241985 02/10/15 CITY OF CARMEL, INDIANA VENDOR: 355214 k ,
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPO�EhEf`CK AMOUNT: w 11.99*
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 241985
vMiruN.�o: CHICAGO IL 60693 CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 449 11.99 AUTO REPAIR & MAINTEN
100006017
CARMEL NAPA Time: 14:25 Invoice Number 966937,
1441 S GUILFORD RD STE 140
EAMR=PA REF BY_ VER BY _ Date: 02/02/2015
RNWWAo , CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
449 Employee: 6 Jason
CITY OF CARMEL-COMMUNITY SERVI Sales Rep: 10 Store Y Y
1 CIVIC SQOCR
Accounting Day: 2 .9
CARMEL, IN 46032-2584
1000060179669377
Part Number Line; Desczxption lQuantity Price Net Total
a .I 1.00„ 23.98 11.9900
T�� � ,. .....,<
60-020-PP t€WIP ACCUFIT BEAM (800) 4 11.9900 11.99 T
( { Above Item on Sale
Subtotal 11.99
Attention: Indiana Sales Tax 7.0000%
Tax Exemption:
PO#: '
Terms:
:;f 'TotaM151",
Charge Sale 1�8 `
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
G ►el-Pdf�i'�i �,,�
IN SUM OF $
1441 S. Guilford Avenue, Ste. 140
Carmel, IN 46032-2922 !
I
$11.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
�9
PO#/Dept. INVOICE NO. I ACCT#lrITLE AMOUNT Board Members
1192 966937 43-510.00 $11.99
1 hereby certify that the attached invoice(s), or
I I I
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, February 05, 2015
or
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))
02/02/15 966937 $11.99
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