HomeMy WebLinkAbout189867 09/14/2010 CITY OF CARMEL., INDIANA VENDOR: 361867 Page 1 of 1
ONE CIVIC SQUARE KEYSTONE AUTOMOTIVE INDUSTRIES ��C_
CARMEL, INDIANA 46032 3334 MESILLA COURT CHECK AMOUNT: $116.00
INDIANAPOLIS IN 46226
CHECK NUMBER: 189867
CHECK DATE: 9/14/2010
DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 BB438895 116.00 REPAIR PARTS
I INVOICE BB438895
INDIANAPOLIS, IN LOCATION 072
849 WHITAKER RD SUITE 190
PLAINFIELD, IN 46168 DATE 0$/30/10 08:09:42
Phone 317 -272 -3301 5� PAGE 1 OF 1
An•LKQ Company Fax 317 895 -0852
G
BILL TO SHIP TO
553858 F CITY OF CARMEL FIRE DEPARTMENT
CITY OF CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE
2 CIVIC SQUARE CARMEL, IN 46032
CARMEL, IN 46032 317 571 -2600
317- 571 -2600
ORDER NUMBER ORDER DATE SALES REP CUSTOMER P/0 NUMBER PAYMENT TERMS
B8709408 08/25/10 A07D /J510 CAR4.5.0 NET 7 lTH E',.RO
SHIP DATE WRTN BY CONTACT R/0 NUMBER SHIP VIA
08/30/10 3653 KEYSTONE TRUCK 34015
For Questions, contact BRAD SWAGER, 317 -268 -3467, INDIANAPOLIS, IN
OTl LITY QTR` 3ST
E?t0i)UC1 I ETESC.RI1�l E01V- PEIGE UIM EXTEN510N
p:PEN SHF?RED 8p PRECE
1999 CHEVROLET SUBURBAN
GM2502101 V 1 1 0 64.00 48.00 EA 48.00
HLAMP ASM;LH;88 -02 CHV PU /BLZ
92 -99 SUBURBAN
GM2503101 V 1 1 0 64.00 48.00 EA 48.00
HLAMP ASM;RH;88 -02 CHV PU /BLZ
92 -99 SUBURBAN
GM2520128 1 1 0 50.00 10.00 EA 10.00
PK /SG;LH;W /COMP;94 -2 CH PU /BLZ
94 -99 SUBURBAN UNDER HDLT
GM2521128 1 1 0 50.00 10.00 EA 10.00
PK /SG;RH;W /COMP;94 -2 CH PU /BLZ
94 -99 SUBURBAN;UNDER HEADLIGHT
Lifetime warranty on value line product is limited to part replacement only.
SOME PRODUCTS ON THIS INVOICE HAVE BEEN ROUNDED UP TO THE NEAREST DOLLAR
BUMPER INVENTORY IS BASED ON CORE AVAILABILITY, CORE RETURN IS NOW REQUIRED.
ACCOUNTS OVER 30 DAYS ARE SUBJECT TO A 1 1/2% FINANCE CHARGE ANNUAL RATE 18%
MERCHANDISE HANDLING MISC CHARGE TAX FREIGHT DEPOSIT DEPOSIT INVOICE TOTAL
TOTAL AMOUNT APPLIED
116.00 0.00 0.00 0.00 0.00 0.00 o.00 ;:........art <6.ac.::`
Received By:
30 -Day Return Policy The original sales receipt must accompany all returns. Returns without the original sales receipt will not be accepted. A part returned undamaged within 30 days of the
original purchase date may be credited at management's discretion, but no credit will be given for any part returned more than 30 days after the original purchase date. Core charges are refundable
if the appropriate care is returned within 30 days. No returns will be accepted after 30 days.
Refund Policy Cash Purchases returned on the same day as delivered will be refunded by your local branch. All other refunds will be processed by Keystone Automotive Industries' corporate
office and sent via U.S. mail within seven M working days. CUSTOMER COPY
VOUCHER NO, WARRANT NO.
ALLOWED 20
Keystone Automotive Industries, Inc.
IN SUM OF
3334 Mesilla Court
Indianapolis, IN 46226
$116.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 BB438895 42- 370.00 $116.00 1 hereby certify that the attached invoice(s), cr
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
a
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))
BB438895 C4507 $116.00
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
20
Clerk- Treasurer