181908 02/03/2010 F ONE CIVIC SQUARE OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 RE GENUINE PARTS COMPANY- INDIANAPOLIS
pi r H
eECK AMOUNT: $560.56
1r, CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
.74 s C HICAGO IL 60693 CHECK NUMBER: 181908
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 08517995 560.56 REPAIR PARTS
ABM Account No TERMS
4 MPA► g ►9 I r 08517995 2% 10TH,NET 20TH
WNW 0 Assigslansammionammor Closing Date Due Date Sequence No
1 01/20/10 15475901
Previous Balance Payment(s) Received Discount Earned
DECEMBER STATEMENT 2,322.60 4,119.37- 36.67
New Charges /Credits Finance Charge New Balance
Account No. 08517995 TOTAL DUE 5,0$9.69 .00 3,256.25
$3,256.25
Closing Date 12/31109 Discount Amount V Z Total Past Due Current Future
$6514 A ged 00 3,256.25 .00
Due Date 01/20/10 Net Payment Acc ount Past Due Past Due Past Due
$3,191.11 10 Days 40 Days 70 or More Days
Status
el1 Please told on this fine before mailing .00 .00 .00
Page 1 of 2
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CITY OF CARMEL STREET DEPT
3400W 131ST ST
0 WESTFIELD IN 46074 -8267
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cn Z m a' m Enter the 8-digit sequence number from your current
a cn monthly statement and enter your email address.
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0inU 21. Copies of statements and invoices
ay
in e Receive your monthly statement via E -mail
Up to date account balance
M Last payment and date received
E -Mail your customer representative
CA E
112111 2 .2 We appreciate your business!
REP
1 WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY
SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D B AND EQUIFAX. J
Customer Copy Retain for your Records Payment Copy Return with Payment
Acct No. 08517995 Page 2 of 2 'Acct No. 08517995 Page 2 of 2
Customer CITY OF CARMEL STREET DEPT I Customer CITY OF CARMEL- STREET DEPT
Statement of Account with WO NAPA Auto Parts Statement of Account with M NAPA Auto Parts
(Date Type' d Inv. No. Amount Due Explanation Date Type* J Inv. No. AmountDue Explanation
12/08 RI 747529 7.10 12108 RI 747529 7.10
12/08 RI 747561 2.42 12/08 RI 747561 2.42
12/09 RI 747651 69.95 SHOP 12/09 91 747651 69.95
12/09 RI 747728 49.86 12/09 RI 747728 49.86
12/09 RI 747736 141,72 12/09 Rl 747736 141.72
12/10 RI 747763 17.66 12/10 RI 747763 17.66
12/10 RI 747826 39.66 mike 12/10 RI 747826 39.66
12/11 RI 747891 35.94 12/11 91 747891 35.94
12/11 RI 747896 795.90 mike 12/11 RI 747896 795.90
This line intentionally lett blank
12/11 RI 747955 784.30 12/11 RI 747955 784.30
12/11 RI 747956 799.85 12/11 RI 747956 799.85
12/17 91 748414 27.31 kevin 12/17 RI 748414 27.31
12/21 RI 748683 57.84 12/21 RI 748683 57.84
12/22 RI 748835 52.58 gary 12122 RI 748835 52.58
12/22 RI 748861 152.39 12/22 RI 748861 152.39
12/23 RI 748881 41.89 12/23 RI 748881 41.89
12/28 RI 749072 12.98 12/28 RI 749072 12.98
12/28 91 749112 36.78 12/28 RI 749112 36.78
12129 RI 749178 8.11 trk50 12129 RI 749178 8.11
12/29 RI 749182 98.88 12/29 RI 749182 98.88
12/29 RI 749189 23.34 c 12/29 RI 749189 23.34
12/29 RM 749197 36.78- 12/29 RM 749197 36.78-
E
12/29 RI 749209 33.39 m 12/29 RI 749209 33.39
12/30 RI 749337 4.08 7.F- 12/30 91 749337 4.08
12/30 RI 749338 32.49 12/30 RI 749338 32.49
12/30 RM 1 749357 33.39- 12130 RM 749357 33.39-
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TOTAL DUE $3,256 -25 TOTAL DUE $3,256.25
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CARMEL NAPA
111 MEDICAL DRIVE
REF BY VER BY
CARMEL, IN 460322922
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ACCT SOLD TO DATE TIME STORE EMP INVOICE
17995 CITY OF CARMEL STREET DEPT 12/30/2009 13:09 100006017 80 749357
3400 W 131ST ST PURCHASE ORDER ATTENTION
SR .ACCT 7995
36 WESTFIELD, IN 460748267 TAX EXEMPTION: REPRINT
AD TERMS: NET 10 Credit Memo
25 DELIVERY:
PART NUMBER LN DESCRIPTION QUANTITY PRICE NET TOTAL
SC -2914 NS STEERING STABILIZER -1.00 63.52 33.3900 33.39 CR
749209 2009 -12 -29
REMIT:GPC -IND Subtotal 33.39 CR
5959 COLLECTION CTR.DR. TOTAL 33.39 CR
CHICAGO ILL. 60693
SIGNATURE
All goods returned must be accompanied by this invoice
�tfol No �7�����
CARO
CARMEL NAPA
7® Ul MEDICAL DRIVE Y OCR Y REMIT:GPC -IND
NTBY_ BY 5959 COLLECTION CTR.DR.
00IL IN0soon CHICA8O 6
1000060177492098
I �����mu�,�����J� X U�J1j U �0 UN� 111 UU u0000ansrv�"��w�aros^o�o��ww/sosnrnm/=m/os
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SOLD TO DATE STORE NO EMP SR
8:5-017995 CITY OF CARMEL-STREET D 12/29/2009 749209 06017 80 36
3400 W 131ST ST 1 of 1 TIME PURCHASE ORDER NO ATTENTION
WESTFIELD, IN 460748267 W 2-1220 11:35
24) De liver INVOICE TYPE Charge Sale
QUANTITY PxnTmUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2000 Chevrolet Truck K250( ]/z Ton 4WD Pickup
1.00 SC-2914 NS Steering Damper 6J.52 ]3.3900 33.39
SUB I L ]3.39 MISC 0 7.000 0. 00 TOTAL 0 39
TOTAL If
Control No
PIM
NitnumK CARMEL NAPA
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1110IQI00V[ Y OCR Y REMIT:GPC-IND
RET8Y__0ER 8 Y__ 5959 COLL
0N�' CHIClGO 6069
1000060177491785 7 7�
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'SOLD TO m Ts |myo|eeSss[ STORE NO EMP SR
85-017995 CITY OF CARMEL STREET o 12/29/2009 749178 06017 80 36
3400 W 131ST ST 1 o f 1 TIME PURCHASE ORDER NO ATTENTION
WESTFIELD, IN 460748267 08:57 trk50
24) INVOICETYPE Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. 00 730-5385 LA MINI COME 0LK 10.14 8.1100 8. 11
SUB 1 8. 11 mmo� 7.000 m r\ 0.00 mm„ 8.11
TOTAL nm v 1
Control No. �������J
CARMEL HAFT;
U/ MEM BM Y OCR Y PEMIT:SPC lND
REF BY VER BY 5959 COLLECTION CTR.DR.
08KE lN�60G�� O ILL 60693
�MM�0�DY������Y�
�UUUUO���//�/JO���
^ua000un�nnmsomumos^ccow�m/soa,r*/u/�n/os
nLD DATE oTOms EMP SR
85-017995 CITY OF CARMEL—STREET 0 /1f`/»8/2 0q 7475P,1 WI 7 1q 2 F.
3400 W 131ST ST 1 o f I TIME PURCHASE ORDE NO. ATTENTION
WESTFIELD IN 460748267 1
ELD, INVOICE TYPE
LINE hzrc Szln
QUANTITY PART NUMBER
ms osSCn|PT|ow PRICE NET TOTAL CODE
1.00 784640 NW MILER COMET 4. 39 2. 4200 2.. 42 ;,,,,,,,,7
1
J, p�|Pi,,;7,�;:)
SUB r\ A .11( h
TOTAL v 2.42 MSC. v 7.0O0 v �0^�0D TOTAL 2.42,
Control No
KD
°~V~° CARMEL NAPA
is
111 MEDICAL DRIVE Y OCR Y REM I T GPC— I ND
REF 8Y__NER BY__ 5959 COLLECTION CTR. DR.
00EL 1144603229Z2 ���00��1��AD��YO CHICAGO ILL. 60693
lWUW��U�/ /�Q�O�J X
V [U| '|UU KU 0!li U |K! �N ^ua000nn�unwsomvaras^000w�m/soa,n,m/wvoms
�����+m« »u «/u/«@n DATE |mvo|8sDla STORE NO EMP SR
85-017995 CITY OF CARMEL—STREET D 12/22/2009 748861 06017 19 36
3400 W 131ST ST 1 of 1 TIME PURCHASE ORDER NO. ATTENTION
WESTFIELD, IN 460748267 16:11
(19) /w�csTYPE Charoe Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1998 Chevrolet Truck K2500 3/4 Ton 4WD Pickup 5.7 L 350 CID V8
1.00 4N-51 10 NNE Starter 'New 255. 10 152. 390 152. 3
,%.9i 6-- --4---c7 .7.)
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7
SUB 6 152 39 mm�*, 7.000`' TOTAL 6 152.39
TOTAL if TAX
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CARMEL NAPA
U1N0DDIL DRIVE Y OCR V REMIT:GPC—IND
U8YMR BY 5959 COLLECTION CTR.DR,
0NE.lNN���� O ILL 60693
MME, M4643022
1000060177488815 BY X
/U ^uGOODS RETURNED m�Tac«uoow�m/soe,rxm/wvoms
T0 DATE ovolez 80&. STORE NO. EMP SR
85-017995 CITY OF CARMEL—STREET D 12/23/2009 748881 06017 80 36
3400 W 131ST ST 1 of 1 TIME PURCHASE ORDER NO. ATTENTION
WESTFIELD, IN 460748267 W-2.4)M51 08:06 1
(20) Deliver INVOICE TYPE' Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1.00 41630 EXH ELBOW 78.70 41.8900 41.89
+_2--~~/
SUB A 41 89 �ou� 7.000 m F\ 0.00' TOTAL 41.
TOTAL v
Control No. 8798612
CARMEL N APA
111 OM UR!Y[ Y OCR Y REM IT: CPC -IND
REF 8Y__1ER OY 5959 COLLECTION CT R. DR.
08�. IN CHICAGO 693
1000060177490722 RECEIVED 260 ~�U
�u��o���,/z�w/�� m x
101101i |U|UNU �U|U |U 8U� ^u0000ansrunwsowvsrosx000wn^m/soevrxm�vo�s
AN SOLD TO DATE _|wvmie-ES0a STORE NO. EMP SR
85-017995 CITY OF CARMEL-STREET D 12/28/2009 749072 06017 80 36
3400 W 131ST ST 1 of 1 TIME PURCH ORDER NO. ATTENTION
WESTFIELD, IN 460748267 10:25
2' INVOICE TYPE Char Sa
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. 00 BF9 VG N9 MIK DUN 4. ;20 490V j. f-i.9
1. 00 ST200T VG MT WO TO 16. 90 9. 4900 9. 49
Above Item on Sale
mm 12.98 mmo� 7.U00 6, 0. 0 TOTAL 1i�.�8
TOTAL
Control
7����
CARMEL NAPA
U\ SIMID0V[ Y OCR Y REMIT GPC-IND
REF 8Y 8Y 5959 COLLECTION CTR.DR.
�H�.YN4�3��. -`CH lCA[9O 60693
lilm 1000060177488352 """=.D
�WWUQ�\Y�/��OQ��� x
I |UK 0!A(|U|��|||8|�iU H ^us000sx�vnwsow��ys^cco�p^w/eoovr*.o/�n/us �f!�|0U�0
1 ,11-1-40 11111 1 mi nOLoTV DATE o|KIVo|C STORE NO EMP SR
85-0^.995 CITY OF CARMEL-STREET D 12/22/2009 748835 06017 36 36
3400 W 131ST ST 1 o f 1 TIME PURCHASE ORDE NO ATTENTION
WESTFIELD IN 460748267 B-2-14:47 .14:02 qarv�
(19) Deliver /wVCm'TYp Cu harqe Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1.00 705-1017 BK HaSE 2.2g 1.1600 1.16
1.00 705-1021 BK itaCUM 2.69 1.3000 1.30
4.00 14 69 X 6 FITTING 8. 20 4.5900 18.36
2.00 1880 X 8 WH FITTING 20.89 11.5900 23.18
2.00 3129 X 6 WH FITTING 7.69 4.2900 8.58
SUB 0, 52. 58mm'� �.00 0. 00 TOTAL 52.58
TOTAL v p
Control �����1��
�����K������
CARMEL NAPA
/w
111HDDR, DRIVE Y OCR Y REMIT GPC— I ND
REF 8Y__NER 8Y__ 5959 COLLECTION CTR.DR.
CAM, GO
l��M���l� 7rY�D����
���yUQW�/��Q�����
P1110111-111 0UH K ^uo6�oon RECEIVED
�N� }^U8 r
-OLD TO DATE WM Ma 'STORE NO. EMP SR
85-017995 CITY OF CARMEL—STREET D 12/21/2009 748683 06017 80 36
3400 W 131ST ST 1 of 1 TIME ATTENTION
PURCHASE ORDER ATTENTION WESTFIELD, IN 460748267 'U-2-12:03 11:18
r
(18) Deliver ���TMFz Charge Sale
QUANTITY PART NUMBER LJNE DESCRIPTION PRICE NET TOTAL CODE
6.00 782-1078 BK ~'X-0FUSE 4.. 61 2�4 1,:O0 14. 46
6.00 782-1079 1,3K MAX-4OFUSE 4.. 6.1 2. 4100 14 46
6.00 782-1.085 BR MAX-50 ME 4;61 2.4100 14...46.
6.00 782-1086 BK 4.61 2.4100 14.46
SUB l i 57. 8/1 7.000 m'� 0 .00 TOTAL TAX Le
TOTAL F
Control No 8 7
C A R MEL NAPA
M EDICAL80V[ Y OCR Y REMir:OPC-INdi
REF 8Y__NER 8 Y__ 5959 L C
CARE, 0460G022 CHICAGO
1000060177491892 ns oo.sv
���gyQ\/�//�3�g�� v, X
0,1111111
K|iUH�|0U|U�i|M8 GOODS RETURNED MOST oe^000M�N/soa,Tommwj/os
S
OLD TO DATE |mvo|Bz STORE NO EMP SR
85-017995 CITY OF CARMEL-STREET D 12/29/2009 749189 06017 19 36
3400 W 131S1 St 1 of 1 TIME PURCHASE ORDER mu ATTENTION
WESTFIELD, IN (i60748267 W-99'21;45 )9:45
24) Deliver INVOICE TYPE Charge Sal
QUANTITY pAnTwUMosn LINE DESCRIPTION PRICE NET TOTAL CODE
6. 00 31200 NCB STAR BR RV ANTI- 4. 86 3. 8900 23. 34
c`�'
am A, 2].34 mmo� 7.000 m� 0.00 TOTAL 0. 23. 34
TOTAL
C NAPA
I:: 11\ MEDICAL DRIVE Y OCR Y REMIT: GPC- i
^"y
REF BY__0� BY 5959 CQLLEr
�R�- IN �O��2 CHICAGO
i 1000060177491829 X )6
8N H |UU i I �D xu00000nsru'�o^mnoc^uu�^�m/so�,rxmmvoms
|NU y U� U 0U 80 |"�[����C 1 SOLoTO DATE. lmvoxes[zo, STORE NO. EMP SR
85-017995 CITY OF CARMEL-STREET D 12/29/2009 749182 06017 19 36
3400 W 131ST ST 1 of 1. TIME PURCHASE ORDER NO. ATTENTION
WESTFIELD, IN 460748267 U-2-10:00 }9: 15
:24) Deliver INVOICE TYPE Charge Cale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
6. 00 RVAF WWS RV ANTIFREEZE 0.00 5. 4900 32. 94
6.00 1DEX NAF tlAPA DEEM 0.00 10.9900 65.94
SUB A 98.88 mioc.� 7.000 0.00 TOTAL 98
TOTAL Dr TAX lit v
Control No.
K� �J�� K
CARMEL NAPA
U\N0OCALDRIVE Y OCR Y REMIT:OPC-IND
0TDY__N� BY 5959 COLLECTION CTR.DR.
00�.lN#�G�� CHICAGO ILL. 60693
1000060177491972 RECEIVED �tx��w�u�/r����/� BY X
Iliplimmuoin ^ue000an�unwsomosros ^000w�w/coe,rom/wvmos
SOLoTO DATE |mmOMsG0a STORE NO. EMP SR
85-017995 CITY OF CARMEL-STREET 0 12/29/2009 749197 06017 19 36
3400 W 131ST ST 1 o 1 TIME PURCHASE ORDER NO. ATTENTION
WESTFIELD, IN 460748267 10:52
24) INVOICE TYPE Credit Mnmo
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
-2. 00 384-'190 THM THEkIC%AT 29. 66 18.3900 36. /8 UR
749112 E009-12-28
am -36.78 m/on� 7 00 O. 0. 0V TOTAL �6. ?8 CH
nrx� TAX
ACM& Control No
e"���
CARMEL NAPA
\1\ IEDICRL DRIVE Y OCR Y REMIT -IND
REF BY VER 8 Y__ 5959 COLLEpT ON CTR. DR.
CAMEL, C
Y�l�1MM�MY����Y���
�y��V�\��'r������ �--X /�m
11 ^uouoosnsnun
4 Snn`TO oms nvvO|GE On STORE NO EMP SR
85-017995 CITY OF CARMEL-STREET D 12/28/2009 749112 06017 19 '36
3400 W 13181 ST 1 o f 1 TIME PURCHASE ORDER NO ATTENTION
WESTFIELD, IN 460748267 W-99-01:29 13:29
23) Deliver. m'«"~ Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2. 00 384-190 THM DHE8NOSTAT 29.66 18. 3900 36.78
1
SUB 36.78 mioc.� TOTAL 7.000 m 6 0.00 h 6 78
TOTAL
ABM Control No. ��������JL
CARD
CARMEL NAPA
ill N�D��0UV[ Y OCR Y REMIT:GPC—IND
I
NT8Y__NER 8 Y__ 5959 COLLECTION CTR.DR.
m8�.,DN�V��� CHICAGO' HICA O ILL 6
l0M �Dyl����������� ���s"X 4 ~2.--
ININIIIIIINN ^ua000an�unwsowuaroc�Ce pww/soo,rxm/mvoos
ACCT. NO. SOLD To DATE |mnOwesM STORE NO. EMP SR
85-017995 CITY OF CARMEL-STREET D 12/30/2009 749337 06017 19 36
3400 W 131ST ST 1 of 1 TIME PURCHASE ORDE NO. ATTENTION
WESTFIELD, IN 460748267 H'2-12/40 11:55
25) D iv INVOICE TYPE Cha Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. 00 CD510 8K CNHALT DRILL BIT b. 0i+ 9. 0/ ib cf. 08
mm 4.V� MX l0UU V. CM) TOTAL A 4.0t>
TOTAL p
Control No
oilig
CARMEL NAPA
/e 111 I4EBICPL DRIVE Y OCR Y REM IT:GPC-IND
REF DY__YER 8 Y__ 5959 COLLECTION CTR.DR.
CAM, IN CHICAGO ILL. 60693
1000060177493389 ���DX 2 7 ..7 U UU]|8||�|�|UU ^uen000Rsronwsomuoresxcoom�m/roo,rxm/wvo�s
NO� 'SOLoTo DATE /mVoie STORE NO EMP
85-017995 CITY OF CARMEL STREET D 12/30/2009 749338 06017 19 36'
3400 W 131ST ST 1 o f t TIME PURCHASE ORDER NO ATTENTION
ESTFIELD, IN 460748267 N- 2�2 40 11 :55
rDeliver
2� Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1.00 SC-2942 NS STEM STABlLl 61. /8 3�. 4900 Je.
3E 7 00C 0� 32.49
SUB oC TOTAL N�
TOTAL if
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC -IND
IN SUM OF
5959 Collection Center Drive
Chicago, IL 60693
$560.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Member
2201 42 370.00 $560.56 1 hereby certify that the attached invoice(s), or
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
00A A
r Friday 7January 29, 201 C
Street Commps
Street uomrf. ssioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199
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))
01/29/09 $560.56
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