333992 01/04/19 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 353686
AUTO PLUS AUTO PARTS IN SUM OF$ CITY OF CARMEL
9700 LAKESHORE DRIVE EAST 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.
INDIANAPOLIS, IN 46280
Payee
$16.14
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Street Department
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
070777739 42-370.00 $16.14 1 hereby certify that the attached invoice(s),or 12/13/18 070777739 Repair Parts $16.14
2201 2201 Prior Year 2201 2201
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,January 02,2019
Huffman, Dave
Director
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
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9700 LAKESHORE DRIVE
Plus INDIANAPOLIS IN 46280
AUTO PARTS JOB:
317-815-1900 0707 CUST PHONE: 317-733-2001
11:10 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
070777739 002712463 12/13/18 12.13.2018 SUMNER, J Chrg INVOICE D16
MFG PART # DESCRIPTION ORDERED SHIPPED BKO SUG. RETAIL UNIT CORE EXT. AMOUNT TRC
GRO 52770 STT LAMP 4 RED T 3 3 13.45 5.38 16.14 I
** WAREHOUSE ORDER ** (070777740)
SUBTOTAL FREIGHT LABOR MISC. TOTAL CORE TAXABLE AMT SALES TAX Charge Total DI
16.14 16.14
SUGGESTED RETAIL
DC
TERMS: NET 10TH; P/DUE 30TH TOTAL ► 40.35 ►
"Customer Copy' SALES TERMS 6 CONDITIONS - SEE REVERSE SIDE
RECEIVED BY: DATE: