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190899 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00351268 Page 1 of 1 ONE CIVIC SQUARE PARTS NOW CHECK AMOUNT: $14.50 CARMEL, INDIANA 46032 sox 68632 gi g• MILWAUKEE WI 53288 -0632 CHECK NUMBER: 190899 CHECK DATE: 10/1312010 DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 5134764 14.50 OTHER EXPENSES PARTS NOW! KEEPING BUSINESS PRINTING Customer ID: Bill To: Ship To: 46280CARMEL CARMEL WASTEWATER PLANT CARMEL WASTEWATER PLANT 760 3RD AVE SW 9609 HAZEL DELL PKWY Invoice Number: 'CARMEL IN 46032 INDIANAPOLIS IN 46280 -2935 INV05134764 Invoice Date: 9/17/2010 Buyer KEVIN KEVIN 299 NET 30 UPSGRND Ordered 1.00 1.00 0.00 RAT- 3851 -PN PAPER P/U ROLLER HJP LJII /IID /III /IIID PN 5.50 5.50 1.00 1.00 0.00 PUB -QRG Parts Now! 2010 Quick Reference Product/Service GO 0 -00 0.00 Tracking Numbers: 1ZA17OV90312292283 Item Numbers that end in -AB" or -88" are exchange parts and require a core return. Sales Amount: 5.50 Cores must be received within 30 days of invoice date to receive credit. Tax: 0.00 For core return and warranty claim instructions, please refer to www.partsnow.com. Shipping /Handling 9.00 Invoice Total in US 14.50 Thank you for placing your order with Parts Now! Please remit payment to: Parts Now! IN PO Box 88632 Milwaukee, WI 53288 -0632 Toll: 800.886.6688 P. 608.2031500 F: 508.2031471 3150 Pleasant View Road Middleton, WI 53562 www.partsnow.com Page 2 of 2 VOUCHER 106319 WARRANT ALLOWED 351268 IN SUM OF PARTS NOW Box 88632 Milwaukee, WI 53288 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 5134764 01- 7202 -06 $14.50 1 I Voucher Total $14.50 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351268 PARTS NOW Purchase Order No. Box 88632 Terms Milwaukee, WI 53288 Due Date 10/5/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/5/2010 5134764 $14.50 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 Date f O