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248831 08/26/15 CITY OF CARMEL, INDIANA VENDOR: 355214 ® ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPQjJWCK AMOUNT: S*****'"61.59* x, ?� CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 248831 CHICAGO IL 60693 CHECK DATE: 08/26/15 �ON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350000 08518011 20.53 991027 1125 4350000 08518011 41.06 991157 fiEmRemit to: HAPAI Genuine Parts Company, Inc . 5959 Collections Center D ® Chicago, IL 60693 T�-rN TT_; NAPA AUTO PARTS IND017 (IND) 1441 SOUTH GUILDFORD ROAD AUG 10 2015 SUITE 140 RECEIVED BY X BY: MUST HAVE RECEIPT FOR RETURN = 100006017991027 ACCT NO SOLD TO I DATE JINVOICEI STOR EMP SR L8011 CARMEL-CLAY PARKS/RECREATION .ACCT 8011 CARMEL IN PURCHASE ORDER # (17) 460327611 Inlow 7/17/15 INVOICE TYPE CHGE TY PART NUMBER LINE DESCRIPTION PRIC NET TOTAL CODE 1 . 0 4L680W 01 FHP/BELT . 0 . 000 20 . 53 . 0 00 ..0 . 000 . 00 3 . 0 02 . 0 . 000 1 .44 T . 0 00 . 0 . 00 . 00 . 0 . 0 . 00 . 00 . 0 . 0 . 00 . 00 SUE 20 . 53 MISC 00 . 000 AX 1 . 44 TOTAL 21 . 91 CHGE Paul Smith - csn400 Remit to : IPA Genuine Parts Company, Inc— : 5959 Collections Center D zMMM _ ® Chicago, IL 60693 NAPA AUTO PARTS IND017 (IND) AUG 10 2015 1441 SOUTH GUILDFORD ROAD SUITE 1403`?':_ RECEIVED BY X MUST HAVE RECEIPT FOR RETURN 100006017991157 ACCT NO SOLD TO I DATE 1INVOICEI STOR EMP SR L8011 CARMEL-CLAY PARKS/RECREATI N .ACCT 8011 CARMEL IN PURCHASE ORDER #$ (17) 460327611 Inlow71715 INVOICE TYPE CHGE QTYJ PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 2 . 0 4L680W 01 FHP/BELT . 0 . 00C 41 . 06 0 00 . 0 C . 00 . 00 i 3 . 0 02 . 0 C . 000 2 . 87 T . 0 00 . 0 C . 00 . 00 . 0 . 0 . 00 . 00 . 0 . 0 . 00 . 00 SUE 41 . 06 MISC 00 . 000 TAX 1 2 . 87 TOTAL 43 / CHGE Paul Smith - csn400 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by , rate per hour, number of units, price per unit, etc. whom, rates per day, number of hours Payee Purchase Order No. Terms (NAPA Auto Parts) Date Due 355214 Genuine Parts Company 5959 Collections Center Drive Chicago, IL 60693 Invoice Invoice Description Amount or note attached invoices) or bill(s)) PO# Date Number ( xx2597 $ 20.53 7/17/15 991027 Drive belts for Inlow Pump xx2597 $ 41.06 7/17/15 991157 Drive belts for Inlow Pump Total $ 61.59 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. (NAPA Auto Parts) Allowed 20 355214 Genuine Parts Company 5959 Collections Center Drive Chicago, IL 60693 In Sum of$ $ 61.59 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 991027 4350000 $ 20.53 1 hereby certify that the attached invoice(s), or 1125 991157 4350000 $ 41.06 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 August 20, 2015 Signature $ 61.59 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund