183298 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAPp�IS
o CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE LFIECK AMOUNT: $22.98
iyr CHICAGO IL 60693
CHECK NUMBER: 183298
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 08518039 22.98 08518039
i
Account No TERMS
08518039 GOVT.45 DAYS NET
Closing Date Due Date Sequence No
02/28/10 PAY NOW 15717530
Previous Balance Payment(s) Received
892.41 95.01
New Charges /Credits Finance Charge New Balance
280.26 .00 1,077.66
r4,, "h
Total Past Due Current Future
q9\�. 230.28 22.98 824.40
Account Past Due Past Due Past Due
....c, 10 Days 40 Days 70 or More Days
q��statUSy+�^',
230.28 .00 .00
Page 1 of 2
AT 01 030042 53039H104 C *3DGT
CITY QQELQQA&R—MEL-WATER
WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY
SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D B AND EOUIFAX
I
i
Customer Copy Retain for your Records
Acct No. 108518039 1 Page.2 of 2
Customer CITY OF CARMEL -WATER
Statement of Account with NAPA Auto Parts
Date Type' ,J Inv.No. Amount Due Explanation
09/11 RI 740427 DT: 544.14
DEFERREDBATTERY
01/04 RI 749548 212.38
01/04 RM 749559 30.00-
01/07 RI 749942 47.90 TRK5
01/13 RI 750394 73.79
01113 RM 750414 73.79- warranty
01/26 RI 751390 22.98 S
02/04 RI 752169 DT: 77.07
This line intentionally left blank
02/10 RI 752586 DT: 29.93
02/19 RI 753258 DT: 120.58
02/19 RM 753267 DT: 45.07
CREDIT
02/24 RI 753612 DT: 40.19
02/25 RI 753749 DT: 97.75
02/26 RM 753790 DT: 40.19
TOTAL DUE $253.26
TYPE CODES
m
U
RI Invoice RB Charge Back
r
RM Credit Memo RU Unapplied Payment m
L_
RF Finance Charge XN Miscellaneous Accounting Entry 3
a
u
c
E
E
a
m
a
E
m
v
c
0
`o
z
m
a
m
s
c
0
d
m
m
�a ;ell,G
Y I d �d
y t f l 1 72 1t ,A
I I�. ry l r +ilY aV,t7 �'1 1 CoDI }OIiNO
:!I
N MAP9
s t CA RME =C NA PIA
r l; r r, ti H�n'�I r ry(,
a P CAt V6VT�� L 11r "r R ,i• r 5 t 1 y M I r
111 I
r I
lit, .1rt;4 a! tR` i�d I II �y Aj S. l� f� I d,vw 'r,1i%� f(�i'i �Y 4 Nd.� r a t tt r r N k y 'f3n;(
•r r r
REF
4'ERr �'d`''�, ��'�,�;dl�4 f;C71 LE�C 1�T�IfJ (fk 1)!t
R,fir� L t Y 1 tiro h t Y *u,e?' att 1 v .I %irt l'
a CA t IE� 4603 a w I
rr Ir.ta��,✓*: wwr s! �',,if h f `RECEIVED
a¢ rl it !S
4 y
k 4v �dY 1 7 ,l}� 9 2
I t p (a }ilr f, dr {n� I�.: t �Y r.+ i7
n (x ALL GOODS RETURNED MUST B ACCOMP 11FFJ BY;THIS INVOICE ,�d�. �d
c. r 8 t t P Id rX d d.r.! s. {t 4v h w+
I y
7 ,I�d t fl
k� '•x6 r,IZ.>r..laYYt�'ztr7. attfr 7Y+ s1 SOL {O,lrt�^ G "w� ��t� �b fi lT�rr�ry DATE s I STORE�NO ?EMPU n ?SRi�I
ia`tc4'h`�. q r!i d v sum aD)< vs
c
a sc•u .r a, v n v:lrtrh `;rv;,],a'v ipXl�s +4yltr /'::r i
I
L VAi
u m `inn an x f ry z t l ttii Ya a R FC a w z ter`- n fi` I ju !tW ny I h,l b
e��J t 1
�i V: b��� NJ' Y�� rr f9'� Ct���'r£��t]`'. ��+�r���r9 I I Nfl i'�S �I� :J r..l f.�(v u 41 n�.:1.��1'
I TIME PURCHASE ORDER NO. ATTENTION r 0
4 r
4 sr I al;; wyolcETyPe h ai" q Sit
QUA °�goPA`RlNIJMBER,r ;AI v', si;LINExypESCR(PTIONj 1'?S i PRICE NET TOTAL CODE!
.I FrJ�;a yFtR�`y4 c =t ran 'fir �xfr Y., i I i�'lgifti
h ti1C�cj t:3c�4f r f� Iii 1t� ['El,It Cd�SAt ANT1,� 1 ,E, «i'T.. -d `I 7r? 1a cry
"a�H +ji1} aR fi LM t 4 F ddA4;]�uun t ,9a4tG r r u� P:
y.ki
'7 F �1r ,Y :w1 {_ryaF pJ A 1 d4 *1 r�lY P`L+5%i7 v 1 P'� K
1 7 15 r y r rU rPb� 19�r r X+ v I �%L,# r +�(FJ "t� �5E�1
�t�ff1� �k, r�2',i? y�L /n IN d {f;.�r�� r i h t ld l wl d th n` J J• aJs "Nk� I
�i• r I ,,fin a Zt r dt( u y�.p ,7�"
�r�
l
1 r
4 v
t' 11, 4 u� PI r s19, 41 `1 ti t r r rn 1 (i a, r 1 ���i"y S^J ✓!t^s�m'�h��� i!mwfi .I
fir?`
�r.x »nw �.,9n:'. r. ra.r N,W'.a, x.n ,rr a" wrn>L. m +v ..�+w.v,w iv.rma,e ,rru.�w, e.v. .ynvra rye mus aV.,, .w .�a,r. r,.Ha. :...a;..r, +weer wa..,rcunw t. iavr. .era
1 Fill 11 I'VE& 1 111
Prescribed by Stale Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item 'Amount
n
I 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
Mo. Day Yr, Signature Title
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
Mo. Day Yr. Officer Title
Voucher No. Wa, rant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
i MUNICIPAL WATER DEP F A NO r
j CARMEL, INDIANA
P A ��n��
Favor Of i
5 9 1 1
fins
CX Q-QCq 0 T L
Total Amount of Voucher
Deductions
Ctq
Amount of Warrant --a a 9
Month of Yr
Acct.
VOUCHER RECORD No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BoycE FORMS SY5JEMs i -800- 382 -8702 325