246307 06/17/15 ,t�q
CITY OF CARMEL, INDIANA VENDOR: 355214
® ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANApaWCK AMOUNT: $......**38.70*
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 246307
CHICAGO IL 60693 CHECK DATE: 06/17/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08517995 26.32 OIL
2200 4237000 08517995 12.38 REPAIR PARTS
100006017 r
CARMEL NAPA Time: 09:42 Invoice Number 982994
El
' 1441 S GUILFORD RD STE 140
c REF BY VER BY Date: 05/27/2015 (,
CARMEL, IN 46032-2922 jg
a (317) 844-3973P age: 1/1
=3�
17995 Employee: 6 Jason j
® CITY OF CARMEL-STREET DEPT ' Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 27 €( OCR
® CARMEL, IN 46074-8267 _ ...._. __.,._.__„_.....,.,..,,,. '...,,, .
1000060179829944
2-zoo - 423►s� __ _..
Part Number ]Line�jDescr:iptionry w Quantity:>'_ rice Net TO a1
W.__
75530 NOL 151420 SYNTHETIC MOTOR (016) 5.00 8.461 4 7600) 23.80
7203 sFIL }NAPAGOLD OIL FILTER (300) 1.00 12.58 2.5200; 2.52 R
i t '
I
Delivery: Subtotal 26.32
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: E4
Terms: E
�" Total •..•. 26:% 32
Charge Sale 26.32
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
r,
I
�-- 100006017 -...._..,...,...
CARMEL NAPA Time: 15:31 ! Invoice Number 983794;
1441 S GUILFORD RD STE 140
e
F
NA REF BY_ VER BY _ Date: 06/01/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
18032 Employee: 3 DAVE
( Y Y
CITY OF CARMEL ENGINEERING Sales Rep: 10 Store P
1 CIVIC SQ Accounting Day: 1 OCR
® CARMEL, IN 46032-2584 1000060179837944
22 O O — X12 3`1 O 0 0
Part Number_ :ILine` „Description';; Quaritity�;$ Price`"y "`. `., Net Total
_. ..
2006 Ford Truck Escape
641-3372 INOE Wheel Bolt Nut, M12-1.50 () 11$ 2.00 5.26! 3.2900 6.58 T
ECR2032BPBK BATTERY (988) 1.00 9.44£ 4.9900 4.99 !T
1 `
I
Delivery: Subtotal 11.57
Attention: Indiana Sales Tax 7.0000% 0.81
Tax Exemption: [
PO#: E4
i
Terms.
Charge Sale 12.38
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-IN 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
611/2015 983794 E-4 parts $ 12.38
5/27/2015 982994 E-4 Oil change $ 26.32
Total $ 38.70
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
5959 Collections Center Drive IN SUM OF $
Chicago, IL 60693
$ 38.70
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PD#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 983794 2200-4237000 $ 12.38 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
0 982994 2200-4231500 $ 28.32 which charge is made were ordered and
received except
6/15/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund