319204 11/30/17 CITY OF CARMEL, INDIANA VENDOR: 353686
( ONE CIVIC SQUARE AUTO PLUS AUTO PARTS CHECK AMOUNT: $***"****67.10"
roM,
?4 CARMEL, INDIANA 46032 9700 LAKESHORE DRIVE EAST CHECK NUMBER: 319204 INDIANAPOLIS IN 46280 CHECK DATE: 11/30/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 070766903 -45.00 REPAIR PARTS
2201 4237000 070772367 112.10 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 353686 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
AUTO PLUS AUTO PARTS IN SUM OF$ CITY OF CARMEL
9700 LAKESHORE DRIVE EAST An invoice orbill to be properly itemized mustshow:kind ofservice,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46280
Payee
$67.10
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
070766903 42-370.00 ($45.00) 1 hereby certify that the attached invoice(s),or 10/11/17 070766903 ($45.00)
2201 2201 2201 2201
070772367 42-370.00 $112.10 bill(s)is(are)true and correct and that the 11/1/17 070772367 $112.10
2201 2201 1 materials or services itemized thereon for 2201 2201
which charge is made were ordered and
received except
Wednesday, November 29,2017
Huffman, Dave
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
Auto AUTO PLUS - INDY2 10707 IIIIIIIIIIIIII'IIIIIIII"II'IIIIIIIIIIIIIIIII'IIIIIIIII
9700 LAKESHORE DRIVE
PlusINDIANAPOLIS IN 46280
AUTO PARTS JOB:
317-815-1900 0707 CUST PHONE: 317-733-2001
15:24 IP VIA: DELIVERY
BILL TO SHIP TO
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT ® Pg 1 of 1
3400 WEST 131ST ST 3400 WEST 131ST ST
WESTFIELD IN 46074 WESTFIELD IN 46074 PMT TYPE: HOUSE ACCT
INVOICE # CUSTOMER # DATE CUSTOMER PO# CLERK NAME TRANS TYPE SLS
070766903 002712463 10/11/17 626468 JOHN R Chrg INVOICE D16
MFG PART # ___ DESCRIPTION ORDERED SHIPPED BKO SUG. RETAIL UNIT CORE EXT. AMOUNT TRC
** CORE DEP RETURN A-120-8739F - -1 -1 45.00 C
Purchased on 09/22/17 Ref#070761571
SUBTOTAL FREIGHT LABOR MISC. TOTAL CORE TAXABLE AMT " SALES TAX Credit Total DI
-45.00 -45.00
SUGGESTED RETAIL
DC
TERMS: NET 10TH; P/DUE 30TH TOTAL ► -93.58 ►
**Customer Copy** SALES TERMS S CONDITIONS - SEE REVERSE SIDE
RECEIVED BY: DATE:
Auto AUTO PLUS - INDY2 10707 I I"III I'III I"II VIII II'II IIT VIII VIII VIII IIII II'I
9700 LAKESHORE DRIVE
Plus. -
AUTO PARTS INDIANAPOLIS IN 46280 JOB.-
317-815-1900
OB:317-815-1900 0707
' CUST PHONE: 317-733-2001
13:24 SHIP VIA: DELIVERY
BILL TO SHIP TO
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT Pg 1 of 1
3400 WEST 131ST ST 3400 WEST 131ST ST
WESTFIELD IN 46074 WESTFIELD IN 46074 PMT TYPE: HOUSE ACCT
INVOICE # CUSTOMER # DATE CUSTOMER PO# CLERK NAME TRANS TYPE SLS
070772367 002712463 11/01/17 MIKE EVAN B Chrg INVOICE D16
MFG PART # DESCRIPTION ORDERED SHIPPED BKO SUG. RETAIL UNIT CORE EXT. AMOUNT TRC
MMM __07_48_63_MED SCD _ 1 1 112.10_____56.05 5_6._05_ I
MMM 07485------------3 CRSE SCD --------------------- 1_----- 1-----------112.10-----56.05--------------56.05 - I----
SUBTOTAL FREIGHT 0 MISC. TOTAL CORE TAXABLE AMT SALES TAX Charge Total DI
112.10 112.10
SUGGESTED RETAIL -
TERMS: NET 10TH; P/DUE 30TH TOTAL 10. 224.20 10. DC
**Customer Copy*' ALES TERMS S CONDITIONS - SEE REVERSE SIDE
RECEIVED BY: /C DATE: