HomeMy WebLinkAbout260123 06/28/16 0,� CITY OF CARMEL, INDIANA VENDOR: 00352688
ji ® ii : ONE CIVIC SQUARE CARQUEST CHECK AMOUNT: S""""234.62`
s. ;?a CARMEL, INDIANA 46032 PO BOX 404875 CHECK NUMBER: 260123
9M,i�oN�o` ATLANTA GA 30384-4875 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236400 2032-442068 234.62 PAINT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CARQUEST
PO BOX 404875 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show!kind of service,where performed,dates service
ATLANTA, GA 30384-4875 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$234.62 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department Terms
Date Due
PO# --- - -- - ACCT#-__ - - - - - - DATE- INVOICE#- - - DESCRIPTION-------
DEPT
ESCRIPTION— --DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
2032-442068 42-364.00 $234.62 I hereby certify that the attached invoice(s),or 6/9/16 2032-442068 $234.62
2201 201 2201 201
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,June 14,2016
Sheet Commissioner
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
Great people, great products, great prices!5M
CA CQ OF COLUMBUS IN # 9110 PAGE 1 OF 1
IR _ 1636 STATE STREET REF# 597689
11 ® COLUMBUS, IN 47201
812-372-3781
AUT® PARTS REMIT TO: CARQUEST AUTO PARTSPO BOX
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04875
ATLANTA, GA 30384-4875
212016060902032000044206800005976B9240
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
BI CITY OF CARMEL STREET DEPARTMENT rs, CITY OF CARMEL STREET DEPARTMENT
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3400 W 131ST ST a 3400 W 131ST ST
T CARMEL, IN 46074 T CARMEL, IN 46074
0 0
CUSTOMER SALES TEAMMATE
INVOICE NO. NO. DATE CUST. P.O. NO. ID ID FORM OF PYMT.
_ 2032-442068 1 860097 6/9/2016__ _ ITT1572 CHARGE
MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT.AMOUNT TAX
DPC 7175S-01 1 1 107.99 85.07 0.00 85.07 N/N
BASEMAKER MID TEMP
DPC 105-01 2 2 16.59 14.15 0.00 28.30 N/N
GUN/EQP CLEANER GL
DPC K-4 1 1 154.99 121.25 0.00 121.25 N/N
o CHROMABASE COLOR -
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WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED
OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA DELV.TIME DELV.ID FREIGHT TAXABLE AMT. T SALES TAX TOTAL CORE PREV.DEPOSIT
0.001 0.00
RECEIVED PAY THIS
10: 38 AM BY X CUSTOMER COPY AMOUNT , 234.62