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HomeMy WebLinkAbout322778 03/12/18 (9- CITY OF CARMEL, INDIANA VENDOR: 215000 ,. ONE CIVIC SQUARE NAPA AUTO PARTS INC CHECK AMOUNT: $********29.40*CARMEL, INDIANA 46032 5959 COLLECTION CENTER DRIVE CHECK NUMBER: 322778 CHICAGO IL 60693 CHECK DATE: 03/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION . 1192 4232100 18048 29.40 GARAGE & MOTOR SUPPIE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 215000 ALLOWED 20 ACCOUNTS-PAYABLE VOUCHER NAPA AUTO PARTS INC IN SUM OF$ CITY OF CARMEL 5959 COLLECTION CENTER DRIVE An invoice 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. CHICAGO, IL 60693 Payee $29.40 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 4329-136291 42-321.00 $29.40 1 hereby certify that the attached invoice(s),or 3/6/18 4329-136291 Air filter and oil filter for Subaru Forester- $29.40 1192 101 1192 101 Mindham 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 Wednesday, March 07,2018 Mike Hollibaugh 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 100006017 • ------------------------------------------------------------------.. CARMEL NAPA Time: 10:30 :: Invoice Number 4329-136291: NAPA 1441 S GUILFORD RD STE 140 I '�I�rI�IIIIIIIIIIIIII�LI�Illlllll REF BY VER BY Dat : 03/06/2018 � #¥ CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 18048 ........................................................... ................................ ...................---: -----..-.................................................................... E Employee: 29 , JAEDYN CITY OF CARMEL-SEWAGE DEPT Y Y Sales Rep: 36 , 9609 HAZEL DELL PKWY OCR INDIANAPOLIS, IN 46280-2935 Accounting Day: 6 ------------------------------------------------------------------------------------------ -----------------= 1000060171362917 .. ? ..s�? :::::::::::::::::::::::::::::-. a�2 .. *:>.....:�?�:3.� :.:....,------....i e ..... ----------......�a.�a.......... ----- - ... .. :.. - ----------------------------------------------------- - :::........ - ... •:::::4......:::.................::: 75541 NOL SYNTHETICOW200IL (518) .00 4- .6300; 22.63 9012 ;FIL ENAPAGOLD AIR FILTER (300) 1.00;: 22.76.: 4.5500;; 4.55 >R - we will pick up. 7055 -FIL :NAPAGOLD OIL FILTER () 1.00; 11.08; 2.2200, 2.22 cR = 2015 Subaru Forester 2.5 L 2498 CC H4 DOHC 16 E Valve i s -•......................................................................................................................... Delivery: Subtotal 29.40 Attention: Indian Sales Tax 7.0000% 0.00 Tax Exemption: PO#: S18193 s Terms: i .......... ;:::::::::-::::::---_::.-:::.:::......_:.:..::.::+�(.::::�::.:::_._:::::._::::/,+yy..:.::.:}��}-{�-+}}.::::_::_::::::::: ,�] �V�d � �I v I V`�✓Y� ._.:i::::-:�:-:"..:::.............r........... � frS.:wlv:{Hi:::i:.........................XJ-�::F i-1T,.�Si.:.-:.............. Customer Signature Charge Sale 29.40 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY