249390 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 365791
® it ONE CIVIC SQUARE PEARSON WHOLESALE PARTS CHECK AMOUNT: 5""""""`920.94"
CARMEL, INDIANA 46032 10650 N MICHIGAN ROAD CHECK NUMBER: 249390
ZIONSVILLE IN 46077 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 150340 920.94 REPAIR PARTS
000 OPEARSON PEARSON
AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the tem/items sold hereby are those made by
the manufacturer. The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all
10650 North Michigan Road • Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
aparticular purpose, and PEARSON WHOLESALE PARTS.LLC, neither assumes nor authorizes any
Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items.
DATE.ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
NUMBER340 1 50
a
SACCOUNT NO. 6200 H PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTMEI
D 3400 W 131ST ST P
0 WESTFIELD, IN 46074-8267 0
SHIP VIA SLSM. B/L NO. TERMS F.O.B.
SVT T'T'T7
nRD SHIP R 0 1 PART NUMBER DESCRIPTION T UEI AMOUNT
1 0 6C3Z*9002*D TANK AS 1151 . 18 920 . 94 920 . 94
NO RETURNS
THANK YOU! WITHOUT THIS
INVOICE.
NO RETURNS AFTER
10 DAYS.
A 15% HANDLING
CHARGE WILL BE
ADDED.
****** THANKS FROM ALL OF US ****** NO RETURNS ON
******* AT PEARSON WHOLESALE ******* PARTS 920 . 94 ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FRET HT PARTS
6LES AX
TnTAI $q20 94
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))
01/20/15 150340 $920.94
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
Pearson Wholesale Parts
IN SUM OF $
10650 N. Michigan Road
Zionsville, In 46077
$920.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 150340 I 42-370.001 $920.94 I hereby certify that the attached invoice(s), or
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
uavuers-day, p' 5'
Stmt( immiccionar
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund