HomeMy WebLinkAbout251976 12/02/15 i
CITY OF CARMEL, INDIANA VENDOR: 355214
® it ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP(SLWCK AMOUNT: S......*108.16*
+, ?� CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 251976
CHICAGO IL 60693 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 08517983 108.16 REPAIR PARTS
Genuine Auto Parts November 25, 2015
5959 Collection Center Drive
Chicago, IL 60693
Acct: 08517983 - City of Carmel Police Department
Invoices paid:
Date Invoice# Debit Credit
11/06/15 007431' $ 289.63
11/06/15 007411 $ 54.00
11/11/15 008060 $ 54.00
11/12/15 008339 $ 15.30
11/17/15 008913 $ 198.54
11/18/15 008965 $ 91.99
11/19/15 009175 $ 87.86
11/20/15 009363 $ 56.54
11/23/15 009636 $ 11.34
11/23/15 009552 $ - $ -
11/24/15 009803 $ 44.22
BALANCE $ 505.79 $ 397.63
TOTAL AMOUNT PAID $ 108.16
100006017
CARMEL NAPA Time: 09:16 Invoice Number 007431
1441 S GUILFORD RD STE 140 €
NAPA REF BY VER BY Date: 11 /2015 II��III�IIII�IIIII��II�III�III�IIIIIIIII
_ CARMEL, IN 46032-2922
e (317) 844-3973 Page: 1/2 {
17983
Employee: 6 Jason Y Y
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige i
3 CIVIC SQ Accounting Day: 6 OCR
m CARMEL, IN 46032-7570 -- - —---•— --- --._T -,_ _..__ _._, t
® 1000060170074311
>Part°'Number:'=,- Lir_e,�: �,,:�-. Descript;zon�:<,;.• `::<�;�,�`��Quantcy£:<;:^�P.rice"'°-.i•+` =�F1Vet�
7534 BAT iWARRANTY (BAT,170) -1.00lm 134.90€ 76.81001 76.81`CR R
This item was purchased on invoice`. # 3382 10/09/2015 {
7534 BAT Core Deposit (BAT,170) -1.00' 18.00) 18.0000 18.000R D
Purchased Date 10/09/2015 i {
7534 BAT "WARRANTY (BAT,170) -1.001 134.90 88.01001 88.01CRIR
This item was purchased on invoice; # 936475) 06/25/20143
7534 BAT (Core Deposit (BAT,170) -1.001, 18.001 15.0000! 15.00CRID
Purchased Date 06/25/2014
Delivery:
Attention:
i Tax Exemption: 111
3 PO#:
Terms:
�='CONTINUEDrv-��.`�.
£ss.'i.8.&wsC� -'"�../ -`.:a�SMw.�'..�`ewL. 3b.-S''�i,' 9 �k�..,w..... .. -..,.:C:;�.•,.a�.S.Y
Customer Signature
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: 09:16 Invoice Number 007431
1441 S GUILFORD RD STE 140
INAPAI * REF BY VER BY _ Date: ll,Oti,2015 1111111111111111111111111111111111111111 IN
CARMEL, IN 46032-2922
(317) 844-3973 Page. 2/2
17983 II Employee: 6 Jason a
® CITY OF CARMEL POLICE DEPT g Sales Rep: 36 Tige Y Y
3 CIVIC SQ Accounting Day: 6 � OCR
m CARMEL, IN 46032-7570 - - - -- - ..•.' — - — -
1000060170074311
w.,,, ..
Par-t umber` `'` =LiIIe'��,, �' Descriptiorl "Qilant"ity r: r.'P=ice =Net ; Potal'" "fit
•' .:.:,..gtt..,.,.�. s.. =.;..,.:a._"s-;w::_...,.._ .:.o..,.:.�-,_-..>._.m,>.�.r...W:c,.:.:.<:�:-a:li.. '�.. ...............:._... �..«»,_..v.�•...N....s...,:..� ._ ,...,...,....:.eua,r�C irk'.":::......�.-<b........-_.<..:_;:.,�_: ,...�.
7534 w BAT !WARRANTY (BAT,170) -1.00: 134.90 76.8100 76.81CRRR
t € This item was purchased on invoice # 958465111/25/2014 ##I
7534 !BAT "sCore Deposit (BAT,170) -1.00 18.00 15.0000! 15.00CR°D
Purchased Date 11/25/2014
Delivery: Subtotal 289.63CR
( Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption: iI
j PO#:
Terms:
;; ' ' �=Total;_.>: ..�:
Customer Signature Credit Memo 289.63 CR
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
RENIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
100006017
CARMEL NAPA Time: 08:32 lInvoice Number 007411;
1441 S GUILFORD RD STE 140
INAPAICARMEL
AM PM3 REF BY VER BY _ Date: 11/06/2015 �II��III��III�IIIII��IIII�IIIIIIIII�IIBOI9
, IN 46032-2922
" (317) 844-3973 Page: 1/1 ._.„^
's.
17983 ( Employee: 6 Jason 3?
® CITY OF CARMEL POLICE DEPT ; Sales Rep: 36 Tige
3 CIVIC SQ Accounting Day: 6 OCR
® CARMEL, IN 46032-7570
1000060170074115
' ,Parti:”Number.- lime :Descri' t ori "". ;x 5- t "� ce` Ne't" ' ' T 6t 1.
f "<" ., p tQllal'1 icy. ,3Pri �'' o a '.
7534 BAT (Core Deposit (BAT,170) -2.00 18.00 18.0000; 36.00 MD
This item was purchased on invoice # 3382 10/09/2015
7534 BAT lCore Deposit (BAT,170) -1.00 18.00 18.00001 18.000RID
This item was purchased on invoice # 4375 10/16/2015
� I (
Delivery: Subtotal 54.000R
z Attention: Indiana Sales Tax 7.0000% 0.00
1 Tax Exemption:
f
PO#:
j Terms:
,5 4'. _
_
,
Customer Signature Credit Memo 54.00 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: 07:38 Invoice Number 0080601
1441 S GUILFORD RD STE 140 `IIIIIIIIIIIIIIIIIVIIIVIIIVIIIIIIIIIOIi
(NAPM REF BY VER BY _ Date: 11/11/2015
CARMEL, IN 46032-2922 I g
(317) 844-3973 Page: 1/1
17983 Employee: 27 James
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y
3 CIVIC SQ Accounting Day: 11 OCR
CARMEL, IN 46032-7570 1000060170080607
:®
,�;`1 'Parti Number lime`
.. ..,�._y��
7534 BAT ;Core Deposit (BAT,170) -2.00 18.00 18.0000 Jp 36.000R11D
( This item was purchased on invoice # 7127 11/04/2015
7534 BAT Core Deposit (BAT,170) -1.00 18.00 18.00003 18.00CRID
This item was purchased on invoice # 7909 11/10/2015
i
3 3 (
Delivery: Subtotal 54.000R
i Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: 1132218
Terms: .._
;
r - r.
.<._.." }��'..� -2.7,
Customer Signature Credit Memo 54.00 CRS
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: 14:55` Invoice Number 008339
NAPA s 1441 S GUILFORD RD STE 140 II"III��IIII�IIIIIIIIIIIII.IIIIIIIIII�II
� REF BY VER BY Date: 11/12/201 5
x CARMEL, IN 46032-2922
c (317) 844-3973 Page:
....... ..... ......................... . I
..................................' ...................' ................................................. .......................
17983 Employee: 36 Tige
CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y
3 CIVIC SQAccounting Day: 12. OCR
CARMEL, IN 46032-7570 ., ------ -....., ::,:.,.::... ............ _ :..,:::,::,,--------------
1000060170083392
i. .;:.;:.;:;:; ;;;;;;:-;:-;:.;;:.:;-;�>wslw ................................. ......... .---------------------------
-_-------------
7502 `-FIL NAPAGOLD OIL FILTER O 6.00<, 12,.74 2.5500: 15.30 :R
........................................................ ...............................................................................................
Deliver
y: Subtotal 15.30
Attention: a Indiana7.Sales Tax 7.0000% 0.00
Tax Exemption:
POn.
Terms:
---:-----:;-:;::;::;::;;:::::::i;=;::r=i:`=:=i:=i:;;=:;'=:=i:=;3:;=::;:::i-;:-;:-;:::;:::;:::;::;::;:::;::.::::;?:;;::i::=r;::;;::;::;;:i::;::.................... . - -- :-;;;;:.:.:;:.;:
---------------
Customer Signature Charge Sale 15.30
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMI'P:GPC-IND
5959 COLLECTION CTP..DP.. '
CHICAGO ILL. 60693
CUSTOMER COPY
100006017
CARMEL NAPA Time: 13:54 ; Invoice Number 008913
1441 S GUILFORD RD STE 140
NAPAI AMPAMO® REF BY VER BY _ Date: 11/1"7/2015 'III�III�IIIIIIIIIIIIIIIIIIIII'IIIIIIIIOI?
CARMEL, IN 46032-2922 $
(317) 844-3973 Page: 1/1
17983 _ Employee: 26 Jared
o CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige I Y Y
3 CIVIC SQ Accounting Day: 17 3 OCR
m CARMEL, IN 46032-7570 - ----••• -- _.__,. __ _ ___
1000060170089136
P Number..:' I iI € ' D cr tsori,,� > < •<r$::=; t p..,, K.
art; . e e5 p Qiiantzty lice. i , ;:Net ';% „Total
w
..y
PBR930075 PGB IHUB BEARING ASSEMBLY O 2.00 157.02 91.9900€ 183.98
787143 NW (HEADLIGHT (466,455) 2.00 13.96 7.2800 14.56 9
Deliver ur Truck W- 2-14:39
� y� OSubtotal 198.54
Attention: Indiana Sales Tax 7.0000% 0.00
1 Tax Exemption:
PO#:
Terms:
otal 1,98
Customer Signature Charge Sale 198.54
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVUICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
h
100006017
CARMEL NAPA Time: 07:45 Invoice Number 008965.
s 1441 S GUILFORD RD STE 140 I Iillll VIII VIII VIII VIII VIII IIII IIII
INAPAI a REF BY VER BY Date: 11/18/2015
CARMEL, IN 46032-2922 s
(317) 844-3973 Page: 1/1 }
17983 Employee: 26 Jared
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige , Y Y
3 CIVIC SQ [ Accounting Day: 18 OCR
m CARMEL, IN 46032-7570 =
1000060170089653
,�.Par't-Number �.`-,n>N:`Line'''"::`:a;�i�F�•�; �::��;DesCri �tiori.z' •'?`: x,%�v:�:= �iiarit'' '.:Pri• ,,;27 rx.,z.N°• .�:�!<-.sr.,, .:�.: ::�z.•,
�:.:�,.��_ a,,.._,<.,...�..,�..:,.,��... �..��W..:�<_.°�a�::....w:�.....:���W.� ��._.._p.��...,..... .,��: ..°�:� Q��.. ...�y� ,a,.,�._.....�..,... :..: :_.. eta.; ..: ..�.....TTotal .��.. .i>:°.;•.<
i' cep;
PBR930075 iPGB IHUB BEARING ASSEMBLY O 1.00 157.021 91.99001 91.99
S
� Delivery: Our Truck W- 3-08:45 Subtotal 91.99
i
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
i PO#:
Terms:
Customer Signature Charge Sale 91.99
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: 09:40 = Invoice Number 009175
1441 S GUILFORD RD STE 140 ((t1t111
NAPA REF BY_ VER BY _ Date: 11/19/2015 IIIIIIII�IIIIIII�I�IIIIIIIIIIIII'1111111
= CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
--------------------------------------------------------------------------
---------------------------------------------------------. -------------------------------
------------------...........------------------------- ..... ------. --- --------------------------------
------
17983 Employee: 36 Tige
gQ CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y
3 CIVIC SQ Accounting Day: 19 OCR
CARMEL, IN 46032-7570 .......- ... ..- ------- --------- --------- ---
1000060170091757
1xuttbr�... .............1� t .. ;. 3flYs;:::::>:.>::.>:::::>:.::.>:.::::.>:.:.: }k .. .
....:........................... • .._....... ..._........................... ........._....... ---------------------- ----------------------- ----... - ..:.::....
- --- --
-
260-1351 :NCP :LOWER BALL JOINT () 1.00. 121.64: 60.8200: 60.82
260-1349 NCP :UPPER BALL JOINT O 1.00=: 66.72: 27.0400: 27.04
............................................................................................................................................................
Delivery: Our Truck W- 99-21:40 Subtotal 87.86
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
POn:
Terms:
---------...__..._.-...............................__....._................---...._---__.-.... _...._..
_- ------:::...:: ......:..:::..:. .......:::;
....................................'' ' '' :>?::> >:=<>:: ::::>':> ==:>:=<:«':>=:<=>> ': >7:z $6----------------
-- =
..................._........_............................................._..._.............................._........-..................
- ..........................................................................................._................................. -
... ................................. ........ .................. ............ ..............------ ---------...
Customer Signature Charge Sale 87.86
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: 11:10 Invoice Number 009363:
1441 S GUILFORD RD STE 140
REF BY VER BY Date: 11/20/2015
jfA-pAj MOPAW
CARMEL, IN 46032-2922
E3 (317) 844-3973 Page 1/1 .........................
---- ------------ .....**...**................ ----------------------- ...... .... . ..-----------------... ............... ------------------------------- .....*******'*'"*------
17983 Employee: 36 Tige
CITY OF CARMEL POLICE DEPTy
Sales Rep: 36 Tige
3 CIVIC SQ Accounting Day: 20OCR
CARMEL, IN 46032-7570 --------------------- ------ ............... ----—----------------.............
1000060170093639
.......................................................... .... ......------ ................... . . --- -----------------------------------------------------------------------------------------
............................................ ------- ------- .... ... . ...... .........
--------- .....
----------
-------------------
. ..i. ........... ------
..... ... .. -----------------------------.....................................
.......... .... ....
................... ------------------------------- -------------
1.00:: 104.48: 52.2 4 00:: 52.24 :'R
BR2 63 'ECH BLOWER MOTOR RESISTOR
:
3157KX LMP :MINIATURE BULB 2.00 3.76: 2.1500w 4.30
2012 Chevrolet Truck Tahoe 6.0 L 3*64 CID V8Hybrid'
............................................................................................................... ...........................................
Delivery: Our Truck W- 99-23:10 Subtotal 56.54
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
.........----------- ..... ----------------- .....................................................-----------.......
---------------------- .........................
.......................................................... c;.
...................... ------------------------
---
Customer Signature Charge Sale 56.54
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR-
CHICAGO ILL. 60693
CUSTOMER COPY
.�. 'F -'��•bra=, a4 ..y ,� ..v ,fie �.
100006017 --
CARMEL NAPA Time: 12:40 Invoice Number 009636
1441 S GUILFORD RD STE 140 I IIIIII VIII VIII VIII VIII VIII IIII IIII
INAPAI REF BY VER BY _ Date: 11/23/2015
CARMEL, IN 46032-2922
r (317) 844-3973 Page: 1/1
17983 Employee: 26 Jared
CITY OF CARMEL POLICE DEPT j y y
� Sales Rep: 36 Tige P €
3 CIVIC SQ Accounting Day: 23 � OCR
o CARMEL, IN 46032-7570 ------"• _• 1000060170096360
Part-:,Number „�. "lime r," :'bescri:pti`ori"
� �..:{�' .:.' '`�''''" a.�:.`. �. - Y��.,w....,s:.,:s.: `.�,�.'r� .� � '" ,�._.._,.......,ys,,.J �icr.•..:..:..�...��..�.:�">r::'.:.-1 .�im•F
782-2245 BK 4BP FMX-LP F MX FUSE (468)^ 3.00; 8.38 ` 3.7800 11.34
€ I
I
S
ji
1 S
Delivery: Our Truck w- 2-13:25 Subtotal 11.34
Attention: Indiana Sale; Tax 7.0000% 0.00
Tax Exemption:
PO#:
i Terms: j
LlCustomer Signature Charge Sale 11.34
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
100006017 _..._._..___. _....___.._..
I_ . ..
CARMEL NAPA Time: 08:22 9Invoice Number 009552'
1441 S GUILFORD RD STE 140 )I IIIIII VIII VIII VIII VIII VIII IIII IIII"
[NAPAI REF BY VER BY Date: 11/23/2015
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/2
17983 ((( Employee: 26 Jared
® CITY OF CARMEL POLICE DEPT _ Sales Rep: 36 Tige :4 Y Y
3 CIVIC SQ Accounting Day: 23 ;3 OCR
a CARMEL, IN 46032-7570 _,_._..... . ..... _..._.__. .._._.___._._ _............ ..._ __ .
® 1000060170095520
Tota
Part :Number" §€Line;; .Descript.ion uantity
> . _ al
7534 ;BAT 'WARRANTY (BAT,170) _..._. _ -1.00f 134.90; 76.8100? 76.81CRR
i This item was purchaset on invoice # 998922E09/09/2015' !
7534 !BAT Core Deposit (BAT,170) -1.001 18.00£ 18.0000" 18.000RgD
7534 (BAT .BATTERY (BAT,170) 1.00 134.90' 76.8100' 76.81 PR
7534 .BAT Core Deposit (BAT,170) 1.00, 18.00; 18.0000, 18.00 ID
Purchased Date 09/09/2015 [([
7534 'BAT ,WARRANTY (BAT,170) I -1.00 134.90: 76.81001 76.81CR`R
j This item was purchased on invoice # 998922109/09/2015-
Deliver Our Truck W- 2-09:07
Attention: _
Tax Exemption:
PO#:
t
Terms: I
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
100006017 $--.__.__._._ _.___..., _.....___.. �_._
CARMEL NAPA Time: 08:22Invoice Number 009552£
1441 S GUILFORD RD STE 140
WAPAI ® REF BY VER BY Date: 11/23/2015 (II�IIIIIPIIIttllll�lllllltlllll�llllll�lt
CARMEL, IN 46032-2922
d (317) 844-3973 Page: 2/2
17983 Employee: 26 Jared '
® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y
3 CIVIC SQ Accounting Day: 23 _ 3 OCR
® CARMEL, IN 46032-7570 -� J 1000060170095520
E Paio�;Number`�", �Line). :•s.- Descri:pt "ori�°�.. =,�.� ;-�`r< QtiiantitYr�%'';:,Pzzce':.,:..(
..,,.<.. .�...m .r.. �.,u r_...1.-�.,<.:.>,:s........ ,...»..>,}..•..a:::xs=.,i ...µ >...: t - ...,.,
7534 BAT Core Deposit (BAT,170) -1.00 18.00 18.0000= 18.00CR:D
7534 BAT BATTERY (BAT,170) 1.001 134.90€ 76.8100 76.81 1R
7534 BAT ;Core Deposit (BAT,170) 1.00` 18.00: 18.0000: 18.00 tiD
Purchased Date 09/09/2015
Delivery: Our Truck W- 2-09:07 Indiana Sales Tax 7.0000% 0.00
Attention:
Tax Exemption:
PO#: ?
Terms: _ _ ,._, M_..=: .. ..rn p
x. Total„, -,,. 0 0.0
Customer Signature Charge Sale 0.00
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC—IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
100006017
CARMEL NAPA Time: 11:06 , Invoice Number 009803
1441 S GUILFORD RD STE 140 1111111 Ilill hili IIIII IIIII IIIII ilil IIII
APAI
� REF BY VER BY Date: 11/211/2015 g
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17983 Employee: 26 Jared ;I
®' CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige I Y Y
3 CIVIC SQ
Accounting Day: 24 OCR
® CARMEL, IN 46032-7570 _----------
1000060170098037
Part Number I Line' Description • a Quantity Price Net Total
P
7502 IFIL NAPAGOLD OIL FILTER () 12-00' 12.74; 2.5500 30-60 iR
7045 IFIL NAPAGOLD OIL FILTER () f 6-00' 11.=',4; 2.2700 13.62 FR
f �
t
{
€ � l
Delivery: Our Truck W- 99-23:06 i Subtotal 44.22
Attention: ! Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: [
Terms:
:$
,
Total 44 .22""
Customer Signature Charge Sale 44-22
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))
11/24/15 repair parts $108.16
I
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.
ALLOWED 20
Genuine Auto Parts
IN SUM OF $
5959 Collection Center Drive
Chicago, IL 60693
$108.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-370.00 $108.16
I hereby certify that the attached invoice(s), or
I I
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
Tuesday, November 24, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund