332516 11/21/18 ('��p"'• CITY OF CARMEL, INDIANA VENDOR: 355214
j ® � ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPQIIIlFCK AMOUNT: $*.....***5.42*
r. �' CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK NUMBER: 332516
9� � CHICAGO IL 60693 CHECK DATE: 11/21/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000. 1898 5.42 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 355214
GENUINE PARTS COMPANY-INDIANAPOLIS IN SUM OF$ CITY OF CARMEL
5959 COLLECTIONS CENTER DRIVE An invoice or bill to be property 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
$5.42
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
4329-175520 43-500.00 $5.42 1 hereby certify that the attached invoice(s),or 11/14/18 4329-175520 Repair Parts $5.42
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
Monday, November 19,2018
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and 1 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
i
CARMELNAPATime: 14:36 Invoice Number 4329-175520
CARNS
GUILFORD RD STE 140 IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII
NAPA � BY_ VER BY _ Date: 11/14/2018
E
L, IN 46032-2922
o (317) 844-3973 Page: 1/1
1898 Employee: 24 DAVE
CITY OF CARMEL/BROOKSHIRE GOLF Sales Rep: 10 Store Y Y
1 CIVIC
CARMEL, IN N 46032-2584 Accounting Day: 14 OCR
®
1000060171755208
4 'art Dfumberl � I neJ% DeSez rouaart ' Pr'zc a .a<
813-1224 BK BRAKE LINE O _ 1.00) 10.84 5.42001 5.42
f
f k
- - Delivery: Subtotal 5.42
} Attention: RUSSEL Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
3
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Customer Signature Charge Sale 5.42
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC—IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY