244926 05/05/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPOR)t!I~CK AMOUNT: $-�•■■-r*r499•
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 244926
CHICAGO IL 60693 CHECK DATE:• 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 08518048 4.99 OTHER EXPENSES
100006017 _,,.. _ .__.,... ._ ..__... ...,,
E3 " CARMEL NAPA Time: 18:13 Invoice Number 977714
NAPA � 1441 S GUILFORD RD STE 140 j
W REF BY_ VER BY _ Date: 04/20/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
18048 -Employee: 6 Jason YTx`VW Yy4 V(
CITY OF CARMEL-SEWAGE DEPT Sales Rep: 10 Store
9609 HAZEL DELL PKWYAOCR
ccounting Day: 20 )
INDIANAPOLIS, IN 46280-2935
1000060179777143
Part Number Line rAescr tion {iiailtt ` ,$,Pxzce Net Total
670-1017 NOE PEDAL PAD () 1.00 8.78 4.9900 4.99
( 2005 Ford Truck F250 Super Duty 3 Ton - Pickup
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Delivery: Subtotal 4.99
} Attention: Indiana Sales Tax 7.0000% . 0.00
Tax Exemption:
PO#: truck 135
Terms:
Charge Sale 4.99
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
I
VOUCHER # 155405 WARRANT# ALLOWED
355214 IN SUM OF $
NAPA - GENUINE PARTS CO - INDIAN)
5959 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
977714 01-7500-02 $4.99 I
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Voucher Total $4.99
Cost distribution ledger classification if
claim paid under vehicle highway fund !
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
r
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-GENUINE PARTS CO- INDIANAPOLIS Purchase Order No.
5959 COLLECTIONS CENTER DRIVE Terms
CHICAGO, IL 60693 Due Date 4/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/28/2015 977714 ; $4.99
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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
Date Officer