250229 10/07/15 CITY OF CARMEL, INDIANA VENDOR: 355214
® ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP(QIffCK AMOUNT: $""""*""89.16'
=4 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 250229
9ylGoH.c�` CHICAGO IL 60693 CHECK DATE: 10/07115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 36.95 OIL
2200 4351000 08518032 52.21 AUTO REPAIR & MAINTEN
100006017 ,_ ... _ ._ _ ..._ ___-_."I',-,'
CARMEL NAPA Time: 15:06 ( Invoice Number 0013061
DDDDnn 1441 S GUILFORD RD STE 140 )
��AinAMPAM 'o CREF BY VER B
ARMEL, IN 46032-2922 Date: 09/24/2015IIIIIIIIIIIII�IIIII'��Illlllllllflllll�l
(317) 844-3973 Page: 1/1
18032 _._._...___.._....._..Employee: 6Jason "�...._.... __..._.__._._.... ...�3..._.__..__._.......-._�..__.._.. ..,_._._._.__......._,
CITY OF CARMEL ENGINEERING Sales Rep: 10 Store
1 CIVIC SQ Accounting Day: 24 OCR i
I,
® CARMEL, IN 46032-2584 ----- -__ --._— --..--._•-- -.._-.. ., _ _
® 1000060170013066
P+
Part'Number `. =�I ine Descri ti or > :s �r,";;•=Ne't, ;Tot 1"
_;.:,;�;.7•: -::.�`� { . F ..� Quantity �.Price:
_..i...,�.«..;w....,.. ..._......<_.w,,,.,,.__. .>� �«. r. � '•H,w...:..�.,.._.�.........�.. �,...%....s>:...s..x.. .».... ..;�4�r��.,„r ._, .�,.,......_. .. __�%..`�....�
2008 Toyota Prius
60-026-1 €WIP Wiper Blade - AccuFit - Driv (800) 1.001 21.40; 13.81001 13.81 IT
60018 'WIP !Wiper Blade - AccuFit - Pass (800) 1.00 15.28? 9.8600' 9.86 IT
29116 1SFI ;Air Filter (ProSelect) () 1.001 15.80( 11.6900 11.69 'T
4875 FIL lCabin Air Filter (300) i 1.00 31.781 16.8500, 16.85 iT
3261 300 -AIC (SYNTHETIC OIL 5W30 (204) 4.001 8.741 6.99001 27.96 IT
41394 (PFL .Oil Filter (Platinum) (300) 1 1.00: 23.081 8.9900' 8.99 )T
1 F
Above Item on Sale ? f
Delivery: Subtotal 89.16
Attention: Indiana Sales Tax 7.0000 6.24
_o
Tax Exemption: ,
PO#: EG
Terms:
s=.:,';•-".�,• ->.,
:5 `40!
____.._..�... :.�s%�,'T.F..aF.�.c.,<..t.S:,,:. •.:e#.a:: ;.. ..�. ,. ....,......_...,. ..e,m..... _..,✓xww.,.R•�.<a^,.. �_a:_„".i:,'e
Customer Signature Charge Sale 95.40
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMTT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
2.200 -y23�5o0
CUSTOMER COPY
52.21 2200 - 4'L*1-4 00 0
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
9/24/2015 1306 Oil filter and oil $ 36.95
9/24/2015 1306 E-6 Repair parts $ 52.21
Total $ 89.16
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
$ 89.16
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 1306 2200-4231500 $ 36.95 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
0 1306 2200-4351000 $ 52.21 which charge is made were ordered and
received except
10/5/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund