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187816 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 s` ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P MCK AMOUNT: $93.33 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 187816 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 08502867 93.33 764197 Account No TERMS 08502967 2% 10th, Net 20th Closing Date Due Date Sequence No 06/30/10 07/20/10 16189708 Previous Balance Payment(s) Received .00 .00 New Charges /Credits Finance Charge New Balance 93.33 .00 93.33 he r" Total Past Due Current Future .00 93.33 .00 Account Past Due Past Due Past Due <P Ct iW ��r� ,T'•. 10 Days 40 Days 70 or More Days .00 .00 .00 Page 1 of 2 AT 01 031094 30661H111 A *3DGT �Ilnl�li�llllil��lil�llrlilr�l���l�ll�l��l���lr�n�l��n CARMEL WASTEWATER 760 3RD AVE SW CARMEL IN 46032 -2072 If you have QUESTIONS CALL: (877) 558 -9287 Press 1 for invoice copies. Visit our website for invoice copies at www.NAPAaccount.com You may deduct early Payment Discount of: 1.87 Therefore if Paid By: 07/10110 Your Payment Should Be: 91.46 Your WA account is on tie web1 www.NAPAaccount.com Click on CUSTOMER LOGIN and ACCOUNT ACTIVATION Enter the 8 -digit sequence number from your current monthly statement and enter your email address. A password will be emaded back to you. You will have access to: Copies of statements and invoices Receive your monthly statement via E -mail Up to date account balance Last payment and date received E -Mail your customer representative We appreciate your business! WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH 0 B AND EGUIFAX. i Customer Copy Retain for your Records Acct No. 06502867 I Page 2 of 2 Customer CARMEL WASTEWATER Statement of Account with NAPA Auto Parts Date I Type` J I Inv.No. I AmountDuel Explanation 06/16 1 RI 1 1 764197 1 93.33 1 hoover TOTAL DUE $93.33 TYPE CODES RI Invoice RB Charge Back RM Credit Memo RU Unapplied Payment RF Finance Charge X# Miscellaneous Accounting Entry m U C E m r 3 a c m a c m v c m c 0 O 'C m a N L _C m Ol m a `m m m N m a Control No. RAW 7378157 CARMEL NAPA III KEDICAL DRIVE y OCR y REM IT:GPC—IND REF BY VER 5959 COLLECTIOK, c D cma� 4603229 CH I RP ,�GO ILL.zV} REC E 1000060177641971 BY X ALL GOODS RETUPCED MUSH BE THIS INVOICE ACCT NO. SOLD TO DATE G STORE SR NO. EMP WASTEWATER fz 85-002867 CA 06/16/2010 1764197 C�6017 C) 760 3RD AVE SW I of I TIME I PURCHASE ORDER NO. ATTENTION CARMEL., IN 4150322072 14,31 h100vev (141 1 INVOICE PE I Charge Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 2005 ChEvv-olet Truck Equinox 3.4 L 207 CID V6 1. 00 21040 SF I Oil Filter (ProS 4. 1.1 3. 290(*-') 3.29 .1. 2.00 1372 F I L WAGOLI) OIL FIL 12.0.4 6.9900 13.98 .1. 2.00 6902 F I L Air Filter (Gold 34. 94 19.9900 39.98 j 3.00 ZX00-1 Z R X ZEREXX 5 100 A 1 2. 49 9. 9900 2- 97 .11 SUB §:*0 77. 93. 3j TOTAL 87.22 10 1 00 x 6 1 1 TOTAL �F I VOUCHER 105787 WARRANT ALLOWED 365214 IN SUM OF NAPA GENUINE PARTS CO INDIAN) 5969 COLLECTIONS CENTER DRIVE CHICAGO, IL" 60693 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 7 64197 01- 7500 -02 $93.33 i Voucher Total $93.33 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 355214 NAPA GENUINE PARTS CO INDIANAPOLIS Purchase Order No. 5969 COLLECTIONS CENTER DRIVE Terms CHICAGO, IL 60693 Due Date 7/7/2010 Invoice Invoice Description Date Number (or note attached invoices) or bill(s)) Amount 7/7/2010 764197 $93.33 r I 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 7 116 X Date Officer