249260 09/09/1 5 a u•Cqq*f
>� CITY OF CARMEL, INDIANA VENDOR: 355214
® ii ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP�.I}WCK AMOUNT: S"""""116.97"
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 249260
4,
ty,,roN�o, CHICAGO IL 60693 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351000 08508081 116.97 AUTO REPAIR & MAINTEN
100006017 4....."
CARMEL NAPA Time: 10:00 Invoice Number 996743;
1441 S GUILFORD RD STE 140 gIIIIIIIIIIIIIIII�IIIIII�IIIIIIIIIIIIIIII;
IN APA( AMPMN
REF BY VER BY _ Date: 08/24/2015 '
CARMEL, IN 46032-2922 3
(317) 844-3973 Page: 1/1 t
mpoyee: 5
l
8081 iJEREMY ,
Y Y
CITY OF CARMEL-BUILDING MAINT Sales Rep: 10 Store
1 CIVIC SQ € Accounting Day: 24 §? OCR
o CARMEL, IN 46032-2584 ,_,___._,__..,,. __._ .._._.... ..__._,,......____..-----_-,.,. ,_._..,...,._,__,_..._._,,.._._»�
1000060179967438
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2007
Chevrolet Truck Silverado 25dOHD 3/4 TPn - Pic
3047 (LMP Turn Signal Bulb - Rear () 2.00a 1.381 0.9900 1.98
3047 'LMP !Back Up Light Bulb () 1.00? 1.381 0.9900` 0.99
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4
3
_ .W.......,_....._..,.. .... _.. ,.. .. .._
Delivery: Subtotal 2.97
0000o.00
Attention: Building Maintenance �
Tax Exemption: Account # 510
Pon: Department # 5 110i Submitted �®
Terms:
Charg Sale 2.97
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
RE14IT:GI'C-IND
5559 COLO 1I`1- CTR.DR. clerk Treasurer
Cn If;AGo ILI,. 50653 Treasurer
CUSTOMER COPY
100006017
CARMEL NAPA Time: 09:36 Invoice Number 9973121
1441 S GUILFORD RD STE 140 11 99e`e`11
El
AMPAZ
REF BY VER BY , Date: 08/27!2015 I���II�I�IIII���II��IIIII�IIIIIBIII�I�II'
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
8081 Employee: 6 Jason
CITY OF CARMEL-BUILDING MAINTSales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 27 OCR
a CARMEL, IN 46032-2584
1000060179973127
Part Number Lint Description Quantity, Price Net Total
2007 Chevrolet Truck Silverado 250OHD 3/4 Ton - Pickup
8211200 BK Taillight Lens Assy - Left () 1.00 152.80 114.0000 114.00
Submitted T'®
SEP 0 4 2015
Delivery: ubtotal 114.00
Attention: Ta 7.0000% 0.00
Tax Exemption: Building Maintenanc Clerk Tr lfl�6r
PO#: Account # �_/0
Terms: Department # I ZOS
T61tal 114 . bo __..
Customer Signature Charge Sale 114.00
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT GPC-IND
5959 COI,1,FC:TION CTR.DR_
CHICAGO 11,L. 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))
08/24/15 996743 $2.97
08/27/15 997312 $114.00
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
NAPA
GPC-IND
IN SUM OF $
5959 Collection Center Drive
Chicago, IL 60693
$116.97
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 996743 43-510.00 $2.97 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1205 997312 43-510.00 $114.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, September 02, 2015
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund