184275 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P
CARMEL, INDIANA 46032 CK AMOUNT: $64.42
5959 COLLECTIONS CENTER DRIVE
4 oM �o CHICAGO IL 60693 CHECK NUMBER: 184275
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4231500 85- 003425 16.14 OIL
1115 4232100 85- 003425 48.28 GARAGE MOTOR SUPPIE
ate® Control No. 8830447
CARMEL NAPA
III GICAL DRIVE y OCR y REM I"T-.GPC--IND
REF BY VER BY 595 COLLECTION' k q �:R -Z DR.
RECEIVED
'AGQ c 6
CARMEL, IN 46OM2 CH I C Ildt—,
R
1000060177569639 BY x (54
ALL GOODS RETURNED MUST B ACC PANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE 1 0 M STORE NO. EMP SR
85 -.003425 CITY 0f CARMEL. COMMUNIC 1,04/01/ 2 C) 10 756` 6 3 (.1 E, 1.'7 19 1C.)
'1 CIVIC SIDLJ(11-'.E, I of 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46C g'() 4 INVOICE TY PE
01 11 Cha Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1.999 Chevrolet TV TA �c' L CID VS
I.. oo SS. Brake Pads Fro 65.54 4 9900 41.99
6.00 '75050 -71
WA ORT M 3. 2. 6900 I.E.. 14
2007 Ch e vrolet 'rah, L 325 CID V8
1. 00 7066 f Oil Filter gold 10. S 6. 2900 El.
SUB 0 1 00 0. 1 TOTAL 4. 4 2'
TOTAL 64.4 0 o.(1 0 TAX
VOUCHER NO. WARRANT NO.
ALLOWED 20
G'PC -IND
5959 Collection Center Drive IN SUM OF
Chicago, IL 60693
$64.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
0,/ t)03q
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1115 756963 42- 315.00 $16.14 1 hereby certify that the attached invoice(s), or
1115 756963 42- 321.00 $6.29 bill(s) is (are) true and correct and that the
1115 756963 42- 321.00 $41.99
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, April 02, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed 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))
04/01/10 756963 $16.14
04/01/10 756963 $6.29
04/01/10 756963 $41.99
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