246312 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 355214
. ® ;• ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPaWCK AMOUNT: S""`"1,255.91"
�. � CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 246312
CHICAGO IL 60693 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 8517995 1,206.91 REPAIR PARTS
2201 4357004 8517995 49.00 EXTERNAL INSTRUCT FEE
Y100006013
4.
ElNAPA AUTO PARTS Time: 06:44 Invoice Number 841104
RETURNS IN ORIG BOX W RECEIPT
REF BY VER BY Date: 05/01/2015
IN
317-733-2180, IN 46077
(317) 733-2180 Page: 1/1
17995
Employee: 6 Tina
CITY OF CARMEL-STREET DEPT
Sales Rep: 36 Ted
3400 W 131ST ST Accounting Day: 1 OCR
p. CARMEL, IN 46074-8267
1000066138411043
Total: 7.
Part Numberr.-Line'" Description Quantity Pric.e�. Net';
611800 NPT ;UNIVERSAL JOINT O 2.00 18.05 12.4900 24.98
613501
;NPT :UNIVERSAL JOINT O 2.00; 28.00 19.3900, 38.78
Delivery: Our Truck Subcocal 63.76
Atrention: KEVIN NPT TOOLS j INDIANA SALES TAX 7.0000% 0.00
ax Exemption:
PO#:
Term
Tbta
'63:'! 76
Charge Sale 63.76
mer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CTR DR
CHICAGO IL 60693 CUSTOMER COPY
100006017
CARMEL NAPA Time: 11:50 Invoice Number 979875
WAPAI 1441 S GUILFORD RD STE 140
REF BY VER BY Date: 05/05/2015
ftj CARMEL, IN 46032-2922
(317) 844-3973P age: 1/1
17995 Employee: 3 DAVE
CITY OF CARMEL-STREET DEPT Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 5 OCR
® CARMEL, IN 46074-8267 """' ""' "
1000060179798754
Part Number Line;. Description; !Quantity;.'- Price Net Total,
30LBS `_PSB BATTERY SPECIALTY () � 2.001 322.20$ 171.8400 343.68
F }
Delivery: ( Subtotal 343.68
Attention: p99�11 Indiana Sales Tax 7.0000% 0.00
Tax Exemption: /
erms:
I
5
i h0 � ✓� ,,:Total :,;:_ 343'.:68
Charge Sale 343.68
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: 11:11 Invoice Number 980916
ICA PA AM1441 S GUILFORD RD STE 140
REF BY VER BY Date: 05/12/2015
CARMEL, IN 46032-2922
i
(317) 844-3973 Page: 1/1
17995 - Employee: 33 John
i.
CITY OF CARMEL-STREET DEPT I Sales Rep: 36 Tige Y Y
3400 W 131ST ST Accounting Day: 12 ! OCR
® CARMEL, IN 46074-8267
1000060179809163
Part Number ]Line ,Description. µ " (:Quantity Price' E;;.: Net Total
614240 !NPT IIMPACT SOCKET (C67) 1.00, 21.671 11.0400] 11.04 R
Above Item on Sale
774-1467 iBK ADAPTER 3 8M X 1 2F (608) 1.001 5.32; 1.7700_ 1.77 R
Above Item on Sale
E
Delivery: Subtotal 12.81
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: TRUCK 57
3
Terms:
12-::81
Charge Sale 12.81
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: 15:27 Invoice Number 979951
XAPA AM „ 1441 S GUILFORD RD STE 140
PAM0 REF BY_ VER BY Date: 05/05/2015
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: 5 OCR
a CARMEL, IN 46074-8267 i� - 1000060179799511
Part Number ,Line; Description„ _. Quantity ” Price Net, Total
1999 Chevrolet Truck K2500 3/4 Ton, 4WD - Pickup 5.7 L 350 CID V8
FG0085 'DFP Fuel Pump Assy - (Electric In-T () 1.00 425.90' 223.6000 223.60 R
23481 ;SFI Fuel Filter (ProSelect) () 1.00, 8.92 4.6200 4.62
)
3
S
}
Delivery: Subtotal 228.22
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
'Total 228 .=22
Charge Sale 228.22
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: 10:52 Invoice Number 981444
El
AM1441 S GUILFORD RD STE 140
,� REF BYVER BY Date: 05/15/2015
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: 15 OCR
CARMEL, IN 46074-8267
1000060179814442
Part,Number . :jLine'f-?. Desciiption ji,Quanti ty M Price'` Net: Total -
2004 GMC Truck Sierra 3500 1 Ton Pickup w ~
UP-7652A-M1UP ;Brake Pads -, Front, Ultra Pr (UPB) '=, 1.00 133.54 63.4400 63.44 R
UP-7788-M UP ;Brake' 'Pads - Rear, Ultra Pre (UPB) ` 1.00 111.28 52.8600, 52.86 R
Delivery: Our Truck W- 99-22:52 Subtotal 116.30
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: KEVIN
Terms:
s;.
�..,_,_. . .�_..a.T... ..�... .. .«.:.Tota-1; ...... . ..�116 .-30
Charge Sale 116.30
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: 13:22 Invoice Number 8.44242
V RETURNS IN ORIG BOX W RECEIPT
NAPA ���
o REF BY VER BY Date: 05/19/2015
nNowwaxwo 317-733-2180, IN 46077
(317) 733-2180 Page: 1/1
17995 Employee: 3 Gary
® CITY OF CARMEL-STREET DEPT Sales Rep: 36 Ted Y Y
t 3400 W 131ST ST Accounting Day: 19 OCR
CARMEL, IN 46074-8267 1000060138442420
:o
Part Number Line Description . . Quantity Price Net Total
8822 NFD OIL DRY O 6.00 14.38 7.9900 47.94
1GAL NAF NAPA ANTIFREEZE GAL O 6.00 19.98 11.2400 67.44
8276 NCB JB WELD KWIK WELD (210) 1.00 12.26 4.9900 4.99
Above Item on Sale
82655 NCB JB WELD (210) 1.00 12.26 4.9900 4.99
Above Item on Sale
elivery: ,.�') Subtotal 125.36
A tention: a C/3 INDIANA SALES TAX 7.0000% 0.00
Tax E emption:
PO#: Mike
Terms: BY TENTH
Total 125 . 36
Charge Sale. 125.36
Cust mer Signature
ALL GOZS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CTR DR
CHICAGO IL 60693 CUSTOMER COPY
I
100006013
NAPA AUTO PARTS Time: 14:22 Invoice Number 842817
RETURNS IN ORIG BOX W RECEIPT i 1
�� li111 0 Q 0 REF BY VER BY Date: 05/11/2015 s
IMAPAD. 317-733-2180, IN 46077
O (317) 733-2180 Page: 1/1
17995Employee: 3 Gary i
CITY OF CARMEL-STREET DEPT Sales Rep: 36 Ted Y Y
3400 W 131ST ST � OCR
Accounting Day: 11 i
® CARMEL, IN 46074-8267
® 1000060138428179 s
/ •Parc •Plumber $lime? =���•>��`'=.�Desciiptbris,,.�,..;,,�.�_%', Qiiaiiti'�yt�;:��.���Pri'Ce��-e�;F,' >Net -,� r Total: °�s
h•� ,�^ .«ea..u�r.,��.se>:>✓.e`TdL+5...35e°w°.a,:. 6 - ...
`' b'n. '..:.;-.:.a....,...y..z:..-wn•,>K°a:,+..-.:�k•:=«Y.J " r,.,:,_.;>_._.•c•.:♦...rx,:..,,,s:._.,.m..� .dY✓,'!}'«.x_..w•w .:.`' � .a_....+.P.•.....»..,. ..SN...32..-..�A;4_.,4......•.:
7575 [BAT ?Core Deposit (170) jW -1.001 15.00 15.0000; 15.00CR'D
i I This item was purchased on invoice( # 84271405/11/2015
{ 4
F (
# Y
I 1 j g
I i �
Delivery: Subtotal 15.0008
A rention: INDIANA SALES TAX 7.0000$ 0.00
i. Tax Exemption: y
` PO#: 809339 I
;V.
Terms: BY TENTH
`=:j`.`'>hm,•Su;,` '*•, �"Y:�=;°s?f� ,off'. ,,�^:.;^s.:.:.
�."'.' a �:�i'•�'a F< '.,N axe
�.; To`tal.,.�:��4= �1�5,:-.O:O,CR�;W.
Credit Memo, 15.00• CR '
Customer:Sigriature
ALL-GOODS RETURNED MUST BE,ACCOMPANIED BY THIS INVOICE'
=REMIT--PAYMENT-TO.
'59,59, COLLECTION''CTR DR
'CHICAGO-Ili'606,93 CUSTOMER COPY
100006013
NAPA AUTO PARTS Time: 09:57 1 Invoice Number
RETURNS IN ORIG BOX W RECEIPT
IMPAI AMINO REF BYVERBY Date: 05/11/2015
=NCWWWmgffVAjt 317-733-2180, IN 46077
(317) 733-2180 Page: 1/1
ILJ
17995Employee! 1 Keith
CITY OF CARMEL-STREET DEPT Sales Rep; 36 Tedi Y
3400 W 131ST ST Accounting Day: 11 OCR
o CARMEL, IN 46074-8267
1.000060138427143
1P.,art''Nu�b' 'L D_e,.sqrlp'tion;
QAantit Pr Net: A "Tota
7575 BAT 113ATTERY (170) 1.001 124.011 68.6200] 68.62 'R
7575 !BAT Core Deposit (170) 1.00 15.00; 15.0000' 15.00 D
ZX-3012 :NFR 1120Z 134A REFRIGERANT 6.001 9.94'� 8.9900: 53.94
Delivery: Our Truck Subtotal 137.56
Attention: Mike
Tax Exemption: INDIANA SALES TAX 7.00.00% 0.00
PO#: Paver
Terms: BY TENTH
-:,Tbt 13
Charge Sale 137.56
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CTR DR
CHICAGO IL 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/03/15 $49.00
06/03/15 $1,206.91
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Center Drive
Chicago, IL 60693
$1,255.91
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
2201 43-570.04 j $49.00 1 hereby certify that the attached invoice(s), or
2201 42-370.00 $1,206.91 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
IXn
Tf�u� days,,une,11X15
V
\-/V
St��EO"7fih�fi�il�n�rr'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund