241981 02/10/15 Q
CITY OF CARMEL, INDIANA VENDOR: 355214 T: S****"***52.88*
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP(SEhEfCK AMOUN
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 241981
CHICAGO IL 60693 CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 52.88 OIL
-------------------------
100006017
CARMEL NAPA Time: 09:53 Invoice Number 967198
�NAPAI 1441 S GUILFORD RD STE 140
� REF BY_ VER BY Date: 02/04/2015
22 00 - 23150
ENMEMMOMWO CARMEL, IN 46032-2922 € 9'
0
(317) 844-3973 Page: 1/1
V,..._. _ ._... �..._.W,..�..__.....Y_..-.
18032 Employee:: 3 3 DAAVE
CITY OF CARMEL ENGINEERING Sales Rep: 10 Store Fy
1 CIVIC SQ �' OCR
Accounti4
ng Day:
CARMEL, IN 46032-2584 €
1000060179671989
Part "Number Lief) DesCrxptzon= ' Quaritlty Px1Ce 1 , Net r Total
�. ... 1121 �.,d .� � ._...3
_ 2010 Ford Truck Escape 2.5 L 2488 CC L4 Hyb id
1348 IFIL kOil Filter (Gold) (300) 1.00P 11.50 6.6200 6.62
75050 NOL NAPA QUART 5W30 (016) 6.00' 6.84 3.9900 23.94
{ � I
I
Delivery Subtotal 30.56
Attention Indiana Sales Tax 7.0000% 0.00
Tax Exemption.
PO#: TRUCK E1
Terms:
Charge Sale 30.56
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017 .__ ...._..n.._
O G Cf�,4/l� CARMEL NAPA Time: 09:16 Invoice Number 967005!
NAPA 1441 S GUILFORD RD STE 140
REF BY VER BY Date: 02/03/2015
E3
� :: CARMEL, IN 46032-2922
2200- 423)50
(317) 844-3973 Page: 1/1
18032 Employee 3 DAVE
W CITY OF CARMEL ENGINEERING Sales Rep. 10 Store Y Y
1 CIVIC SQ ) OCR
Accounting Day: 3
m CARMEL, IN 46032-2584
X10000060179670052
Part,Number, .;• 1Lne Description _ ,Quantxy Total
2008 Toyota Prius 1.5 L 1497 CC L4 Hybrid
1394 +FIL Oil Filter (Gold) (300) 1.005 12.44 7.1600` 7.16
75520 €NOL NAPA SYN 5W30 QT (016) 4.00,, 9.42 3.79001 15.16
Above Item on Sale
�yDelivery:
- � Subtotal 22.32
Attention Indiana Sales Tax 7.0000% 0.00
Tax Exemption.
PO#:
Terms:
Charge Sale 22.32
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-1N 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
2/3/2015 967005 E-6 Oil change $ 22.32
2/4/2015 967198 E-1 Oil change _$._ 30.56
Totall $ 52.88
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 ALLOWED 20 f
5959 Collections Center Drive IN SUM OF$
I'
Chicago, IL 60693 ti
$ 52.88 j 4
1
ON ACCOUNT OF APPROPRIATION FOR f
1
6Y5 V YD 3Z
i'
Board Members
PO#or
DEPT# INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# ! I hereby certify that the attached invoice(s), or
0 967005 2200-4231500 $ 22.32 bill(s) is (are) true and correct and that the
0 967198 2200-4231500 $ 30.56 materials or services itemized thereon for
which charge is made were ordered and I.
received except
f
I
r
2/9/2015 +
I
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund