190764 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 7 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAPp��
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
1ECK AMOUNT: $45.68
CHICAGO IL 60693
CHECK NUMBER: 190764
CHECK DATE: 10/1312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 30.33 772670
2200 4231500 08518032 15.35 773770
Account No TERMS
08518032 2% 10TH,NET 20TH
Closing Date Due Date Sequence No
09/30/10 10/20/10 16552680
Previous Balance Payment(s) Received
.00 .00
New Charges /Credits Finance Charge New Balance
45.68 .00 45.68
Total Past Due Current Future
A aged ?t3:.00 45.68 .00
Account Past Due Past Due Past Due
10 Days 40 Days 70 or More Days
Status .00 .00 .00
Page 1 of 2
AT 01 029826 74133H106 B *3DGT
CITY OF CARMEL ENGINEERING
1 CIVIC SQ
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
You may deduct early
Payment Discount of: .92
Therefore if Paid By: 10/10/10
Your Payment Should Be: 44.76
Your NAPA acooun� h on the Bbl
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 emailed back to you:
You will have access to:
Copies of statements and:'jhvoices
Receive your monthly stagement) via Email W
Up to date account bat e GARM I
Last payment and date ived /���F� �r
F
E -Mail your customer representative
;eZz LZ ro-
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 EQUIFAX.
r
Customer Copy Retain for your'Records
Acct No. 108518032 Page 2 of 2
Customer I CITY OF CARMEL ENGINEERING
Statement of Account with NAPA Auto Parts
Date Type' J Inv.No. Amount Due Explanation
09/15 RI 772670 30.33 e-2
09/28 RI 773770 15.35 e1
TOTAL DUE $45.68
TYPE CODES
RI Invoice RB Charge Bads
RM Credit Memo RU Unapplied Payment
RF Finance Charge X# Miscellaneous Accounting Entry
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Contro No.
7763975
CARMEL NAPA
ll1 OlQ&D8lV[ Y R Y REM IT:GPC—IND
0E BY VER BY 595 COLLECTION C
RECEIVE& 11
ALL GOODS R R MUST AeCEPWI� INVOICE
ACCT NO. SOLD TO DATE STORE NOT
85-018o32 CITY OF CARMEL ENGINEER 09/15/2bl(I 772670 JOE-017 1 1(
I civic so I f I TIME I PURCHASE ORDER NO. I ATTENTION
CARMEL, IN 46o322584 14:35 R-2 lbob dykstr4
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2010 Fcrd Truck Escape 2.5 L 2488 CC L4 Hybr-id
6.0C 174 VAL Motor 0-0 Vali 5.61 4. 4900 26.94
Control No.
RAW 7765155
0® CARMEL NAPA
III NEDICK DRIVE Y OCR Y REMi --IN
GPCD
REF BY
-rC
9 COLLECT' CC TR
0 IL
10000601 y
CARL E� IN 4603M VER BY 595 IL 93
RECEIVED x
77737707 CHICAGO By x
ALL GOOD SfAETURNX MUST Bt
;3%rAPANT BY THIS INVOICE
ACCT. NO. SOLD TO DATE v r STORE NO. I EMP SFr
85-0180132 CITY OF CARMEL ENGINES F o9/28;"201('i 7 106017 1 1. 1(
I civic so I of I TIME I PURCHASE ORDER NO. I ATTENTION
(24) CARMEL, IN 46-0322584 -14-05 1 INVOICE PE Char e Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2010 F' rd Tr uck Escape 2.5 L 2488 CC L4 Hybrid
1.0- 1348 F I L Oil Filter (661 11.1c 3.390( 3. 39 R
4.00 75150 NO L WA MMRT 50 3.7A 2. 9r:30(: 11.96
II T(}TAL 15. 31, 7. 000 TA
.0_ 06 1 TOTAL 1.5. 31
tzz
PrLscribedby State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Napa Auto Parts of Carmel
Purchase Order No.
5959 Collections Center Drive
Terms
Chicago, IL 60693
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/30110 16552680 Oil $44.76
acnt# 08032 E1 &E2
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
c Parts- -of Carmwe_L.._, IN SUM OF
5959 Collections Center Drive
Chicago, IL 60693
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
l�J
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
16552680 200- 4231500 6 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
1 0W 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund