252380 1 2/08/1 5 1y W F,p�F
/ \� CITY OF CARMEL, INDIANA VENDOR: 365791
j ® `1 ONE CIVIC SQUARE PEARSON WHOLESALE PARTS CHECK AMOUNT: $********48.1 1*
,> �� CARMEL, INDIANA 46032 10650 N MICHIGAN ROAD CHECK NUMBER: 252380
;ETON�' ZIONSVILLE IN 46077 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 160456 48.11 OTHER EXPENSES
00
0PEARSON PEARSON
0 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 itemAtems.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
NUMBER
s ACCOUNT NO. 6205 S PAGE 1 OF 1
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CITY OF
CARMEL WATER
D3450 W 131ST ST P
0 /WESTFIELD, IN 46074-8267 0
SHIP VIA SLSM. B/L NO. TERMS F.O.B.
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V1 1 0 1L2Z*19E616*CA MOTOR A 57 96 .22 48 . 11 48 . 11
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THANK.:Y.OU! ................ ........ :: WITHOUT THIS
INVOICE.
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CHARGE WILL
****** THANKS FROM ALL OF US ****** NO RETURNS ON
******* AT PEARSON WHOLESALE ******* GOlELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS SUBLET SPECIAL ORDER
FREIGHT o o In PARTS
7Ap&;4F l.40r el'W_,3j
apY,igh,3000 ADP,Inc.
CUSTOMER COPY
VOUCHER# 153738 WARRANT# ALLOWED
365791 IN SUM OF $
PEARSON WHOLESALE PARTS
10650 NORTH MICHIGAN RD
ZIONSVILLE, IN 46077
Carmel Water Utility
i
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT 1 Audit Trail Code
160456 01-6500-05 $48.11
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t
a
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1,
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Voucher Total $48.11
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 12/4/2015
Invoice Invoice Description
Date Number (or note attached ,invoice(s) or bill(s)) Amount
12/4/2015 160456 $48.11
{
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
/12//s
Date Officer