181212 01/13/2010 4 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
0 ONE CIVIC SQUARE GENUINE PARTS COMPANY INDIANAPOLIS.
CARMEL INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $36.27
CHICAGO IL 60693
CHECK NUMBER: 181212
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 85- 018011 16.69 749181
1125 4238900 85- 018011 19.58 767749
Control No.
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17-1Nm CARMEL NAPA
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il lii U �K U8 !8K N nw m srnc^ooummm/soo,rx/s/wvo/os
`:v�v»uu/«« »o 1,111 SOLDTO TE pold STORE NO. EMP SR
85-018011 CAMEL. -CLAY PARKS/RECRE 2 ''49181 06017 80 10
1 4 1 1 E 1 1 6TH ST 1 o f 1 TIM PUFCHASE ORDER NO. ATTENTION
.CARMEL, IN 460327611
INVOICE C
24) /w
TYPE Sale
QUANTITY PART NUMBER LINE DESCRIPTION TOTAL CODE
/1.00 1080 NCB 1 SER9.P4LEPE 2 9 1 .liw 0 16.69
9.
mr 1
SUB r 16. 69 misc. 7. 000 r\ 0. 00 TOTAL 16. 69
TOTAL lit wm v
cssii c Li Control No.
88250/13
CAP8)
cripmEL mrn 0" .1" L
in
HI MEDIU MK Y OCR Y REM I T 30 r
U BY ER BY 5'359 COWaTlid*
CHM., IN 460322'322 5') k
caixj EA.?:
100000177477499 BY A -4 C. .80 f e:ii
illnigi
IMO HOLD TO ALL GOODS RETUR D tlj am PANIkD BY THIS INVOI
g
DATE abreETR: ..T0FiE NO. EMP SR
85-018011 CARMEL-CLAY PARKS/RECRE 1:?ilel/00 7 4c 60 to
TIME PLC A RDE' NO. ATTENTION
1 E 116TH ST 1 o f 1
CARMEL, IN 460327611
00;10
us.doic
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET iVra 'A 66DE
IA „3
2008 Fo-d Truck F250 Supe- Duty 3/4 Ton Pick a"
2.00 6052 LMP Headlight Bulb 14.78 9. 7' 1D.
1 1 7 ririt ag m7 F
DEC 2 2 2009 g
SUB es,
TOTAL V 19.58 misc -..ri I- 7.000 -1 f> 0.00 TOTAL 0 19.58
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
NAPA Auto Parts Terms
595,9 Collections Center Drive Date Due
Chicago, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12110/09 767749 Maintenance parts 19.58
12129/09 749181 Maintenance supplies 16.69
Total 36.27
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
Clerk- Treasurer
Voucher No. Warrant No.
NAPA Au o art i s te— Allowed 20
i5959«Collecttons Center Drlve i
k1y
Chicago l 6®6933
y NE -W ADDRESS In Sum of
1'
36.27
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
g L/
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1125 767749 4238900 19.58 I hereby certify that the attached invoice(s), or
1125 749181 4238900 16.69 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
7 -Jan 2010
Signature
36.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund