249698 09/23/15 - CITY OF CARMEL, INDIANA VENDOR: 355214
® ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPa4WCK AMOUNT: $'"`""'68.73`
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 249698
CHICAGO IL 60693 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 25.31 OIL
2200 4351000 08518032 43.42 AUTO REPAIR & MAINTEN
1
100006017 --•
CARMEL NAPA Time: 10:35 Invoice Number 998954
[NAPAI 1441 S GUILFORD RD STE 140 (I�IIIIIIIIIIII�IIIII�IIIIIIIIIIIIIIII�I
�s REF BY_ VER BY Date: 09/09/2015
CARMEL, IN 46032-2922
° (317) 844-3973 Page: 1/1
18032 Employee: 33 Kohlstaedt
CITY OF CARMEL ENGINEERING Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 9OCR
m CARMEL, IN 46032-2584 --- - - - .?
' 1000060179989548
Part,-Number Line Desoript , ,Quantity Price Net Total
1348 FIL Oil Filter (Gold) (300) E-l 1.00,; 11.50 6.6200 6.62 T
60-1843 'WIP VISTA - BEAM (8001 +�p 1.00: 29.06; 18.7500` 18.75 T
60-2643 ;WIP VISTA - BEAM (800) 1.00 38.24 24.6700 24.67 T
75155 NOL NAPA 5W20 5 QUART (016) +J 1.00; 31.40 18.6900 18.69 T
Delivery: OSI 2 S I Subtotal 68.73
Attention: Indiana Sales Tax 7.0000% 4.81
Tax Exemption: fTlpes u2,- 2
PO#:
Terms:
Total 73. 54,
Customer Signature Charge Sale 73.54
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60593
+� GY 1laerz, CUSTOMER COPY
�'-! ®r% 7-1-or / Oil
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
GPC-IN Purchase Order No.
5959 Collections Center Drive Terms
Chicago, IL 60693 Date Due
Invoice Invoice Description
_ Date Number (or note attached invoice(s)or bill(s) Amount
9/9/2015 998954 Oil change for E-1 $ 25.31
9/9/2015 998954 Wipers for E-6 1 $ 43.42
- Total $ 68.73
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.
GPC-IN ALLOWED 20
5959 Collections Center Drive IN SUM OF $
Chicago, IL 60693
$ 68.73
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 998954 2200-4231500 $ 25.31 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
0 998954 2200-4351000 $ 43.42 which charge is made were ordered and
received except
9/21/2015
Signatu e
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund