334634 01/18/19 CITY OF CARMEL, INDIANA VENDOR: 215000
J® 1• ONE CIVIC SQUARE NAPA AUTO PARTS INC CHECK AMOUNT: $********24.86*
CARMEL, INDIANA 46032 5959 COLLECTION CENTER DRIVE CHECK NUMBER: 334634
CHICAGO IL 60693 CHECK DATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 8517996 24.86 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 215000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NAPA AUTO PARTS INC IN SUM OF$ 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
$24.86
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire q, Terms
Date Due
PO# ACCT# J 111 DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 42-370.00 $24.86 1 hereby certify that the attached invoice(s),or 1/7/19 0 Ladder341,PC5 $24.86
1120 101 1120 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
Wednesday,January 9,2019
David Haboush
Fire Chief
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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NNNNNNNNN 00 00 000000 191879
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CUSTOMER NAME: CITY OF CARMEL-FIRE DEPT
ACCOUNT NO: TERMS TOTAL AMT DUE THIS MONTH $4.48
8517996 45 Day Prx
CLOSING DATE
12/31/2018
AGED ACCOUNT STATUS
Current Total Past Due Amounts Due Future Months Total Open
4.48 0.00 24.86 29.34
Past Due 1-30 Days Past Due 31 -60 Days Past Due 61 -90 Days Past Due 90+Days
0.00 0.00 0.00 0.00
jype
Inv Date Due Date Code Invoice P.O.# Open Amount Explanation
11/30/18101/15/191 INV 160342 1 4.481
Total Current Due 4.48
Future Due
12/31/18 02/15/191 INV 181876 12011 Expedition Craig I 20.10
Total Future Amount 24.86
INV-Invoice CR-Credit Memo DED-Charge Back OA-On Account Payment OC-Finance Charge
FCARMEL,
EL NAPA Time: 10:25 Invoice Number 4329-178400�
S GUILFORD RD STE 140
NAPA AM IM BY VER BY _ Date: 12/05/2018 IIIII�IIIIIIIIIIIIIIII'lllllllll lllllll
) IN 46032-2922) 844-3973 Page: 1/1
17996
Employee: 30 Marc
® CITY OF CARMEL-FIRE DEPT Sales Rep: 36 TED Y Y
2 CIVIC SQUARE Accounting Day: 5 OCR w CARMEL, IN 46032-2584 .�.. 1000060171784007
bft
kt'i3ti ;s,. � ;,a �'s'�' 6_S_."OXt.,...,�,.�.w._�rtl',
2505007S1 )SME FUEL FILTER O y1.00 10.12 -4.4500 4.45 JTR
a
)
Delivery �- Subtotal 4.45
Attention a Indiana Sales Tax 7.0000% 0.31
Tax Exemption:
PO#:
Terms:
N"
Customer Signature Charge Sale 4.76
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC—IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
MCARMELVNAPA Time: 09:44 Invoice Number 4329-181876
Awa1441 S GUILFORD RD STE 140� REF BY_ VER BY _ Date. 12/31/2018
CAMEL, IN 46032 2922
(317) 844-3973 Page: 1/1
17996 Employee: 56 Jonathan .,a , .,..-
® CITY OF CARMEL-FIRE DEPT 1 Sales Rep: 36 TED Y Y
2 CIVIC SQUARE r OCR
CARMEL, IN 46032-2584 (Accounting Day: 30
1000060171818766
6-022-1B WIP 22IN EXACTFIT-BEAM (T12,8) 2.00 25.12� 10.0500 20.10
Above Item on Sale
(
f
Delivery: � � Subtotal 20.10
Attention: Indiana Sales Tax 7.0000% 0.00
S Tax Exemption:
PO#: 2011 Expedition Craig Phillips qq
Terms: i
'goo
Customer Signature Charge Sale 20.10
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY