 D
k �
Delivery: Our Truck W- 2-12:15 Subtotal 397.36
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Total 397%.3 6
..t...
Charge Sale 397.36
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: 10:58 [Invoice Number 966029
NAPA AM1441 S GUILFORD RD STE 140 11I
� REF BY_ VER BY 1 Date: 01/26/2015
o 0000=00CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee. 36 Tige
CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 26 $ OCR
� CARMEL, IN 46074-8267 t._._......____...._.�...._..___..___._�. _. .._._._ ..,��....�
1000060179660296
Part Number Line; .,.'' DescrXption; c' 1Quantiy Price
� 200 ..,__,.. _ a�>�._.._ _ ..�_._..,,_ w.w Net
E
2 GMC Truck Sierra 250OHD 3/4 Ton Pickup
UP-7652-M iUP ,Brake Pads - Front, Ultra Pr (UPB) 1.00 133.54; 63.4400 63.44 R
880000 SUP 'Brake Rotor Only - Front - U (UPB) 2.00 192.26 96.13001 192.2.6
BR930416 1BRG !Hub Assy - Front Wheel U 1.00 498.30 249.1500 249.15 R
i ? Four Wheel Drive Hub Bearing@; @177 lb. ft/ 240 Nm
i
e i
Delivery Our Truck W- 2-11:43 }} Subtotal 504.85
Attention i Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: 1
Terms:
Total 504 .B5
Charge Sale 504.85
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 l/ Time: 13:34 Invoice Number 965705
1441 S GUILFORD RD STE 140 �il/I
NApA '' REF BY_ VER BY x' Date: 01/22/2015
E3
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee 5 JONATHAN
CITY OF CARMEL-STREET DEPTSales Rep 36 Tige I Y Y
3400 W 131ST STAccounting Day: 22 OCR
CARMEL, IN 46074-82671000060179657059
Part Number Line{ Descrptl.on Quantzty Price 1 Net total
_ _
2002 Chevrolet Truck Silverado 250`.0 3/4 Ton= 4WD - P
735-6213 iNOE {Tailgate Handle U ( 1.001 47.98 26.99001 26.99
735-3798 jNOE ITailgate Handle Bezel (130) [ 1.00) 13.90( 7.99001 7.99
( 2004 Chevrolet TruckSilverado 250€0 3/4 To 4WD - P
703-1717 (BK )Gas Cap (320) I 1.00) 26.14 13.5100 13.51
•
Delivery: Subtotal 48.49
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: shop
Terms:
48 .49
Charge Sale 48.49
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017 _,... . ,:.,.:. _.........
CARMEL NAPA 1-z/Z Time: 09:04 Invoice Number 965461
INAPA � 1441 S GUILFORD RD STE 140
a �L /
� REF BY_ VER BY — Date: 01/21/2015
o CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 _ Employee 36 Tige e)
CITY OF CARMEL-STREET DEPTj Sales Rep: 36 Tige 21 Y Y
3400 W 131ST STOCR
Accounting Day 21
Q CARMEL, IN 46074-8267 ,,.... .._._.._._.. ............
1000060179654613
Part' Number Line Description _ Quantity, Price Net Total
2002 Chevrolet Truck Silverado 2500HD 3/4 on - Pic 6.0 L 364 CID E
38001 VBH =Drivebelt Idler Pulley O 2.00 35.34 16.290011 32.58
1036 'FIL NAPAGOLD OIL FILTER (300) 2.001 11.50 2.3000? 4.60 R
1042 ,FIL 1NAPAGOLD OIL FILTER (300) 2.00 12.98 2.6000 5.20 R
1522 FIL INAPAGOLD OIL FILTER (300) 2.00; 13.20 2.6400; 5.28 R
? I
(
Delivery Our Truck W- 99-21.04 Subtotal 47.66
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Total
4T.`,6 6
Charge Sale 47.66
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006013
NAPA AUTO PARTS Time: 14:27 Invoice Number 825212,
RETURNS IN ORIG BOX W RECEIPT
enPAAM
A=
N
r
—-A
REF BY VER BY Date: 01/23/2015
0
317-733-2180, IN 46077
(317) 733-2180P age: 1/1
1
--—-----------
17995 Employee: 14 Dave
Rm CITY OF CARMEL-STREET DEPT Sales Rep: 36 Ted y y
3400 W 131ST ST
-Accounting Day: 23 ..00R
CARMEL, IN 46074-8267 -.........
1000060138252125
Part Number Description, Quantity: Net
'- Total
1998 Chevrolet Truck K2500 3/4 Tont 4WD Pickup
265-1277 :NCP 'Sway Bar Link Repair Kit Fron U 1.00E 42.10, 21.0500 21.05
Delivery: Subtotal 21.05
Attention: Rick Allden INDIANA SALES TAX 7.0000% 0.00
Tax Exemption:
PO#: SHOP
Terms: BY TENTH
Total 211.
05
Charge Sale 21.05
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CTR DR
CHICAGO IL 60693 CUSTOMER COPY
100006013 __,__-,.,m .__ __ ,,, _.__.
NAPA AUTO PARTS Time: 15:54 Invoice Number 825064
El
RETURNS IN ORIG BOX W RECEIPT
REF BYVER BY Date: 01/22/2015
317-733-2180, IN 46077
'• (317) 733-2180 Page: 1/1
17995 H Employee: 11 Mathew
CITY OF CARMEL-STREET DEPT Sales Rep: 36 Ted Y Y
3400 W 131ST ST Accounting Day: 22 `j OCR
CARMEL, IN 46074-8267
1000060138250644
,
ti NumberSLDescriton' n ` rice �,. otaTi Net �fi ._ _
-
j 1998 Chevrolet Truck K2500 3/4 Ton 4WD - Pitckup
BR930406 BRG iHub Assy - Front Wheel O 1.00' 445.24` 222.6200' 222.62 R
165 lb. ft/ 225 Nm
I
E 't.
i t
i
t i
G {
Delivery: Subtotal 222.62
ttention: INDIANA SALES TAX 7.0000% 0.00
T xemption:
PO#: truck 22
Terms: BY TE H i
_. _.
�Total� ,222;._62
_ Charge Sale 222.62
Ct�omer Signature
ALL G DS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CRT DR
CHICAGO IL 60693 CUSTOMER COPY
100006017
r CARMEL NAPA Time: 07:45 ( Invoice Number 965617
1441 S GUILFORD RD STE 140
NAPAREF BY VER BY _ Date: 01/22/2015
d5 o CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1 '; mm
17995 _...__._ • µ Employee 3 DAVE
e, CITY OF CARMEL-STREET DEPT £ Sales Rep. 36 Tige Y Y
3400 W 131ST ST - Accounting Accounting Day: 22
m
CARMEL, IN 46074-8267 - _ .... ...._._...,
1000060179656176
Part:Number Lined Description r 1,Quantzty Price Net Total
1999 Chevrolet Truck K2500 3/4 Ton` 4WD - Pitkup
BR930406 iBRG JHub Assy - Front Wheel O 1.00: 445.24 222.6200' 222.62 ',R
) 165 lb. ft/ 225 Nm
Delivery. Subtotal 222.62
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: truck 3
Terms:
Charge Sale 222.62
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CUSTOMER COPY
CHICAGO ILL. 60693
100006013
NAPA AUTO PARTS Time: 11:38 ; Invoice Number 824979;
nDef RETURNS IN ORIG BOX W RECEIPT
�tII rIP\
AMPAW REF BY VER BY Date: 01/22/2015
- --Vo =W0wWAWjj0W 317-733-2180, IN 46077 g
(317) 733-2180Page: 1/1
......... --------- ..17995 Employee: 11 Mathew
CITY OF CARMEL-STREET DEPT Sales Rep 36 Ted Y Y
3400 W 131ST ST Accounting Day: 22 i OCR
CARMEL, IN 46074-8267
w
1000060138249791
t ,
Part Number Lnek Description" ` tQuantity Price { Net Total
_. .._ , (.19.9 _ _ `. #. >_
9 Chevrolet Truck K2500 3/4 Torr 4WD - Pickup
641-3145 NOE Wheel Bolt - Front O i 5.0011 3.66 2.2900! 11.45
I
641-3237 NOE Wheel Bolt Nut, M14-1.5 O I 5.00; 3.661 1.53001 7.65
j
I f
Delivery: = ,, = Subtotal 19.10
Attention: INDIANA SALES TAX 7.0000% 0.00
Tax Exemption:
PO#: truck 3
erms: Y TENTH
TO-tai 19_.10 _
ACharge Sale v 19.10
Uv Customer Si
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CRT DR
CHICAGO IL 60693 CUSTOMER COPY
100006013 _.,.n_.__,..._.._-. ..-...-.-.-- ....
NAPA AUTO PARTS Time: 14:08 . Invoice Number 824822
iNAPA RETURNS IN ORIG BOX W RECEIPT
REF BY VER BY Date: 01/21/2015 i
>, MONNOWOMW 317-733-2180, IN 46077
(317) 733-2180 Page: 1/1
17995 Employee: 14 Dave ;
® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Ted Y Y
3400 W 131ST ST Accounting Day: 21 OCR
® CARMEL, IN 46074-8267
x .1000060138248220
Part Number ;Lines: Description Quttya Price Net Total
UP451R UP Core Deposit O -1.00 20.00! 20.0000, 20.00 CR D
This item was purchased on invoice # 824629101/20/2015;
440-1225ND BRAKE DRUM ()
-2.001 99.241 60.55001 121.10 CRR
This item was purchased on invoice' # 824629101/20/20151.
s � ,
Delivery: Subtotal 141.10CR
Attention: Truck 3 ; INDIANA SALES TAX 7.0000% 0.00
Tax Exemption:
PO#:
Terms: BY TENTH
141A'o CR
-. .
Credit Memo 141.10 CR
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIEO;BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CTR DR
CHICAGO IL 60693 CUSTOMER COPY
100006013
NAPA AUTO PARTS Time: 14:19 Invoice" Number 824629.
N A PR AMRETURNS IN ORIG BOX W RECEIPT
REF BY VER BY Date: 01/20/2015
317-733-2180, IN 46077
3
(317) 733-2180 Page: 1/1
I.
17995 _ Employee. 3 Gary
d� CITY OF CARMEL-STREET DEPT Sales Rep: 36 Ted Y Y
3400 W 131ST ST Accounting Day: 20 OCR
`® CARMEL, IN 46074-8267
1000060138246295
Part:Number, ;Li-ne " ,Description Quantity Price Net Total-
1999
1999 Chevrolet Truck K2500. 3/4 Tori 4WD - Pi;ckup
UP7260M UP 'Brake Pads - Front, Ultra Premi O I.00i 96.44; 45.8100 45.81 R
UP451R ;UP •Brake Shoes - Rear, Ultra Premi O } 1.00 130.30 65.1500 65.15 R
UP451R UP `Core Deposit () 1.001 20.001 20.0000; 20.00 D
4886242 ;NB (Brake Rotor Only - Front - Prem O 2.00;; 71.86; 35.9300; 71.86 R_„ .
440-1225 ND 'Brake Drum - Rear U 2.00; 99.24 -60.5500 121.10 'R
440-1366 fIND ;Brake Drum - Rear () 2.001 90.62; 55.2800; 110.56 R
2248 !UP !Brake Shoe Hardware Kit - Maxi O 1.00 11.81; 5.9100; 5.91
Delivery: Subtotal 440.39
Attention: ? INDIANA SALES TAX 7.0000% 0.00
Tax Exemption: 1
PO#: Truck # 3
Terms: BY TENTH j
r w Total- ,_ 440'. 39 '
lam, .-; .., _- ..
Charge Sale 440.39
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CTR DR'":
CUSTOMER COPY
�/�( CHICAGO IL 60693 ;.
D ;,Y :
100006017 _.._-..,:.
CARMEL NAPA Time: 15:12 Invoice Number 966254:
(NAPA AMIM 1441 S GUILFORD RD STE 140
REF BY_ VER BY Date: 01/27/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee 36 Tige
w CITY OF CARMEL-STREET DEPTSales Rep: 36 Tige Y Y
3400 W 131ST ST5` OCR
Accounting Day: 27 �_
CARMEL, IN 46074-8267 _ ...... m._.... .. ....._` _--------
1000060179662542
Part`;Number ' LineDescraptzon`'% ,. to � „Price ; Net _ Total
782-1636 ;BK OUTL BX O � _ 1.00� 44.686� � 22.3400'� � 22.34
Delivery Subtotal 22.34
Attention Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: mike I
Terms:
Total y 22 x34 t
Charge Sale 22.34
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006013
NAPA AUTO PARTS Time: 13:31 ; Invoice Number 824802,
RETURNS IN ORIG BOX W RECEIPT
�IVAPAAMPAMN® REF BY VER BY Date: 01/21/2015
owwanoMMOMW 317-733-2180, IN 46077
(317) 733-2180 Page: 1/1
17995 Employee: 14 Dave '
CITY OF CARMEL-STREET DEPT Sales Rep: 36 Ted Y Y
3400 W 131ST ST Accounting Day: 21 OCR
® CARMEL, IN 46074-8267 °.....
1000060138248024
Part Number Line Description (Quantity Price• Net Total
_ -- _ .._
726600 'NW CRIMPING TOOL (466) ( 2.001 40.04' 21.0000 42.00
� k �
I ) f
Delivery: Our Truck Subtotal 42.00
Attention: Mike INDIANA SALES TAX 7.0000% 0.00
Tax Exemption:
PO#:
Terms: BY TENTH y
;0_.0
Charge Sale 42.00
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CTR DR
CHICAGO IL 60693 CUSTOMER COPY
100006017
w
CARMEL NAPA Time: 09:38 iInvoice Number 965641
NAPA " 1441 S GUILFORD RD STE 140
REF BY VER BY Date: 01/22/2015
INEEWA
o CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee. 36 Tige
CITY OF CARMEL-STREET DEPTS ales Rep: 36 Tige I Y Y
3400 W 131ST ST Accounting Day: 22 OCR
CARMEL, IN 46074-8267 _...__.__._.,._ ..._"_ "__-____
1000060179656416
Part Number:_:, Line' Description j({�uantzy Price w Net " Total
�..s. _ _. _ _ _ .
1036 =FIL NAPAGOLD OIL FILTER (300) w 12.00 11.50 2.30001 27.60 .R
s 12.00 12.98 2.6000 31.20 R
1042 IFIL IVAPAGOLD OIL FILTER (300)
l f a 1
Delivery Our Truck W- 2-10:23 Subtotal 58.80
Attention Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
ChargeSal_,,..,,... .,_. . _ ...... ...._. ..
e 58.80
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
M100006017 _........
CARMEL NAPA Time: 07:56 ! Invoice Number 964553
����� AM PAM 0 1441 S GUILFORD RD STE 140
REF BY VER BY Date: 01/14/2015
MMMUMMOMWo —� CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee 36_ Tige
CITY OF CARMEL-STREET DEPT j Sales Rep. 36 Tige Y Y
3400 W 131ST ST Accounting Day: 14 OCR
CARMEL, IN 46074-8267
-"- --""- --- ----" 1000060179645535
Part Number L"ine Descry tzon
p _ QuanY7 Price ` .. ...Net Total
8275444 BK STEERING WHEEL COVER O 1.00., 18.14 14 9500 14.95
730-5412 BK ;OSTRICH BL S WHL COV O 3.00' 13.95 11.15001 33.45
I
)
t
Delivery. Our Truck W- 99-19.56 Subtotal 48.40
Attention: ( Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms: 40
;
asp a
Charge Sale 48.40
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: 08:45 Invoice Number 9639121
5AR 1441 S GUILFORD RD STE 140
p REF BY_ VER BY
Date: 01/09/2015
NOWo CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1 j
17995 Employee: 36 Tige
® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 9 OCR
ffi CARMEL, IN 46074-8267
® 1000060179639123 �
Part NumberIsne _ . _Descrx Isom== z QuantsGyE? Prxoe `; Net : Total ,
H6545 _ LMP HALOGEN LAMP (450) 2.00 38.24 8.8900 17.78
R
2
S t
Delivery: Our Truck W- 99-20:45 Subtotal 17.78
Attention: MIKE Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO
(j Charge Sale 17.78
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY TRIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017
CARMEL NAPA Time: 12:04i
Invoce Number 9639841
1441 S GUILFORD RD STE 140 ���..�.�.�..w..�
NAPA . REF BY VER BY Date: 01/09/2015
-�~ o CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1 _ __.•..�
17995 Employee 36 Tige ?
CITY OF CARMEL-STREET DEPT .. �mm..�,,......�...�..._.<.,.m�m...,�. Y Y
Sales Rep. 36 Tige }
3400 W 131ST STOCR j
Accounting Day: 9 d
a CARMEL, IN 46074-8267
1000060179639846
01� � SCY`1p .QI?. .,...,.A.a'..� {12d ' � 5` CC' .' "" 8 a :tTOd� s
H6545TM LMP HALOGEN LAMP (450)
4.00 38.24 8.890o 35.56
9
Delivery: Our Truck W- 99-00:04 Subtotal 35.56
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
j �PO#:
T rms:
_.. 3 6
Charge Sale 35.56
Customer Si ture
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: 10:53 lInvoice Number 964243$
1441 S GUILFORD RD STE 140
` AMREF BY VER BY _ Date: 01/12/201
NAPA5
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 _.._._ _, .... . Employee: 36 Tige
CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 12 OCR
CARMEL, IN 46074-8267
1000060179642431
MAZ
Part aNumber S.zne Aesc�zp�on,� Quanti�� �rx,�e
728199 NWPOSTS (170) 2.00 6.38 3.3900 6.78
7236 BAT BATTERY (BAT) 2.00 161.92 89.7500] 179.50
7236 BAT Core Deposit (BAT) 2.00 22.50 22.5000 45.00 D
81027 APX RAT GIMBAL 1 4DR () 1.00 19.99 15.9900, 15.99
Above Item on Sale
81270 APX RAT GIMBAL 3 8DR () 1.00 19.99 15.9900) 15.99
a
Above Item on Sale
a
7236 !BAT Core Deposit (BAT) -2.00 22.50 22.5000 45.00CRID
Delivery: Subtotal 218.26
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
#: kevin
T ms:
Rkf AN
Rw
Charge Sale 218.26~
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CUSTOMER COPY
CHICAGO ILL. 60693
100006017
CARMEL NAPA Time: 10:56 Invoice Number 964244.1
El AMPM9 , 1441 S GUILFORD RD STE 140
REF BY_ VER BY Date: 01/12/2015 `•-
CARMEL, IN 46032-2922
(317) 84473973 Page: 1/1
17995 Employee::5 JONATHAN
® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 12 OCR j
CARMEL, IN 46074-8267 1000060179642440
'Part°'Number LnejDesc3li�dn r } QuanC� ..Pzzce <: IJet
` i',•
730-2384 ~V NOE BAT BOLT (180) 1.00 11.98 6.9900 6.99
r
Delivery: _ Subtotal 6.99
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
T rm
I r
Charge Sale 6.99
44C..t..erSignature
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: 15:25 ) Invoice Number 965731
5o", 1441 S GUILFORD RD STE 140
REF BY VER BY Date: 01/22/2015
o CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee: 5 JONATHAN
CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige
3400 W 131ST STOCR
Accounting Day: 22
CARMEL, IN 46074-8267 1000060179657317
Price >Net
Part Number Lined _
OnTotal
213-4837 IRAY l'Core Deposit (RAY) -1.0 01 44.00 44 0000 44.00 CR,D
This item was purchased on invoic # 965333101/20/2015
-2.00'
COUPLER (630)
90610 �NTH 10.42 5.2100 10.42 CR
This item was purchased on invoic # 963777Z01/08/2015
Delivery: Subtotal 54.42CR
Attention: Returns Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: 954013
Terms:
eTotal 54 42.CR
Credit Memo 54.42 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: 18:46 ! Invoice Number 963546=
N��� 1441 S GUILFORD RD STE 140
� 3 REF BY VER BY Date: 01/06/2015
077777CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
mSales Rep 3p6n�.,�.......x �...�._...m...�.:...�:.,,.�:.:.
17995 Employee 3 DAVE
CITY OF CARMEL-STREET DEPT ��.d�,...:.�. �._.�.•�...m....,...:_,
Tige Y Y
3400 W 131ST ST Accounting Day: 6 OCR
� CARMEL, IN 46074-8267 -'""'""` "�
1000060179635467
kart NUTllbEY` 7zXA2;,,�},� p r �y �. �• _ ��`
yd
52-7359 NBB Core Deposit (NBB) -1.00 67.69 67.6900 67.69CR�D
This item was purchased on invoice # 962777[ 12/31/2014
Subtotal 67.69 CR
Attention: ( Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms _. ..x. _�
Credit Memo 67.69 CR
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006013
E3NAPA AUTO PARTS Time- 10:00 Invoice Number 825138
RETURNS'.IN ORIG BOX W RECEIPT
N A l AM5 REF BY VER BY Date: 01/23/2015
317-733-2180, IN 46077
(317) 733-2180 Page: 1/1
17995 Employee: 15 Lou
CITY OF CARMEL-STREET-DEPT Sales Rep: 36 Ted 'Y Y
3400 W 131ST ST
Accounting Day: 23 OCR
CARMEL, IN 46074-8267
1000060138251386
°Part Number- Line,, Description Quanti.£y Price , Net �i' Total
' ,_ r E
7771569 MLD '.CUT-OFF 310 () 4.00 29.46; 15.6900' 62.76
i
i
Delivery: Our Truck - 99-22:00"' ' " Subtotal 62.76
Attention: INDIANA SALES TAX 7.0000% 0.00
F
.Tax Exemption: a
PO#: truck #22
Terms: BY TENTH a
~Charge Sale 62.76
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE . .
REMIT PAYMENT TO
5959 COLLECTION CTR DR
CHICAGO IL 60693 CUSTOMER COPY
100006017 ._....._._.�w..��..�w.,..._.....w_..........
CARMEL NAPA Time: 15:09 [ Invoice Number 965874.
NAPA, AM1441, S GUILFORD RD STE 140
� REF BY_ VER BY Date: 01/23/2015
0
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17995 Employee 3 DAVE Y Y
CITY OF CARMEL-STREET DEPT Sales Rep 36 Tige
3400 W 131ST ST Accounting Day: 23 OCR
c� CARMEL, IN 46074-8267 - -- — ---- - -- - 1000060179658744
w
Part -Number {Line ._ DBscraption, slQuan�it Prue Total
....�
7771577 WLD MANDREL SET (617) 1.00 14.72 7.9900; 7.99
7771570 'WLD CUT-OFF 3 10 (617) 2.00' 29.46 15.6900 31.38
t
i
Delivery: Subtotal 39.37
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms: 9
1 ;
_. .__. Total 3 9 3 7
_.__ ._...... ,. ._.�._a ...._.,
Charge Sale 39.37
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CUSTOMER COPY
CHICAGO ILL. 60693
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF$
5959 Collection Center Drive
Chicago, IL 60693
$3,107.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
09,5 �T7,
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 42-370.00t $3,107.45 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
I
which charge is made were ordered and
received except
I
A Y7
onFeb 09, 20151
%oov
'treet�fi'@"S imioner
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))
02/09/15 $3,107.45
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