189723 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00352688 Page 1 of 1
ONE CIVIC SQUARE CARQUEST NOBLESVILLE
CARMEL, INDIANA 46032 CHECK AMOUNT: $346.17
164N10THST
NOBLESVILLE IN 46060 CHECK NUMBER: 189723
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236400 2610 -76467 346.17 PAINT
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PROUDLY SERVING A WORLD IN MOTIONS"
C R t CQ OF NOBLESV•ILLE IN 9186 PAGE 1 OF 1
164 N 10TH ST REF# 317729
Iw NOBLESVILLE, IN 46060
317- 773 -4274
AUTO PARTS GREAT PEOPLE!
I I I I I II I II II II GREAT PRODUCTS!
IIIIIII II IIIII II II IIIIIIII I I I I IIIIIII II I GREAT PRICES
21201008180260100000764670000117729935
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
a
a+ CITY OF CARMEL STREET DEPARTMENT �PITY OF CARMEL STREET DEPARTMENT
3400 W 131ST ST 1400 W 131ST ST
T WESTFIELD, IN 46074 WESTFIELD, IN 46074
0 0
+I CUSTOMER SALES TEAMMATE
INVOICE NO. NO DATE CUST. P.O. NO. ID ID FORM OF PYMT.
2601 -76467 860097 08/18/10 K1710 CHARGE
MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX
j DPC K -4 1�t �1 116.06 93.79 0.00 93.79 N
CHROMABASE COLOR
2 DPC 6155 -4 1 1 82.69 66.82 0.00 66.82 N
VARIPRIME SELF -ETCH
�3 DPC 867J -4 1 1 229.63 185.56 0.00 185.56 IIN
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X
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WARRANTY DISCLAIMER: The factory warranty constitutes all of the warranties with respect to the sale of all items. The seller hereby expressly disclaims all warranties, either expressed or implied, including any
implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of all items."
SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREY. DEPOSIT.
0.00 0.00
t£! RECEIVED PAY THIS
11:29 AM BY X COPY AMOUNT 346'.17
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carquest Auto Parts Stores
IN SUM OF
P. O. Box 503589
St. Louis, MO 63150 -3589
$346.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
2201 2610 -76467 42- 364.00 $346.17 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
Tues�14, Se t n ber 07, 201(
Street Commis ner
Tit i e
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
08/18/10 2610 -76467 $346.17
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer