184280 04/14/2010 CITY OF CARMEL, INDIANA VENDOR 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY INDIANAP CHECK AMOUNT: $262.84
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 184280
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231500 85- 008081 262.84 757522
ao CAIRMEL NAPA D Control No. 8831050
III MEDICAL DRIVE y APR)qF 2010 REM I T: GPID I NIL)
REF BY VER BY 5959 C0LLECTION C'VR. DR.
CAREL _JN 460ivew 9 C1 I CAGO 0
CEIVED x
BY &e4W p A fuLne'
ALL GOODS PflURA KST A 1 6COkPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE I M96MM I STORE NO. EMP SR
85--008081 CITY 01- CARMEL--BUILDING C 4/07/2C I 17 5 7 5 2 i (.16 017 19 10
I civic S0 I of I TIME I PURCHASE ORDER NO. ATTENTION
322584 r
CARIYIEL, IN 46o, 09: 32
06 INVOICE Char-ge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
jacw)4 ChEvr-olet Truck S:ilvet-adc 2500HD 'Von Pi
3. clo 1042 F"IL Oil Filter (Gold 1. L'-."* 58 3. 79oO I 1. 37
;'2001 Chcvt-olet Ti 1 ,3ilver•adc 2500 3-1/4 I 4WD
3. C )0 15x2 F I L. Oil Filter (Gold :L -3. 20 3. 990 11 11.97 F
7
48. ()o I J50o NOL NINA S" I L0'r;30 9 5.61 4.4goo 215.52
1.0 2
J 0 0 1. LUC I LUCAS OIL ST L 99 1 11. 99oc) 3.98
TOTAL 262. 8Z+ jN,&Vj ()..00 7. 0 0C.) TAX 01 0. o C) TOTAL A" 2 6 12'. 8
I I
VOUCHER NO. WARRANT NO.
ALLOWED 20
NAPA
GPG*-IND IN SUM OF
5959 Collection Center Drive
Chicago, IL 60693
$262.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 757522 I 42- 315.00 I $262.84 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
Friday, April 09, 2010
Director, A ministration
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))
04/07/10 757522 $262.84
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