HomeMy WebLinkAbout253352 01/15/16 `%������ CITY OF CARMEL, INDIANA VENDOR: 355214
J.® ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP(R}fE€CK AMOUNT: $""""*82 87•
s• ,_� CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 253352
9.y`,�TON�. CHICAGO IL 60693 CHECK DATE: 01/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 82.87 REPAIR PARTS
THIS SECTION INTENTIONALLY LEFT BLANK
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CUSTOMER NAME: CITY OF CARMEL-FIRE DEPT
ACCOUNT NO: TERMS TOTAL AMT DUE THIS MONTH $0.00
8517996 45 Day Prx
CLOSING DATE
12/31/2015
AGED ACCOUNT STATUS
Current Total Past Due —Amounts Due Future Months Total Open
0.00 0.00 82.87 82.87
Past Due 1 -30 Days Past Due 31 -60 Days Past Due 61 -90 Days Past Due 90+Days
0.00 0.00 0.00 0.00
Tvoe
Inv Date Due Date code Invoice# P.O.# Open Amount Explanation
Future Due -1
12/17/15102/15/161 INV 1880665 STOCK 1 6.321
12/31/15102/15/161 INV 14343 ambulance 40 76.55
Total Future Amount 82.87
INV-Invoice CR-Credit Memo DED-Charge Back ^ OA-On Account Payment OC-Finance Charge
- Remit to:
(NAPA' Genuine Parts Company, Inc.
- 5959 Collections Center D
® Chicago, IL 60693
NAPA AUTO PARTS IND017 (IND)
1441 SOUTH GUILDFORD ROAD
SUITE 140
RECEIVED BY X
MUST HAVE RECEIPT FOR RETURN
100006017014343,
ACCT NO SOLD TO I DATE 1INVOICEI STOR EMP SR
17996 CITY OF CARMEL-FIRE DEPT
CARMEL IN PURCHASE ORDER #
(30) 460322584 ambulance 40
INVOICE TYPE CHGE
QTY PART NUMBER LINE DESCRIPTION PRIC NET TOTAL CODE
100 36310 02 PULLEY . 00 . 000 21 . 92
.
. 0 00 . 00 . 000 . 00
1 . 0 25-061380 03 SERP/BLT . 00 . 000 54 . 63
. 00 00 . 0 . 000 . 00
3 . 00 04 -.0 . 000 . 00 T
. 00 00 . 00 . 000 . 00
Sul 76 . 55 MISC 1AX TOTAL CHGE
100006013 ----—_-_ _--
NAPA AUTO PARTS Time: 13:21 jInvoice Number 880665
RETURNS IN ORIG BOX W RECEIPT
NAPA • REF BY VER BY Date: 12/17/2015 t
317-733-2180, IN 46077
° (317) 733-2180 Page: 1/1
17996Employee: 6 Tina o
CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Ted € Y Y
2 CIVIC SQUARE Accounting Day: 17 OCR
® CARMEL, IN 46032-2584
1000060138806652
Part.NumbeYLine;� Descipt3om Quantity YPrice Net Total <
_ _—.._. .. a i _:.I
53 (LMP !BULB O 8.001 1.3 8; 0 7900= 6.32
f � I
� j I
l
I 1
Deliver Subtotal 6.32
Attention: JASON INDIANA SALES TAX 7.0000% 0.00
Tax Ex_emozion:
PO#: STOCK
Terms: BY TENTH —
_.� 6-32,
Customer Signature Charge Sale 6.32
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT PAYMENT TO
5959 COLLECTION CRT DR
CHICAGO IL 60693
CUSTOMER COPY
3rescribed 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
Nhom, 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))
14343 $76.55
880665 $6.32
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF$
qpc'
5959 Collections Center Drive
Chicago, IL 60693
$82.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
(A 5 17 11 6 5ef- 1-1�,
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 14343 42-370.00 $76.55 1 hereby certify that the attached invoice(s), or
1120 880665 42-370.00 $6.32 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
,SAN `i 9 U6
a'/a, ,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund