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186319 06/09/2010
CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 ONE CIVIC SQUARE GENUINE PARTS COMPANY INDIANAP BECK AMOUNT: $17.98 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 p CHECK NUMBER: 186319 CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4238900 85- 018011 17.98 OTHER MAINT SUPPLIES Q Control No RAW 7375341 D® CARREL NAPA III BEDICAL DRIVE Y OCR Y L` RE M I T o GPC; I ND-- REF BY VER BY 5 GOLLEC'T� I (3N ,'rR. DR. CAMI, IW 460mff CF 1 CAG0 T LV.2 G0f,9 10000601776,15633 BYCEIVEO X 1. ALL GOODS RETUR B MU BE C ANIED BYTHIS INVOICE ACCT. NO. r -,017 19 10 QATE o STARE NO. EMP SR P'---0 0 1f3�x11 Cell= ii�'rEL- fN�.l -1Y nr.' 01(- 761 1 E 1 7' E f 'y 3 q 4• j 1 f 1, TIME i PURCHASE'ORDER NO. ATTENTION t.rf if \1'I L..4 .,3..A1 f +JL f 1. 1 1.K 'v 24 +s Z W �1f.; INVOICE TYPE Charge Sale QUANTITY PART NUMBE ff -2 StRIPTION PRICE NET TOTAL CODE 2. 00 0 60 -i 1 3- 1 W I P Wiper Blade 1 9 9 c_►0 17.98 AY5 200 SUB r MISC. TA�( p TOTAL PO P or F P.O. ©.L gud�t __•j/ f. Une t]ee�T purchaser 2 Y� ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 355214 NAPA Auto Parts r Terms 5959 Collections Center Drive Date Due Chicago, IL 60693 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5119110 761563 Truck wiper blades P07 17.98 Total 17.98 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 Voucher No. No. 355214 N uto Parts Allowed 20 5959Collectio G'enterDr {ve Chicago�IL60693 NEW ADDRESS In Sum of 17.98 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT TITLE AMOUNT Board Members Dept 1125 761563 4238900 17.98 1 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 3 -Jun 2010 Signature 17.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund