249844 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 365791
ONE CIVIC SQUARE PEARSON WHOLESALE PARTS CHECK AMOUNT: S"""""""""3.14'
CARMEL, INDIANA 46032 10650 N MICHIGAN ROAD CHECK NUMBER: 249844
+"rioN ZIONSVILLE IN 46077 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 152688 3.14 OTHER EXPENSES
0 00
PEARSONPEARSON
AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/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
a particular 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 ENTEREDYOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
NUMBER 152688
11
SACCOUNT NO. 6205 H PAGE 1 OF 1
L CITY OF CARMEL WATER I
D /3450 W 131ST ST P
TWZESTFIELD, IN 46074-8267 0
O
SHIP VI is SM B/L NO. TERMS F.0.8.
fqRJ6 I IE3.0. I PART N[JMBF:R DESCRIPTION I IqT NFT AMOUNT
1 0 D5AZ*7B498*A SEAL 25 3 . 92 3 . 14 3 . 14
WEST8
NO RETURNS
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 31 4 ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FREIGHTQ,:_Q PARTS
SALES-T_ 0-0-0
"°°"`Y)°°° TOTAL - 141
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
365791
PEARSON WHOLESALE PARTS Purchase Order No.
10650 NORTH MICHIGAN RD Terms
ZIONSVILLE, IN 46077 Due Date 9/15/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2015 152688 $3.14
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
Date Officer
VOUCHER # 153001 WARRANT # ALLOWED
365791 IN SUM OF $
PEARSON WHOLESALE PARTS
10650 NORTH MICHIGAN RD
ZIONSVILLE, IN 46077
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
152688 01-6500-05 $3.14
Voucher Total $3.14
Cost distribution ledger classification if
claim paid under vehicle highway fund