184279 04/14/2010 a CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 Of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA PCK AMOUNT: $128.95
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 184279
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 85- 001898 128.95 EQUIPMENT REPAIRS M
0 Control No. 8830476
CA13MEL NAPA
111 BEDICAL DRIVE Y OCR Y REM I'f 1 GPIC I NI)
REF BY VER BY r`. 59 COL_L..EC'�1- ION �3 T'V 1)R.
CAME, 91460.32 C: M I'-[. A'GO i �I L 1000060177560024 4BECEIVE�. 4 �JBR
ALL GOODS R ETTU Y/ RNED 1 MUST BE ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE. o cQo STORE NO. EMP SR
85-- t"")()I898 CiII "'Y ,Oh= CARMEL /BROOKS!HI 04/01/2010 1756992 ($6017 36 1 10
1- L" I v r sf? I o f 1 TIME I PURCHASE ORDER NO. ATTENTION
C:ARMEL, 11\1 460322.584' 1E- 3• -12:17 110,7
INVOICE TYPE
01) Deliver miar t= s le
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. 1 oG4 F1 L. D OIL FIL 1.8. 42 10. 2':31 i� i 1(_). L3
1. 00 1356 I'= I L. N PA60LD OIL FIL 13. 18 7. 4900 7. 49
1.0o o 1 365 1 L. WAGGLE) OIL FIL 1.4. 76 8. 49C)O 8.49
1. 1 :394 F I L_ WPAGOLD OIL FIL 1 42 7. 2900 7. 29
1. 00 1072 MAC WES BATTERY CLE 5.3o 3. 39 )t i
1. 00 1(i67 MIAC 61RCS I614ITION SE 7.30 3. 'a";.c_yi) 3. ;fir-} 1
SUB TOTAL V 41 48 m,,�t o t (iii 7. i i( )i} Tax G. rat 44. 3
Y TOTAL
0AW Control No. 883-04354
CARMEL NAPA
III MEDICAL DRIVE y OCR Y RE'M I T: GPC---- I ND
REF BY VER BY 5959 COLL E CT J�lt�q c DR
CARMEL, IN;460W-9n— GO L.
1000060177566060L BY X
ALL GOODS RtWNED MOST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE o STORE NO. EMP SIR
65-001.898 CITY OF:* Q C 3" 2 4 1 0 17 5 E, 6 0 F, 4 6 i1 19 t
c'
I CIVIC, I S f. TIME PURCHASE ORDER NO. ATTENTION
1 (3 f 1.
CARMEL, IN -46032258-4 I-tf- 3 1+:18
I NVOICE 11E
v in r
QUANTITY PART NUMBER LINE DESCRIPTION. PRICE NET TOTAL CODE
1.00 8224 BAT BATTERY 54. 84 36. 49 6- 49
T Core Deposit 5. C)('.
1.00 8224 BPI 5.( )0
l..O() B224 E-AT Con Deposit 51. 5. i i(it: 0 5. i f0 CR
TOTAL -9.
36. 49 jKtsc-`�j 0.00 1 7. o 0 2.55
TAX
Control No. 8829 845
CARMEL NAPA
III tl-DDCCALDRIVE Y OCR Y REM IT: GPC—IND
REF BY NER 8 Y__ 5959 COLLECTIO
RECEIVED
100006017756404 By x
11111 mil ilkill, ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
I. civic SO 1. 0 f 1. TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 4Go322584 1 3-10-12
I I INVOICE TYPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC -IND
IN SUM OF
5959 Collection Ctr. Drive
Chicago, IL 60693
$128.95
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 756404 43- 500.00 $50.98 1 hereby certify that the attached invoice(s), or
1207 756606 43- 500.00 $36.49 bill(s) is (are) true and correct and that the
1207 756992 43- 500.00 $41.48
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, April 05, 2010
Director, Brookshire olf 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))
03/26/10 756404 Lights $5M
03/29/10 756606 Battery $36.4
04/01/10 756992 Oil Filter $41.4
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