186318 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P���g
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE Cl1ECK AMOUNT: $334.09
CHICAGO IL 60693 CHECK NUMBER: 186318
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4351000 85- 017983 334.09 AUTO REPAIR MAINTEN
Control No.
P 70 CARMEL NAPA
111 KEUICAL DRIVE Y t OCR Y REMIT :GPC --INU
REF BY VER BY 5959 COLLECTION Cl "Ft. P
CARNLl, ItJ abo 1 0000601'M76141 99 CHICAGO R 1 1-L. 6�:�fi`�:;
1 ALL GOODS RETURNED MUST BE AC OMPANIE BY THIS INV 'E
ACCT. NO. SOLD TO: DATE STORE N0. I E SR
85- 017983 C'S•TY OF=' CAFIMEL POLI�:1 I� 05/ f,14i9 C� C�17,. 36 36
3 CIVIC GO 1 o f 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 460 327,5 70. .3. ::38
1 1 5 INVOICE TYPE
e.l iver Char ge S,le
QUANTITY PART NUMBER LINE DEB,��CRIPTION PRICE NET TOTAL CODE
1. (:)C) 9S- •758EAX SS DISC Gk qwK -PAL'S 98. 32 49. 160 i 49.1 F
1.00 SS--'7468X "S ISC BRA`V,k PADS 74. 9C) 37. 45 0 37. 45,
1997 In f ini.ti 045 4. 1. L LF 0 CC V8
r
4
SUB 86.6
TOTAL
Control No.
NOW CARMEL NAPA
7 3 7 4 b C
III OICAL DRIVE Y OCR Y REM i f GPC-- I ND
REF BY VER BY ry ry !�r�e 5959 CC l LECTION CTR. DR.
CARAEI, IP1464 i00�J0�lJi! 09i��� CHICAGO ILL. r, 0
RECEIVED
ALL GOODS AE7 NED MUST B C PANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE o,o STORE NO. EMP SR
85- 017983 CITY Of" CARMEL POLICE D i) /`0/20!3 61629 0 017 19 136
3 C IVIC JIB 1 o f 1 TIME PURCHASE ORDER NO ATTENTION
CARMEL, IN 460327570 W- 2 -12.0 11.35
:35
INVOICE TYPE
(17) r?'liver Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1.00 265- -1341 NCP SMY BAR LINK 60. 74 31. 2600 31.: 6
1997 Infiniti 045 4.1 L 4110 C V8
SUB 3 TOTAL MISC. 1 a� S t-) TAX L> TOTAL
J s 1.
0 w Control No.
C ARMEL NAPA
111 NEDICK DRIVE Y OCR y ;�'C I ND
BY VER 8Y a,.. _EC:1" f�1�1 DR.
CARaFl,, IN 4603M 1000060177622233
z L_L_. r:y
LtiGbOp ETU NE❑ MUST 8 ACC PANIEC BY THIS INVOICE
ACCT. NO. SOLD TO AT STORE N0, EMP SR
65--- 0179 B3 CITY aE= CARMEL POLICE is 05/2-6/2 62ff 0 017 1 15 ;s8
3 C I V 1' Q 1 o f 1 TIME I PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46-0327570 W- 3 71A:28 ..x,.28
(1 2 e L Z V e r INVOICE TYPE C har e t-e ale
QUANTITY PART,,NUMBER LINE DESCRIPTION PRICE NET TOTAL Ll CODE
l 1.00 AD- ;'Ca62 ri1)0 DISC PAD 1'1 E,. 05 58. 2300 58.23
a"@03 Ch vr�ol.et 'f� w:)iR( "`1` 1 ver• ad 1 5I,0 112 Ton 2WD
Pi�ckuP A. 3 L 28 CI Q/ 1
ro nL Gib. 0, t }twl 7. 000 Tax i 1, (if_') TOTAL c
Control No.
73760
Z�m CARMEL NAPA
III MEDICAL DRIVE Y OCR Y REMIT:GPC— IND
RE BY VER BY LL-ECTL9K I DR.
C
CARREL, IN 460 922 CHIC ILL. 6(-
iL
RECEIVED
100006017762 5959 C 2091 By X(La
ALL GOODS FkRNED MUSkE A COMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DAT�\� I MN@M M I STORE NO. EMP SR
85- 017983 CITY OF CARMEL POLICE D ()5/i 17622c)9 017 18 136
3 CIVIC SO I of I TIME PURCHASE ORDER NO. ATTENTION
1 CARMEL, IN 460327570 t jf- 2-12:4 ..1:57
DICE TYP
e I i v e r I Charge Sale
QUANTITY PART NUMBER LINE i. ",DESCRIPTION PRICE NET TOTAL CODE
1.00 AD-7707 ADO:;Di- PAD 150.04 75.2800 75.28
1. 00 AD---7653 152.91 76.7200 76.72
2003 Chevrolet Truck Silver-ad 1/2 Ton 2WD
Pickup 4.3 L 262 CID V6
SUB 152. 00 TOTAL 152.
TOTAL
1 0 1. 1.000 TAX
Control No.
c�apaD 7'3) 7v57
D® CARMEL NAPA
111 NEOICAL DRIVE LXR Y REM I T: GPC, I ND
REF BY PEA BY 5 "LGRE CEIVED
COLL "T M N 1TR. D
IN at 1�0�06Q1776�719 CFCI
ALL GO S R RNED U COMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE STORE NO. EMP SR
85°017983 CITY OF CARMEL POLICE D 05/01/2010 182`714 0 017 1 19 136
r
3 c ivic s o 1 o 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 4E'iO327570 15:0'
INVOICE TYPE
(�:)1) Char• e Sal.
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. 00 1 car 2() L.UC LLFA FUEL TREAT 6,. 99 5. 99oO 5.99
SUB TOTAL 5. 9! ()o 7. 000 TAX c). (,)(_1 TOTAL 5.99
.s
y
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.
/1
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number I (or note attached invoice(s) or bill(s)) r/
s� /��l D �1 1�.�� 0,4�� A-� �07� O d" �P• (o l
,5/a2 -q 761
s/a G/r e 7 �a4 0 g $6,tcL a 6—
6///I "7 L2 7/
Total
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
VOOCHER NO. WARRANT NO.
ALLOWED 20
nn II n IN SUM OF
Q-h L 9,�
ON ACCOUNT OF APPROPRIATION FOR
Tax)ca010 -,2-
U 0 Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
911 7 6/ 5/6 -o U? to bill(s) is (are) true and correct and that the
9// 7 (o/ (n Q 9 516 a D ry materials or services itemized thereon for
r l 7 �?aJ 3 Si o a t) "�3 which charge is made were ordered and
�!1 76aa o S /D Db /Sa- °D— received except
911 7ha S /o a �5
20 D
ignature
A- -T 0 2�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund