191206 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
f ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P _CHECK AMOUNT: $141.89
`t CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693
CHECK NUMBER: 191206
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4238900 08518011 65.88 774790
1125 4239000 08518011 -18.42 774633
1125 4239000 08518011 65.88 774790
1125 4239000 08518011 28.55 775413
PA Control No. 9584254
1 A
CAIRMEL NA'
III KEDIML DRIVE y cc FR y REM IT:GPC IND
59
U BY BY 59 COLLECT I P.. D R.
CADIEL j 1 4 VER 60 L. 6069ON CT 3
I
RECEIVED
-f00060177746332 By x
ALL GOODS RETURNED MVT ACCOMPANIED BY THIS INVOICE
ACCT NO.
A $OLqTOI
0 _STORE NO. EMP SR
85-018o11 CAROE,1L UiY P RKS/RECRF (lC)/C)8/2C)1( 774F,33)1()EC)1 I ic
.1.411 E 11FT[-1 ST, I of 1. U HAS NO. ATTENTION
INVOICE PE
(07) CARMEL, 49 7 11 ;I P I I Cr-edit Memo
QUANTITY PART UM ER I LINE DESCRIPTION PRICE NET TOTAL CODE
2. QC 1521 I I F I L WAM OIL F11. 14.7F-. 8. 490C 16.98
--2. OC 3192 F* I L tMAGOLD FUEL F. 32.94 1 9. 2 C C 38.58 C
This item was I tp ui 'A is e f.Tigirvoice 253248 02/19/2010
!Q1
2. OC '71 f17 PHP Spark Plug co 3.8 1.590( 18
1 L
c:
o. 0(-)o 01 0. 0(-)
SUB 7. TOTAL 1. 8. 4 TOTAL TAX I
p C r i 2010
P um t me
P.O.B P or F
aL 2S ots-- �ta3�y
Budget
Une Descr
Purchaser Date
Approval
Control No. 9584422
/3
I I AP A�
S.^
s'
11 ,tE6TCAE DOVE Y OCR Y REMIT GPC -IND
5 REF f; t BEfi BY j J5 a COLLEC`T'ION CTR. DR.
G
C AR R tN 10000b01�7�47901
RECEIV CHI CAGO ILL. =�6`� BY
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE 0 0 STORE NO. EMP SR
85---013(j)J. L CA FPM Li -CLAY PARKS/ REC RE 10 11, 1 c 7747 9(i 060j T 1 1 c
141 1. E 'f'M 1 T 1 of TIME PURCH RDER NO. ATTENTION
CAME, I F ECi32 6 i.1 Q7:55 INVOICE PE d e l i o
TY
'91. I)eI fiver Char °oe Sale
QUANTITY 0 .NQMBER LINE DESCRIPTION PRICE NET TOTAL CODE
`4. c= V A F' WWI RV ANTIFREEZE 0. 0c: 5. 4`x(3( 131. •76
TOTAL 7 1 31 r MISO. 0. I )c 7. 0(--)(_) TAX 0. 00 TOTAL 1 31 7
D M X00140 Z
PorF
P.O.B
G.L
Budget
Line cr
Purchaser Date
Approval
OC1 x;32010
BY:
X
L16 4 r Nor, TRuc k, -Control No. 9E
owe CARMEL. h•!Efi>w'A Avr V07 Sum -le-
111 £RICA; DRIVE Y OCR Y I., (3PC-° IND
Rff BY VER BY ULL T I I] u i ,T- -9 1
R.
CAffia, In 45082 tH I CAGU
1 000060 17 7754 1 3 5 BYCEIVED X
,ALL GOODS RETURNED MU „jBE A K ED 3Y THIS INVOICE
ACCT. NO. SOLD TO DATE 3TC IE NO. EMP SR
85-- 018011 CARME:L- -CLAY PARKS /RECRE 10/ 18/201. 17 41 3 ()E•; )17 1 I(
1 11 E 1, 1. 8 T li ST 1 o TIME O 1 ATTENTION
CARME_L., IN 46032 fv 1 77
J INVOICE TYP
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET T rA CODE
2008 Fo rd d Tr•I_tck F250 SLI.p r Di -ty 13/ Tcn prick
1. 0i 6052 LMP Headlight Bulb 12. S� 9. S90'I: �.r9%
c. oC 7E.(_
)-.1131 81; MI`I T Fes. F,` 4.990C
tic_ 76011.21 BK' M ITT 8. 1 4.290C
SUB TOTAL -.8 MI§c*. f_1„ 7. (_)1.3�� TAX 0. t_1(1 TOTAL C2, 5
Purchase
Description
P.O. C
Porn
a Descr M I Si L LLV tLG\�J
.chaser Date
Date L9 C
R 1 9 2010
BY:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
355214 NAPA Auto Parts Terms
(Genuine Parts Company) Date Due
5959 Collections Center Drive
Chicago, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10!8110 774633 Credit for return 18.42)
10/11/10 774790 Anti- freeze for parks 65.88
10/11/10 774790 Anti freeze for MCC pools 65.88
10/18/10 775413 Headlight, Auto wash supplies 28.55
Total j 141.89
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.
355214 NAPA Auto Parts Allowed 20
(Genuine Parts Company)
5959 Collections Center Drive
Chicago, IL 60693 In Sum of
141.89
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 1 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 774633 4239000 (18.42) I hereby certify that the attached invoice(s), or
1125 774790 4239000 65.88 bill(s) is (are) true and correct and that the
1094 774790 4238900 65.88 materials or services itemized thereon for
1125 775413 4239000 28.55 which charge is made were ordered and
received except
21 -Oct 2010
Signature
141.89 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund