HomeMy WebLinkAbout304014 10/10/16 Q
CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPWIIl1~CK AMOUNT: $*******121.71
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 304014
CHICAGO IL 60693 CHECK DATE: 10/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 1898 121.71 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995)
GENUINE PARTS COMPANY-INDIANAPOLIS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
5959 COLLECTIONS CENTER DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CHICAGO, IL 60693 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$121.71 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
055775 43-500.00 $121.71 1 hereby certify that the attached invoice(s),or 9/29/16 055775 Repair Parts $121.71
1207 101 1207 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
Friday,September 30,2016
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
l U U U U b U l/
CARMEL NAPA Time: 07:44 Invoice Number 055775
1441 S GUILFORD RD STE 140
M
REF BY_ VER BY _ Date: 09/29/2016CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
1898 1 Employee: 6 Jason _.„.
• CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 29 OCR
® CARMEL, IN 46032-2584 1000060170557754
•
Pari Number I'Line' Deso ipt�on {2uarzta ` Prue
85-905 _ NHF PREM AW 32HYDFL 5G (016) 2.00° 72.08 39.9900 79.98
8822 NFD !OIL DRY O 2.001 14.88 8.2900 16.58 }
7151151 (BK (500) 4.00,) 6.26 4.2900 17.16
1356 FIL ICOUPLER
NAPAGOLD OIL.FILTER (300) 1.001 13.52 7.9900 7.99
Delivery: Our Truck NE- 99-19:44 Subtotal 121.71
Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: hydraulic oil y
Terms: 4
Totals X121
Customer Signature Charge Sale 121.71
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY