183293 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P%��
s` CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE NECK AMOUNT: $64.50
CHICAGO IL 60693 CHECK NUMBER: 183293
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4351000 085017983 64.50 AUTO REPAIR MAINTEN
Control No. RAW, 4 CARMEL NAPA 8801292
III KEDICA DRIVE y OCR 7 REM I T: GPC I Nic)
LECTASq-
C T. 0 R.
59 59 �CK I
M REF RKEL IN 49)32 VER BY M CH 1 cw5b LL. �606`
RECEIVED
1000060177515536�' BY x
1 11 1 1 lull NIN 111 1 1 111 111H 1111 1111 ALL GOODS R I �TL�RNED MUST BeACC MPANI BY THIS INVOICE
I IWW"W9 lIU UIIdI UIIHU IIII IUDISOLD TO DAT r o W'd TORE NO. I EMP SR
85'..)017983 C I TY CARMEL POLICE 01/2 _7
/2010 1 (16017 1 19 13 E
1.5 civic s G! I Of 1. TIME PURCHASE ORDER NO. ATTENTION
A-ARMEL, IN 4 E,03-2`75'70 2-15.O8 INVOICEIPI
QUANTITY PART NUMBER LINE I DESCRIPTION PRICE NET TOTAL CODE
I 0 11 53 *7 502 '779 A TM THEWAT HO i 120. (",0 64. 500f) E=,4 5
2005 OM• 745L i 4. 4 L 4.398 k 8 DOHC 3�` 1Ievive
Prescribo by State Board of Accounts City Form No. 201 (Rev. 1995)
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))
>�a�l 75i s53 ��a °�;,A ✓�/7i
Total C.Py
_S10
jg are) true and correct and 1 have audited same in accordance
F aC ed `wo Ce l s l or l
.p
VOUCHER NO. V 1
ALLOWED
%N
IN SUM OF
S9 S
O)I I'Lat o IL 6 0 6 i',
ON ACCOUNT OF APPROPRIATION FOR
Boa r
PO# or INVOICE NO. ACCT #/TITLE AMOUNT q M e,�
DEPT.
I hereby certify that the attached f o r s
911 7 5/ ,5 a b Co bill(s) is (are) true and correct and t f)ato e(S)
materials or services itemized Cher eo h at the °r
which charge is made were o
h f
received except ed ahgr
n'
/o
t -r'A�'
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund