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188597 08/04/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 F ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAP %ECK AMOUNT: $46.91 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60593 CHECK NUMBER: 188597 CHECK DATE: 8/412010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4231500 0853425 17.94 767842 1115 4232100 0853425 28.97 7358882 c Control No. RAW- 7358882 CARMEL NAPA III KEDILAL DRIVE y OCR y REMIT:GPC-- IND U BY VER BY 5959 COLL ,TION C ,-DR. MRKR� IN W322� qHLr,,AGO 1 069 1000060177678423 BY x 9 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE I MgN@M M I STORE NO. I EMP SR 85--003425 CITY OF CARMEL COMMUNIC 07/26/201( 767842 106017 1 ld: 1( I CIVIC SQUARE 1 of I TIME PURCHASE ORDER NO. ATTENTION CARMEL., IN 460322584 c 3 INVOICE T YPE y hA QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 2007 C evrolet Truck r'.ihce 5.3 L 325 CID V8 1. 00 2*7060 81 I Oil Filter (pro :3. 71 2. 990C 2.99 6. 0() 75050 NO L W WT SW 3.71 2. 990C 1.7. 94 2.0C G-0-022-13 W I P Uiper Blade E 22.5 1. 990 0 25. 98 SU13 TOTAL 46 0. ocl 7.0(--)0 TAX 0. 00 TOTAL 4 IF,. 9 VOUCHER NO. WARRANT NO. ALLOWED 20 GPC -IND 5959 Collection Center Drive IN SUM OF Chicago, IL 60693 $46.91 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 7358882 42- 321.00 $28.97 1 hereby certify that the attached invoice(s), or 1115 767842 42- 315.00 $17.94 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, July 30, 2010 Director 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)) 07/26/10 7358882 $28.97 07/26/10 767842 $17.94 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