189793 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA PO CK AMOUNT: $170.78
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 189793
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 170.78 REPAIR PARTS
Control No.
7357112
0® CARME1 NrIPPi
III MEDICAL DRIVE Y 0c FR Y REM IT-.GPC---IND
RE BY 959 R.
CARKEL, Ili 4 VER W3M F2 ICHICAG�41L.L. COL.LECTION 0
CTR. D
RECEI
1000060177662083 5 VED BY
ILL GOODS 7TURNED MUST BE ACCOMPANIED BY THIS INVOICE
DATE STO NO. EM
ACCT. NO. SOLD TO
85' -01'7 996- CITY OF' *UIRMEL-F DES: 07- o8120IC-1 76-62.08 10601 7 1 3c.
1. CIVIC SQUARE TIME PURCHASE ORDER NO- ATTENTION
CRRVIEL., IN 4603i 1 05
INVOICE T YPE
(07) 111V Char g e Sale
QUA NTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. Oc 08001 MIA WER WMRSTRP I 1 9 1 E. 7. 870C 7. 87
0. 09 7. ).00T
TOTAL
SUB MI
S C TAX
I �j I kt—%
Control No.
SPA k'il 1� J. 3 :�7 17 7
7 %3
CARMEL NnPA
Ill OICK DRIVE Y4 OCR
PH BY VER BY COLLECTION CTR. DR.
1000060177662653
ALL GOODS RETURdEb MUST B X AC G YMVNIED kY HI I N VOIC9
ACCT NO. SOLD TO DATE o STORYNO. I EMP SR
$5-017996 C11"Y OF' CARMEL--F'I DEP 166265 k I 1 1 3E
.1 CIVIC SQUARE 1 of I TIME I PURCHAS9 NO.. I ATTENTION
CARMEL, IN 4E N- 2-14:50 14:05 InAk-I-ev m,-iv,
'I NVOtCE PE
Delivp V, Ch ar Q R I p
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
85C)---5M--25 G I B IND PUR GRIP 0 38.5E 32. 6900 332. 69
SUB
TOTAL 3 0 0 :32.6r,
2. 61 ml !!!�j 0 TA) 0. OC) TOTAL
t Control No.
OAK X357447
Cam® CARMEL raAN,
III KEDICAL DRIVE Y CICIP Y REM I F GP C.; NIA
REF BY r VER BY 5 959 COL. T
f�RI1 I Cl
EL, IN 4 fiM 9 c�' 2 Ca� t c C I
1000060177665204 e
ALL GOODS HET NED MUST BE ACCOMPA IED BY THIS INVOICE
ACCT. NO. SOLD TO DATE j.M STORE NO. i EMP SR
85-017996 CITY OF= CA RMEL -F~ I RE UEF _y_ -V 0 0 2� a 6 y
1 CI SQUARE y� 1 O 1 TIME PURCHASE ORDER NO. ATTENTION
CARME L I y N f�"Jf..�'1L.258 °t INVOICE TYPE Charga
C'
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. Ex; 03E:0 MMP TAPE. G. !E 4 5. 520(1 5.52
03615 11MM RLDIN6 TAM `3. G°' S. 280 8.
SUB
TOTAL 1 r. f_ MIS 0. 0( 1 1(1 TAX f I TOTAL 1 3. fsf
Control No.
7 3 5 8 42
0® CARMEL NAPA
III GIC& DRIVE y OCR y R� M I T.- GPIC I ND
HE BY qER BY 5959 COLL �e'TIONKCTR.
MW, IN 460MEF L"
1,00006017767 CAM 4819 Y'
ALL GOODS RE /B
_RNED MUST BE ACCOMPA NIE Y THIS INVOICE
I
SOLD jMgN@WM-[ .STORE NO. I EMP 'I SIR
ACCT NO. 6ATE
85-017996 CITY 01" CAFRMEL-rf DEP
1 CIVIC SQUARE I TIME PURCHASE ORDE ATTENTION
of 1.
CARMEL, IN 460322584
L! DICE TY
Ckl CA $a
WANTITY PART NUMBER LINE DESCRIPTION PRICE NET -'-'d6DE
I. c3cf 4436 LMP BULB 21.59 12. 8500 12.85
SUB
TOTAL 0. C TAX TOTAL 0. 00 1 2. 8c
RAW Control No. 7353960
CARMEL NAPA
1000060177679182 BY x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE M I STORE NO I EMP SRI
TIME PU DER NO. ATTENTION
-1 CIVIC SQUARE 1 'of 1
CARMEL, IN 4603225B4 Fi 58
INVOICE YPE
QU,kNTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
4. 00 F142506--25C)R WH WDRUC HM 6. 8c 3.790C 15.16
Control No.
RAW (A g /d_/�^� 73
\___/G CARMEL NAPA
\1l ODCIL DRIVE Y OCR Y REM IT:GPC—IND
REF KY__NER 8 Y__ 5959 COLLECTION CTR.DR.
CAM, IN 4603M
BY
ALL GOODS RJU14NED MUST BE ACCOMPANIED BY THIS
ACCI NO. SOLD TO DATE STORE
SR
85-017996 CITY OF' CARMEL--FIRE DEP 0*71 76,82 10601.4 3 C.
TIME PURCHASE ORDER ATTJENTION
CARMEL, IN 460322584 1:3.45 NVOICE PE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2006 Chevrolet Impala 3.t L 21.4 CID VIS OHV with VVT
1. OC AD-8269 ADO Brake Pads Fr( 128.8E 69.0900 69. 09
TOTAL TAX
RAW
CARMEL NAPA
111 MEDDULD0V[ Y OCR Y REM IT:GPC-IND
59 59 C
mm7,1N 460322922 CAIJ, GO 93
1000060177681605 BY X
�Pr SR
I. CIVIC SQUARE I of I TIME PURCHASE ORDER NO. ATTEN TION. 1
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TnTAI ODE
2008 Fm-d Tt Expedition
TOTAL
Control No.
72) 5 7 5 3 8
0® CARMEL NAPA
III OICAL DRIYE y OCR y REMIT:CPC---IND
REF BY ER BY 5959 COLLECTION CTR.DR.
CARE, IN 460MM CH ECE11 I 0
'Go-- LL.
1000060177666515 B R
ALL GOODS YU RN_E5 CbM PAN I ED BY THIS INVOICE
ACCT NO. SOLD TO DATE I M,(W@M M I STORE NO EMP SR
85-017996 CITY OF CARMEL----F:*IRE DEP 07./13/2 766651 )6017 I :3c
I CIVIC SQUARE I of 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 460322584 10 INVOICE PE Charne Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
-t. (')C: NB-111 N11T WARRANTY 6.96- 5. 61.6' 5.62 CF
This item was put-chased on invoice 74733 12/04/2009
1.0( N8 -111 WIT SW%XBIT3 BEIRI 6. 96 5.6163 5.62
TOTAL. 0. 0( mi o.
B
-I 0C 1 7. 000 TAX C)O I TOTAL �j 0.01
Alum Control No.
/WAO 7357115
NNEW CARMEL NA rA
lii DRIV Y OCR Y REMIT GPC- I ND
REF 8 R Y 44 nn ttr�yy 5`:35' COLLECTION N CTR. DR.
QA Iti 4 10011�6017764G1 CHICAGO J
RECEIVED By
AI_L GOODS R RNED MUST BE ACCOAFIANIEID BY THIS INVOICE
ACCT, NO. SOLD TO DA S70RE NO. EMP SR
85-01793E CITY OF CARMEL -FIRE DE 7/08/201. 765211 1060171 1 3E
1 CIVIC SQUARE 1 of 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL_, IN. 4603225x84 10:27
07) I 01Co ETYIIE Ch a S a l e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
-i.00 080301 MM Sl1pERHTHRSTRP 9.1a 7.8700 7.87 C
This item was purchased n invoice 766208 07108/2010
1.()( 08008 MM m" ifitTR w f 11.97 10. 29"-)C 1
TOTAL 2. 4 MI 0-0 7. 000 T% 0 tj0 TOTAL 2.4
Account No TERMS,
08517996 GOVT.45 DAYS NET
Closing Date Due Date Sequence No
08/31/10 09/14/10 16429573
Previous Balance Payment(s) Received
1,263.10 1,092.32
New Charges /Credits Finance Charge New Balance
1,060.08 .00 1,230.8
401% Total Past Due Current Future
�q9y .00 170.78 1,060.08
V
AccourKS' Past Due Past Due Past Due
r�k1sYk�f� 10 Days 40 Days 70 or More Days
.,status r .00 .00 .00
Page 1 of 2
AT 01 030429 59583H110 B *3DGT
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CITY OF CARMEL -FIRE DEPT
1 CIVIC SQUARE
CARMEL IN 46032 -2584
If you have QUESTIONS CALL: (877) 558 -9287 Press 1 for invoice copies.
Visit our website for invoice copies at
www.NAPAaccount.com
'lease Pay The Total Due
Jo Later Than 09/14/10
hank You.
Your WA MW MW Wr W is oe do *vb!
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Customer Copy Retain for your Recprds
Acct No. 108517996 1 Page 2 of 2
Customer CITY OF CARMEL -FIRE DEPT
Statement of Account with NAPA Auto Parts
Date Type' J Inv.No. Amount Due Explanation
07/08 RI 766208 7.87
07/08 RI 766211 2.42
07/08 RI 766265 32.69 sparky mascot
07/12 RI 766520 13.80
07/21 RI 767481 12.85 E 44
07/26 RI 767918 37.04
07/28 RI 768160 16.98
07/29 RM 768267 21.96-
07/29 RI 768277 69.09
This line intentionally left blank
08/02 RI 541652 DT: 9.40
E42
08/04 RI 768857 DT: 26.42
08/06 RI 768993 DT: 31.60
KNOXBOX
08/06 RI 769047 DT: 12.99
4591
08/11 RI 769397 DT: 160.58
08111 RI 769425 DT: 69.09
08/17 RI 770043 DT: 4.20
08/24 RI 770720 DT: 6.99
08/25 RI 770762 DT: 6.99
08/26 RI 770955 DT: 398.00 i
4507 -4591 E
a
08/27 RI 771070 DT: 4.15 s
08/31 RI 1 771388 1 DT: 329.67
f
TOTAL DUE $170.78
E E
n
TYPE CODES
RI Invoice RB Charge Back
z
c
RM Credit Memo RU Unapplied Payment
C
C
RF Finance Charge X# Miscellaneous Accounting Entry
Y
a
C
n
a
a
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a
a
Q.
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
5959 Collections Center Drive
Chicago, IL 60693
$170.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 42- 370.00 $170.78 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
SEP 13 2010
Fire Chief
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))
$170.78
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