249697 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPQLhWCK AMOUNT: $.....1,356.38*
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 249697
'M_roN�o, CHICAGO IL 60693 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 08517983 1,356.38 REPAIR PARTS
100006017
CARMEL NAPA Time: 11:18 Invoice Number 999334
1441 S GUILFORD RD STE 140 iI
(NAPA AMR REF BY_ VER BY _ Date: 09/11/2015 IIIOIIIIIIIIIIIIII�IIIIIII�illll�l�lllll
CARMEL, IN 46032-2922
° (317) 844-3973 Page: 1/1
17983 1_.._._...__... . . Employee:�36 Tige .._._._...... .__.__..__..._��._....... . .. ..._..._..._.._..._ .... _,_.._...._._...___„
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige �' Y
3 CIVIC SQ Accounting Day: 11 t; OCR
CARMEL, IN 46032-7570 L _ _. _...._____
1000060179993347
Number 'Liiie`
K„ .,•<�..:.�a, _ ..: ....,•... � p, �w.,�,_ �.� Qu .�qty<�•��` r ce:..rk Net< , :h >..,' ,Totals.;< .�
7534 BAT =BATTERY (BAT,170) 2.001 134.90 76.8100! 153.62 iR
7534 'BAT Core Deposit (BAT,170) 2.00! 18.001 18.00001 36.00 iD
a l
Delivery: Subtotal 189.62
Attention: ( Indiana Sales Tax 7.0000% 0.00
's I
Tax Exemption:
PO#:
Terms:
g,..
Total;_ .. _, 1$.9 62 s;.
Customer Signature Charge Sale 189.62
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:CPC—TND
5959 COLLECTION GTR.DR.
CHICAGO ILL. 60593
CUSTOMER COPY
I
100006017
CARMEL NAPA Time: 15:15 : 998218i Number 998218£
1441 S GUILFORD RD STE 140 i
]NAPA CARMEL, IN 46032-2922
,� REF BY_ VER BY _ Date: 09/02/2015 '(IIII]OIII]IIIII]IIIIIIIIIIIIIIIIIIIIIII,
(317) 844-3973 Page: 1/1
17983 Employee:
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige # Y Y
3 CIVIC SQ Accounting Day: 2 ; OCR
m CARMEL, IN 46032-7570
1000060179982180
Part"Number nit N
uat
w : .., .•_. :>aw_. _ ,� �? . ate_<. 4._.. .,.t..•.... _. ..Total:.K a?.: .,..
1255x11 ;AVBY !CAPSULE (V) y 8.001 16.601 9.0000 72.00
' 2013 Chevrolet Impala 3.6 L 217 CID V6 DOHC124
Valve VVT
3
3
i
Delivery: Subtotal 72.00
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption: 1
PO#: (I
Terms: !,
Customer Signature Charge Sale 72.00
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: 12:24 Invoice Number 998798"
NAPA 1441 S GUILFORD RD STE 140 !II�III�IIIIIIIIIIIIIIIII�IIIIIIIIIIIII�I`
;o REF BY VER BY Date: 09/08/2015
CARMEL, IN 46032-2922
° n' (317) 844-3973 Page: 1/1
17983 Employee: 5 JEREMY
® CITY OF CARMEL POLICE DEPTSales Rep: 36 Tige .) Y Y
1
3 CIVIC SQ Accounting Day: 8 OCR
m CARMEL, IN 46032-7570
1000060179987988
.E . ,.
;Part"Niimbe'r• L'inef; `. `` Descrigtiori'- uariEit" ';:.Price' "`` '^ :.Net" " Total" >,
ZX-3030 JNFR 30LB 134A REFRIGERANT () 1.00 176.88 75.9900 75.99 i
3 f
4
Delivery: Our Truck W- 2-13:09 Subtotal 75.99
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
;.-�-f--�-'-:rte.-•g.:^"�-:xw:rte;.._.. ...��..,_,,.._..;._.:_.�,., ..--.»�;.v -- -• s--,..
_.__ _. ..__.. __.,__.____.... _ :� ,� _: �: . �' � Total '-�:;;:• 75 X9:9
Customer Signature Charge Sale 75.99
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REh7IT:GPC-SND
5959 COLLECTION CIR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
100006017 ................................... .
CARMEL NAPA Time: 14:58 Invoice Number 999902:
1441 S GUILFORD RD STE 140
NAPA CEARMEL, IN VER
Y2922 Date: 09/15/201546
II�IIIIIIIIfllllfllllllflll'fIIfIIflllll:
(317) 844-3973 Page: 1/1
.. ....... - - -. ... ........................................................................... .................................................................................
17983 Employee: 36 Tige
�, CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y
3 CIVIC SQ Accounting Day: 15 OCR
CARMEL, IN 46032-7570 .................:........:........................:::--.--:-:-::----- ---
1000060179999029
-i%:ji:i3'35C13=fl2'f»>:c: :::` ?;`.2 i c'i, C C
...
:':'::=;_:::::r::=: fi3L klfll i>^- :+:#F :: :rri..........
...... --- .......- - -................_...................................... -.........--- _....... ?........_.. .......,,....,..:::
2-283597 :CRB -CANISTER PURGE VALVE O 1.00: 43.52: 21.7600: 21.76 <R
2011 Chevrolet Impala 3.9 L 237 CID V6 OHV with
VVT
................................................................ ...................................................................................
Delivery: Our Truck W- 99-02:58 Subtotal 21.76
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
-- ......... - ........ ....... .....
Customer Signature - :::.Charge Sale::::. :::::21:..7. :::..........................
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
P,EMIT:GPG-IND
5959 COLLECTION CTP..DR. ,
CHD_AGO ILL. 60693
CUSTOMER COPY
100006017 r - - -- --
CARMEL NAPA Time: 08:03 [Invoice Number 999950;
�— 1441 S GUILFORD RD STE 140 j
'NAPA ® REF BY_ VER BY _ Date: 09/16/2015 (II�IIIIIIIIIIIII�IIIIII�IIIIIIIIIIIIIIII
CARMEL, IN 46032-2922
t
� (317) 844-3973 Page: 1/1
17983 �._.•.�..-. Employee: 36 Tige ._._ .,..__....._.•_¢ _.._._......,. . _,._. ,�_..__..._._ _...,._...._....._..._._
® CITY OF CARMEL POLICE DEPT ! Sales Rep: 36 Tige ) Y Y
3 CIVIC SQ Accounting Day: 16 OCR
® CARMEL, IN 46032-7570 -- -- ..— ------ — .•• ---
1000060179999500
Part"--Number. LiiieaB: g •:De • :. :...,;•:K:
s uasit t Price .;, �, .Ne l
v,
'.;� t 'E" Teta
>"r, .•.., ...,.•..,,...,...,-..-...,.....:-....�.�>c;... �_.:.�..�.��.ss,u,..._....m.�:��.;.,_... -: ._v:�,.,:.�: a...........�'.��..;-:�w.<,N.,. . ,.:i . :�,_:...,..N...'.:`•,. . i:.z ��.........-....:tae__
Q
7060 FIL iNAPAGOLD OIL FILTER (300) 12.00` 11.50 N 2.3000[ 27.60 �r!R
• s ( 1 9
i
}
f
i Delivery: Our Truck W- 99-20:03 Subtotal 27.60
Attention: filters ) Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
3
[ PO#:
Terms:
To.tal:: ._ ;r j2e76"'b'4:mm : .,
Customer Signature Charge Sale 27.60
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: 09:31 : Invoice Number 998922%
AAPAIEl
AMs •1441 S GUILFORD RD STE 140� REF BYVER BY Date: 09/09/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
------------------------------------
-_...----------------------------------------------
....... .................._....................................
......
..............._..
17983 Employee: 36 Tige
CITY OF CARMEL POLICE DEPTSales Rep: 36 Tige Y Y
3 CIVIC SQ Accounting Day: 9OCR
CARMEL, IN 46032-7570 ----------------------------------- .......................................... ........................
1000060179989227
.3=3F :;; ::;-:-::-::-;:-::=:i;>i 3 C Aid.... ..
<..................fi3��-isIQi-SF23��siis:---- . .... —----`.._..............'---....-----......1...-...._....................-------?........_..3�._.._..................................---........._......._—....-.........
7534 BAT -BATTERY (BAT,170) 3.00: 134.90:: 76.8100: 230.43
7534 :BAT :Core Deposit (BAT,170) 3.00" 18.00: 18.0000: 54.00 D
........
..............
........................................................
..............................................................................
Delivery: Our Truck W- 99-21:31 Subtotal 284.43
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
POn.
Terms:
------------------- -----
-�..
:.:. `.-.--..........:.:.....:.. ...........................'-:-"-...... i:=:=-:=.....y:;i ii::;i:::i:::::::=s==:=-::-:=i::::i::i::::-::::i::::i:: '::::: ---------------------::=:=:==:::::::=:::::::/"= :'=:;'''i-:=
Customer Signature - ..........................::::.Charge Sale 284.43 -----
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: 07:59 iInvoice Number 997098,
1441 S GUILFORD RD STE 140
I .CAPAIAMINW ,� REF BY VER BY CARMEL, IN 46032-2922 Date: 08/26/2015 (II1IIIII1IIIIIIIIIJIIIIIIIIIIIIIIIIIII1II
(317) 844-3973 Page: 1/1
17983
Employee: 36 Tige
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y
3 CIVIC SQ Accounting Day: 26 OCR
® CARMEL, IN 46032-7570
® 1000060179970987
Part;Number %t Linea fs,- -Descri'
pt=iori: :,A ? €1 uantit,°-;�<°'Price•. E?.; = ;Net`
. .... ......,�.w�.,..�.....:,,:E��t.�s:•: Q...... ....�'•;,a,.-.:..�......:,.
R8-2RSJ BRG NAPA BALL BEARING () ( 1.M 57.922 28.9600( 28.96 IR
S i
I P I
Delivery: Our Truck W- 99-19:59 i Subtotal 28.96
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: `
Terms:
Customer Signature Charge Sale 28.96
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
100006017 f_... ___..__ __.--___.._.._ .__._....__.,,
CARMEL NAPA Time: 10:24 ; Invoice Number 997335;
1441 S GUILFORD RD STE 140 j
El
AM REF BY VER BY Date: 08/27/2015 ;IIIIIIIIIII�I�IIIIIIIIIIIIIIIIIIOIIII��I1
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17983
Employee: 36 Tige
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige
3 CIVIC SQ )'
Accounting Day: 27 OCR
m CARMEL, IN 46032-7570 -_-_.___ _......._.___ __.... ._. _.._....._..._._...._._._ ,._.,..... ...
® j 1000060179973350
s Pari•'Number'` Lilies' y. Description' Y �;s .1 Quantity)-". Price'':"'3 >z IVet " �: x- -Total'
9005 IAVB €CAPSULE () 6.001 4.62' 2.2400 13.44
2014 Ford Truck Explorer 3.7 L 227 CID V6 D[IHC 24
1 Valve
1 � j
Delivery: Our Truck W- 3-11:24 ( Subtotal 13.44
Attention: ! Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
4
Terms:
Customer Signature Charge Sale 13.44
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-]ND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 50593
CUSTOMER COPY
100006017 _......_,_._____.
CARMEL NAPA Time: 14:00 Invoice Number 997394€
1441 S GUILFORD RD STE 140 j
(NAPA REF BY VER BY Date: 08/27/2015 �II�IIIIIIIIIIIIIII�I�IIIII�I'IIIIIIII��IY
CARMEL, IN 46032-2922
o (317) 844-3973 Page: 1/1 _....____.__.___.._ _.._._ ....,,.°
17983 Employee 6 Jason
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y €
3 CIVIC SQ Accounting Day: 27 ( OCR
® CARMEL, IN 46032-7570 _._._._._......".._..___.. .__.._-- 1000060179973948
® j
Par-t;Numbers ''s `Line` be
[
1348 n IFIL NAPAGOLD OIL FILTER (300)4 2.00 X11.50 2.3000a 4.60 R
a
Delivery: Subtotal 4.60
Attention: Indiana Sales Tax 7.0000% 0.00
€ Tax Exemption:
PO#:
Terms:
- ., pgalt,
Customer Signature Charge Sale 4.60
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: 08:34 ! Invoice Number 997459'
1441 S GUILFORD RD STE 140 I IIIIII VIII VIII VIII ILII VIII IIII IIT
INAPAI �
® REF BY VER BY Date: 08/28/2015
CARMEL, IN 46032-2922
o (317) 844-3973 Page: 1/1
17983 ( Employee: 5 , JEREMY ?
® CITY OF CARMEL POLICE DEPT f Sales Rep: 36 Tige
3 CIVIC SQ Accounting Day: 28 13 OCR
® CARMEL, IN 46032-7570
1000060179974590
F P rt.`Nuinbera liiriet'tjj y `Descri tiori � ?,Quanti•t {4 tPsiCe �)" "'NeE"` Tdtal r
"' ..� _�....-,SS,4.,.i•:.._.:«_1.�,�:4_.u..w, ,.. ?;,re-rn..��,. ..0 w,w-a6-.£a«>�....__... u,yK=,a.".,�.»._..,». »,.,_n p.s..�,,....-�:.-,.,R: «. ....4..s,a:An"._:..�,,,...»... .'.,'._,... ......a...«.. A'.�
7534` Fv IBAT BATTERY (BAT,170) 2.001 134.901 76.8100 153.62 j;R
7534 jBAT !Core Deposit (BAT,170) 2.001 18.001 18.0000? 36.00 D
1
i
Delivery: Our Truck W- 3-09:34 Subtotal 189.62
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
i
PO#:
Terms:
f 18:9. 6 2 __
� :__:_ .. .
Customer SignatureCharge Sale 189.62
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-TND
5959 COLI,ECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
100006017
CARMEL NAPA Time: 15:22 ' Invoice Number 997586
AEl
AMINO , 1941 S GUILFORD RD STE 140REF BY VER BY Date: 08/28/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1 4
17983r— _ ._.. _.._.� _.___ .....,.��._..._........,...___._...............__. ._ ,...._.,...�_.__. ..
Employee:Y33 Kohlstaedt
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y
3 CIVIC SQ Accounting Day: 28 1. OCR
® CARMEL, IN 46032-7570 `" `"" 1000060179975866
Part .Number- ,,; kms` "f. ;• a _
x rN13H
n. :.,:. �� . �»... ... .38485 IDLER PULLEY () 1.00 128.00 64.0000 W 64.00
2014 Ford Truck Explorer 3.7 L 227 CID V6 D.OHC 24
Valve ;
38485 NBH IDLER PULLEY () 1.001 128.00: 64.00001 64.00
2014 Ford Truck Explorer 3.7 L 2271 CID V6 DjJHC 24
Valve j S
Delivery: Subtotal 128.00
? Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms: €
' .4��.r�" J.,T',7✓"p,,,_.��., '3 ,«�-X°w.""T':'+"y9^.':•3S'.^?va,"w'jn..,'..""y«.•,!'y"" - t^,.'--n �
i _ _.__..._ ..� ._ ._.____...._._"___._ ;r � •:Total; �x=,., 1
Customer Signature Charge Sale 128.00
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
1000060177
�--
CARMEL NAPA Time: 15:32 ' Invoice Number 997588
s' 1441 S GUILFORD RD STE 140
El
AMINO REF BY_ VER BY Date: 08/28/2015 IIIIII�IIII�IIIIIII��I�II'II�IIIJill
llll
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1 `
17983 Employee: 33 Kohlstaedt -'-- ----_____
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige y Y ._
3 CIVIC SQ Accounting Day: 28 OCR
® CARMEL, IN 46032-7570 — --• .. - -.--. _ _ ._ _ ..... t
® L-1000060179975884
,F` •PNuirib er'
r= =4�liin Y.�f•yD'. i 1..ri• �":'...
a t„ e ', es"cr t o :'�: Qiiantai°t� z.a-:•Price•: �:3Q`;`;,Net`� ��=`Y �°:ToEal�'� r�.
38485NBH IDLER PULLEY O -1.00 128.00 64.0000 64.00 CR;
This item was purchased on invoice # 99758608/28/2015E
a
f ;
9
9
Delivery: Subtotal 64.000R
Attention: j Indiana Sales Tax 7.0000% 0.00
j Tax Exemption:
PO#:
t .
[3 Terms:
F: �wa . - Total* 6°4 00CR�
Customer Signature Credit Memo 64.00 CR
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: 13:15 Invoice Number 997863
1441 S GUILFORD RD STE 140 s
El
AM REF BY VER BY Date: 08/31/2015IIIIIIIIIIIIIIIIIIIfOIIIII�IIIOIIIIIIIII£
CARMEL, IN 46032-2922
(317) 844-3973P age: 1/1
17983 ({ Employee: 6 Jason j
CITY OF CARMEL POLICE DEPT i Y Y
® Sales Rep: 36 Tige
3 CIVIC SQ Accounting Day: 31 OCR
® CARMEL, IN 46032-7570 . — —_ _. ..__._..._.. .__--- 1000060179978630
°Part'Nuinber:;= Lne't. ;,f ;= +Descr"i` tion -r"a uantit Y .Prz`ce'' " iVet ' T al
PBR930548K 1PGBCHUB BEARING KIT () 2.00 159.32 91.9900 183.98
i 2012 Chevrolet Impala 3.6 L 217 CID V6 DOHC 24
Valve VVT y
Delivery: Our Truck W- 2-14:00 Subtotal 183.98
Attention: Indiana Sales Tax 7.00008 0.00
Tax Exemption:
PO#:
Terms:
Y.< _.� �.......... _
�:�;:: �..:° �.��.�• ��"�.. _...._:�':_w ._. a� ..,. ,..._<1'8-3''...98�_.... .._
Customer Signature Charge Sale 183.98
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: 07:46 ; Invoice Number 997932,
NAPA a 1441 S GUILFORD RD STE 140 ((I'�II'IIIII I�III I��II III�I lull llll Ulla
,® REF BY VER BY Date: 09/01/2015 i
CARMEL, IN 46032-2922 &
° (317) 844-3973 Page: 1/1
17983 Employee: 36 Tige
® CITY OF CARMEL POLICE DEPTSafes Rep: 36 Tige h Y Y
3 CIVIC SQ I Accounting Day: 1 i( OCR
® CARMEL, IN 46032-7570
® ? 1000060179979327
+f P rt'.:Nuznber.;; liire` Descri tion`' _" '-a>,: uan
t z t � �Tota1. ..,:•;,f ,
f:_.�-._..-':, '-"-mw...�._.i.,.,...a....,».c^:.:'b.4 ....�..af .,.,a,...�.d�r'.�-: '�...:<f'?ri`:'.T»�....•._ ...p.:,_,»a.....::M'•... ........._.,.,_., �Q.... ydi��..,,..._.,n. .. ...._.���,,...;�:..�.,F.._ .:_,..._ _.,..... .,.?:x4s:..'...sjasi.,....
PBR930y075 PGB !HUB BEARING ASSEMBLY O 2.00 •. 157.024 91.9900 183.98
2013 Chevrolet Impala 3.6 L 217 CID V6 DOH 24 ?
Valve VVT qg'
.I 1 t j
I
.__.._....., ....._..._.__.__.__...._..._._..__._._.__.. ,._..._....._._._._.........._........._._..___.___..._i
Delivery: Our Truck W- 99-19:46 ; Subtotal 183.98
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: j
Terms:
Customer Signature Charge Sale 183.98
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR-DR.
CHICAGO ILL. 60693
CUSTOMER COPY
100006017 $...___.. _. _ _....
g CARMEL NAPA Time: 11:45 } Invoice Number 998322%
1441 S GUILFORD RD STE 140
�NAPAI REF BY_ VER BY _ Date: 09/03/2015 IIIIIIIIIIIOIIIIIIOIIIIIIIIIIIIOIIIIIIII=
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17983 Employee: 9 Brian
® CITY OF CARMEL POLICE DEPT ) Sales Rep: 36 Tige Y Y
3 CIVIC SQ Accounting Day: 3 OCR
m CARMEL, IN 46032-7570 —.•.-
1000060179983223
_ Part'Number 3 -£: Brie' :: Description.,:.` , x: Quantic Price:..,,s N2tF Total `'$},
3059^~�a . . FIL NAPAGOLD FUEL FILTER () s 1.00 9.681 2.4200! 2.42 :R�
SF16 a �SF MOTOR TUNE-UP 1602 (200) 2.00 20.38 6.4900 12.98
r
d , d
Delivery: Subtotal 15.40
Attention: ( Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: J
Terms:
Customer Signature Charge Sale 15.40
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 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))
09/17/15
$1,356.38
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
I
VOUCHER NO. WARRANT NO.
Genuine Auto Parts ALLOWED 20
IN SUM OF $
5959 Collection Center Drive
Chicago, IL 60693
$1,356.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-370.00 $1,356.38 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
Thursday, S ptember 7,
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
■