192640 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P _CHECK AMOUNT: $31.12
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 192640
CHECK DATE: 12/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 08518011 31.12 MISCELLANEOUS SUPPLIE
V\ Control No. ,alb k co
C
RAW
CARMEL NAPA
III OICRL DRIVE y OCR y G V) C I N D
Rff- BY VER BY '3959 COLLECT lON'Cl"R.DR.
CARE, I j W04- CHICAGO El 1 93
-E
H77 456 BY CEIVED x
I XLL GOODS,RETURNED MUST BE ACCOMPANIED %Y THIS INVOICE
I A;)
ACCT. NO. SOLD TO DATE 0 CQ O STORE NO. EMP SIR
7
77- �9,31.5 106017 j. 1(
85---o 18o I I C P r (l' I r z �.2/ 0 2 �1'2 0 1�( 1( d
1411 E I of 1, TIME PURCHASE ORDER NO. ATTENTION
CARREL, 08:29
(03) INVOICE PE Charge Sak I e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2004 Chevrolet Truck Silverado 2-50o I Ton Pickup
1. Cl C r'x
1 G 1 4 BK Windshield Wash i 22.89 15. 9- ?i.)0 15.99
1. 0(" '71511.51 BI-, COUPLER 3.34 3.2900 3. 2:1-
3, H-460 NBH W W KU TUBS 1.3 1.2900 3. 87
2.00 15 BK, FM UW 1.1 0.990 (_1 i.98
1. 0(: 7151229 BK GR HOSE 6. 7 F 5. 990c) 5.99
SUB 31. C) C)
I mi9c3lo J. A I TOTAL
TOTAL 7. 0000; 8 �l
puretem
P or F
P.O.
DEC 6 2010 a� �z� o��' �{Z 1
a.L A
Bud c�(V� -Ci
um
Date
Purchases
Appro Date -1�
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
12/2/10 779315 Windshield washer reservoir pump 31.12
Total 31.12
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
Voucher No. Warrant No.
355214 NAPA Auto Parts Allowed 20
(Genuine Parts Company)
5959 Collections Center Drive
Chicago, IL 60693 In Sum of
31.12
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 779315 4239000 31.12 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
9 -Dec 2010
Signature
31.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund