HomeMy WebLinkAbout304011 10/10/16 CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPE'fF1gCK AMOUNT: $********21.70(9,
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 304011
CHICAGO IL 60693 CHECK DATE: 10/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 18032 21.70 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
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ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
l7'P t'1V i rte ��{-�
5959 COLLECTION CENTER DRIVE IN SUM OF$ 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.
$21.70 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering
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
054251 42-370.00 $21.70 1 hereby certify that the attached invoice(s),or 9/20/16 054251 Wiper Blades for E-3 $21.70
2200 201 2200 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, October 04,2016
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
100006017
CARMEL NAPA Time: 09:09 Invoice Number 054251
1441 S GUILFORD RD STE 140
M
REF BYVER BY Date: 09/20/2016CARMEL, IN 46032-2922
' - (317) 844-3973 Page: 1/1
18032 Employee: 6 Jason
CITY OF CARMEL ENGINEERING Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 20 OCR
CARMEL, IN 46032-2584
1000060170542510
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. .,Palk Numbed,a �,, i> ie . . Descrpioia W. _�. uantY�. �Prce�._. �� :let w otalv_.w E.,
2010 Ford Truck F150 1/2 Ton - Pickup
60022 WIP Wiper Blade - AccuFit - (800,WIP) 2.00 16.82 10.8500 21.70
s
C-3
Delivery: Subtotal 21.70
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: E3 �ZoQ - ti23--"00 0
t Terms:L E2- tTt {
Customer Signature Charge Sale 21.70
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY