308119 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 355214
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPdffiCK AMOUNT: $...*****28.41
4. ?� CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 308119
9M,TON CHICAGO IL 60693 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 18032 28.41 OIL
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor* 215000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NAPA AUTO PARTS INC IN SUM OF$ CITY.OF CARMEL
5959 COLLECTION CENTER DRIVE 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.
CHICAGO, IL 60693
Payee
$28.41
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
074697 42-315.00 $28.41 1 hereby certify that the attached invoice(s),or 1/31/17 074697 Oil change for E3 $28.41
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, February 07,2017
Kashman,Jeremy
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
lUUUUOUl/
CARMEL NAPA Time: 14:59 •Invoice Number 074697
1441 S GUILFORD RD STE 140
NAPA AMREF BY VER BY _ Date: 01/31/2017 I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
CARMEL, IN 46032-2922
o (317) 844-3973 Page: 1/1
18032 Employee: 221 RYAN
o CITY OF CARMEL ENGINEERING Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 31 OCR
®
CAMEL, IN 46032-2584 I
a
1.000060170746970
~ _m 2010 Ford Truck F150 1/2 Ton - Pickup 5.4 L 330 CID V8 SOHC�24
31372 SFL Oil Filter (Silver) (300) 1.00 6.50 3.9800 3.98
550022779 PEN PZL 5W20 MOTOR OIL (016) 7.00 11.38 3.4900 24.43
Above Item on Sale y
k
Delivery: � Subtotal 28.41
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: E3
t Terms:
F777 ;
s omer Signature Charge Sale 28.41
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY