181557 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAPp�Ig
,44-?7,, CARMEL, INDIANA 46032 5 959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 Z;}iECK AMOUNT: $131.59
CHECK NUMBER: 181557
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 85- 001898 89.60 749073
1207 4350000 85- 001898 41.99 749107
Control No.
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CARMEL NAPA
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ACCT. NO. SOLD TO DATE NG:' STORE NO. EMP SR
85-001898 CITY OF CAKMLL/BRVOKSHl 1;:.-!/iz.!8/;.:-.:009 /4910/ (.1 bVi 19 10
1 C 1 V 1 V SO 1 o f 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 460322584 1E-3-14:15 1:2;: 1b
23) Deliver INVOICE TYPE Lnarge �ja1e
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QUANTITY PART-NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
lf�UV vro1 rucK bz 1 vpradc d��0U t-- I an *wu p b. 0 L L. 441 L iu v6 u
1 1.00 3152 MPW Spark Plug Wire 59. 13 41. 9900 •1. 99
4i �9 7 ovV 0.0Q i I")::::, mm MISC. 0 TOTAL O TAX gir TOTAL r
Control No,
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/mo SOLD TO DATE .|mma|os STORE NO. EMP SR
85 CITY OF CARMEL/BROOKSHI 12/28/2009 749073 06017 19 10
1. CI V I V SO 1 of 1 TIME PURCHASE ORDER ATTENTION
CARMEL, IN 460322584 U[' 3-11:26 10:26
23> D INVOICE TYPE Charge Sa l�
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2000 Ch* vrol et Truck Si 1 veradn 2500 3//. l on 4WD P 6.0 i. -jbb CID V8 y
1. 00 700399 BEL. Spark Plug Wire 85.36 51.9900 51, 99
1. 00 23481 SF 1 Fuel Filter (Pro 8. 92 6. 4900 6. 49
8. 00 12 AC Spark Plug Rap 7. 97 8900 ]1. 12
Gap .06("
TOM i: b() mm o V0U m V. VV TOTAL d:/. 6o
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VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC IND
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$131.59
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# 1 Dept.' INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 749107 43- 500.00 $41.99 hereby certify that the attached invoice(s), or
1207 749073 43-500.00 $89.60 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
Tuesday, January 19, 2010
/4-X
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 199:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/28/09 749107 Spark Plug Wire $41..c
12/28/09 749073 Truck Parts $89.E
1 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