HomeMy WebLinkAbout302226 08/22/16 CITY OF CARMEL, INDIANA VENDOR: 367212
ONE CIVIC SQUARE O'REILLY AUTO PARTS CHECK AMOUNT: $*******570.34*
x CARMEL, INDIANA 46032 PO BOX 9464 CHECK NUMBER: 302226
SPRINGFIELD MO 65801 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4421-198124 570.34 OTHER EXPENSES
VOUCHER # 165943 WARRANT # ALLOWED
367212 IN SUM OF $
O'REILLY AUTO PARTS
PO BOX 9464
SPRINGFIELD, MO 65801-9464
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4421-198124 01-7502-06 570.34 Voucher Total 570.34
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
367212
O'REILLY AUTO PARTS Purchase Order No.
PO BOX 9464 Terms
SPRINGFIELD, MO 65801-9464 Due Date 8/15/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/15/2016 4421-198124 570.34
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
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yrs PID 21 20 E '11GTN '-I
m=,mE,n ja , 114 46032
OFFICE P.O.'BOX 1156,SPRINGFIELD,M0.66601 MET T02 PO BOX 11464
PHONE(417)862-3333
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COUNTERSPECIAL INSTRUCTIONS SHIP VIA CUSTOMER TIME OF FILLED ICHECKEI
NO. ORDER NO. ORDER BY i BY
016�98 11.5S-15
4 52'3 D DELIVER
, R UNIT:CD DESCRIPTION LIS
T NET DISC CORE EXTENDED
AX
C . OTY. LINE ITEM NUMBER ;MEAS. PR % I ICE PRICE I
PRICE PRICE
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DI-- FED 11--37.27 70.•-s!", 570.
5 100 LlIllf-P bIRWITY
-6TALSC I C TC", :j "We appreciate your busin,es,s" -27 SUBTOTAL Jf 0.Si
-
MISC.
CASH TEND, TAX/FEES
JSTOMER SIGNATURE TOTAL L 5710.31,
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