191651 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
0 f ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAPCK AMOUNT: $159.79
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 191651
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231500 0858081 159.79 775630
Control No,
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REF BY VER BY 5959 C01-LEUTIGN CTR.DR.
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100060177756302 BY
ALL GOOD ETE41N91D MUST BE ACCOMPANIED BY THIS INVOICE
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I of I TIME PURCHASE ORDER NO. AT
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TIME PUP CHASE ORDER
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PRICE NET TOTAL CODE
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VOUCHER NO. WARRANT NO.
ALLOWED 20
NAPA
GPC71ND
IN SUM OF
595• Collection Center Drive
Chicago, IL 60693
$159.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 I 775630 I 42- 315.00 $159.79 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
Monday, November 08, 2010
Director, 707MTifstr-ation
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))
10120 /10 775630 $159.79
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and l have audited same in accordance
with tC 5- 11- 10 -1.6
20
Clerk- Treasurer