247796 07/28/15 ,Coq
`� ""� CITY OF CARMEL, INDIANA VENDOR: 353686
® ONE CIVIC SQUARE CIRCLE CITY AUTO PARTS INC CHECK AMOUNT: S"""'409.82'
CARMEL, INDIANA 46032 9700 LAKESHORE DRIVE EAST CHECK NUMBER: 247796
<.y�,roN, ,? INDIANAPOLIS IN 46280 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 650010 267.90 REPAIR PARTS
2201 4237000 650200 63.42 REPAIR PARTS
2201 4237000 650530 78.50 REPAIR PARTS
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
CIRCLE CITY AUTO PARTS
AUTO PARTS INC. 9700 LAKESHORE DR EAST 4.
1999 INDIANAPOLIS IN 46280 ® 'A
'® 317-815-1900 Auto Plus
SUL_U : MnbW 317-733-2001 PO:
DATE: 07/13/15
CARMEL. STREET DEPARTMENT _INVOICE: 650010
3400 WEST 131ST STREET 3
® WESTFIELD IN 46074
® CO. DOC. SLSMAN: J'S-05 .
Jl�(P�► ITEM # LINE DESCRIPTION X OTY PRICE NET . AMOUNT T Jtn�r'1
78398 4-SEASONS COMPRESSOR N EA 1 5. 5. 29 267. 90 267. 90 N
# 2007' DODGE--RAM TRUCK RAM 1500 PICKUP
-30/W
o .
s
Picked By: www.circlecityautoparts.com Checked By:
SUBTOTAL 267. 90
SALES TAX 0. 00
17, O DD TOTAL $267. 90
rf�4l�kl/�� �ralr omelt. Sel"ke �Gelcce yu, Joe �J� yQf-s
CHARGE INVOICE
' t1 NET 10TH
RECEIVED BY y
iVOICES NOT PAID BY THE 10TH OF THE MONTH ARE SUBJECT TO A SERVICE CHARGE AND COLLECTION COSTS.
_ J
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
z.
'
CIRCLE CITY AUTO FARTS :
AOTO PARTS INC. 9700 LAKESHORE DR EAST
®
'" Sgt 999' INDIANAPOLIS IN 46 280 ,"
317-815-1 90Auto Plus
Te: o':.g L --417 -, 20014 PO: DATE: 07/16/15 r
.. CARMEL STREET DEPARTMENT INVOICE: 650200 ,.
: . 3400 WEST 131ST STREET 3
® WESTFIELD IN 46074
CO. DOC. SLSMAN: JM-05
ITEM # LINE DESCRIPTION X QTY. PRICE NET AMOUNT T
z 33118 WIX FUEL FILTR EA 6 24. 02 10. 57 63. 4E N
# 30/W !,
DELIVER
ST
0
- Picked By: 2� G7 Checked B
y www.circlecityautoparts.com y
SUBTOTAL _ 63. 4E il!'
SALES TAX 0. 00 f r
TOTAL $63. 42
CHARGE INVOICE
.„ NET 10TH' 4
RECEIVED BY -^
INVOICES NOT PAID BY THE 10TH OF THE MONTH ARE SUBJECT TO A SERVICE CHARGE AND COLLECTION COSTS.
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
CIRCLE CITY AUTO FARTS
AUTO PART$ INC. 9700 LAKESHORE DR EAST lawa .
1A 9999 INDIANAPOLIS IN 46280 qqmmw® 1A
est.
17-815--1900 Auto Plus w
u i vUL.J-) I U: WO .lnInW J 1 I 743 0A 1 PO.- DATE: 07/21/15
;`CARMEL STREET DEPARTMENT INVOICE: 650530
3400. WEST - 131ST STREET 3
WESTF I EL_D_ IN 46074
CO. DOC. SLSMAN: JM--05
ITEM # LINE DESCRIPTION X QTY PRICE NET AMOUNT T
940 " * ASO 80-90 GEAR 0 EA 1 130. 50 78. 50 78. 50 N
30/W
Picked By: / www.circiedityautoparts.com Checked By:
SUBTOTAL ----78. 50
�J�l1�l1 SALES TAX 0. 00
I TOTAL $78. 50 :
'raeeomew Sef°!f�/Ge��LxGe�Ge��e ---
CHARGE INVOICE .
NET 10TH
RECEIVED BY _ � J
LINVOICES NOT PAID BY THE 10TH OF THE MONTH ARE SUBJECT TO A SERVICE CHARGE AND COLLECTION COSTS. _00 560~ 65�J3�
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))
07/13/15 650010 $267.90
07/16/15 650200 $63.42
07/21/15 650530 $78.50
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.
ALLOWED 20
Circle City Auto Parts
IN SUM OF $
9700 Lakeshore Drive East
Indianapolis, IN 46280
$409.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 650010 42-370.00 $267.90 I hereby certify that the attached invoice(s), or
2201 650200 42-370.00 $63.42 bill(s) is (are) true and correct and that the
2201 650530 42-370.00 $78.50
materials or services itemized thereon for
which charge is made were ordered and
received except
M.U.,rSy/ow" Y4015
�t�omr>lriss�'�er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund