HomeMy WebLinkAbout259962 06/24/16 r Cqq
'' CITY OF CARMEL, INDIANA VENDOR: 00351721
® :l ONE CIVIC SQUARE JAMES PAGE CHECK AMOUNT: $********12.49*
: ?4; CARMEL, INDIANA 46032 CHECK NUMBER: 259962
MrroN CHECK DATE: 06/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4237000 038494 12.49 REPAIR PARTS
Prescribed by State Board of Accounts City Form No.M1 (Rev.1995)
VOUCHER NO. WARRANT NO..
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JAMES PAGE
IN SUM OF$
KGs 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.
$12.49 . Payee
ON ACCOUNT OF APPROPRIATION.FOR Purchase Order#
Terms
Information Systems
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
038494 42-370.00 $12.49I hereby certify that the attached invoice(s),or 6/14/16 038494 $12.49
1202 101 1202 101
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
Monday,June 20,2016
Terry Crockett
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
CARMELNAPATime: 14:51 Invoice Number 0384941
e 1441 S GUILFORD RD STE 140 I IIIIII VIII VIII VIII IIIII IIIII III
NAPA � ® REF BY VER BY _ Date: 06/14/2016 IIIII
CARMEL, IN 46032-2922 )
o (317) 844-3973 Page: 1/1
0 � � - Employee: 26 Jared �!
® CASH SALES Sales Rep: 11 MATT i Y Y
QUOTE THE VALUE LINE FIRST Accounting Day: 14 OCR
INDIANAPOLIS, IN 99999-0000 - - 1000060170384940
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7651322 �BK TIRE BUFFER CLNR QT O 1.00, 23.54 12.4900 12.49Don't miss out! Sign-up onine dor NAPA Rewards & get $5 back for very $100 you spend Go to
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Delivery: __....._._...___.....�__..._...��.__.__ Subtotal 12.49
Attention: Indiana Sales Tax 7.0000%
Tax Exemption:
PO#:
Terms:
Have you asked customer about Know how to ask item? ,r
Customer Signature Cash 20.00
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
Change Due 6.64
"Y-1T7 x s/isll+n, CUSTOMER COPY