249632 09/23/1 5 0�q,'' ;f� CITY OF CARMEL, INDIANA VENDOR: 00352688
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ONE CIVIC SQUARE CARQUEST CHECK AMOUNT: $ .....*35.64*
�. CARMEL, INDIANA 46032 PO BOX 404875 CHECK NUMBER: 249632
<y,.roN ATLANTA GA 30384-4875 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2738-258204 35.64 OTHER EXPENSES
Great people, great products, great prices!SN
® CQ OF IND-BASH RD IN # 9146 PAGE 1 OF 1
CARQUEST 8357 BASH STREET REF# 402415
®WOO INDIANAPOLIS, IN 46250
317-849-6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
IIII�IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIII�I PO BOX 404875
ATLANTA, GA 30384-4875
21201509090273800002582040000402415635
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
BCITY OF CARMEL WASTE WATER sCITY OF CARMEL WASTE WATER
X9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY
LINDIANAPOLIS, IN 46280 PINDIANAPOLIS, IN 46280
T T
O O
CUSTOMER SALES TEAMMATE
INVOICE NO. NO DATE CUST. P.O. NO. ID ID FORM OF PYMT.
2738-258204 463020 9/9/2015 S
MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET'CORE EXT.AMOUNT TAX
NOTE: NO RUSH DELIVER WHEN _N_ i
CFI —1-32—.85— 1— -i 2—N�
AIR FILTER-HD
RE: 8849 / - —I3C-8
0
X CFI 1-5 0 1-4-5 - 4.5
LU AIR FLTR - HD
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WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED
OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA DELV.TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT
10: 36 AM RECEIVED xCUSTOMER COPY PAY THIS � 35.64
BY AMOUNT
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352688
CARQUEST AUTO PARTS Purchase Order No.
PO BOX 404875 Terms
ATLANTA, GA 30384-4875 Due Date 9/14/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/14/2015 2738-258204 $35.64
I hereby certify that the attached invoice(s), or bill(§) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
1
VOUCHER # 156240 WARRANT # ALLOWED
IN SUM OF $
00352688
CARQUEST AUTO PARTS
PO BOX 404875
ATLANTA, GA 30384-4875
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
a
2738-258204 01-7502-06 $35.64
i
a
i
Voucher Total $35.64
Cost distribution ledger classification if i
claim paid under vehicle highway fund