192816 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P
CARMEL, INDIANA 46032
5959 COLLECTIONS CENTER DRIVE CK AMOUNT: $24.62
CHICAGO IL 60693 CHECK NUMBER: 192816
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 24.62 OIL
I
Account No TERMS
08518032 2% 10TH,NET 20TH
Closing Date Due Date Sequence No
11/30/10 12/20/10 16790259
Previous Balance Payment(s) Received
.00 .00
New Charges /Credits Finance Charge New Balance
24. .00 24.62
3 Total Past Due Current Future
�aAg�e .00 24.62 .00
�Accourrt Past Due Past Due Past Due
np,fi1NX 10 Days 40 Days 70 or More Days
status
00 .00 .00
Page 1 of 2
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u CITY OF CARMEL ENGINEERING
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V CARMEL IN 46032 -2584
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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: .49
Therefore if Paid By: 12/10/10
Your Payment Should Be: 24.13
Your WA accoun# s on tk wobl
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 invoices
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Up to date account balance
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E -Mail your customer representative
We appreciate your business!
WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY
SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D &B AND EGUIFAX.
I
I
Customer Copy Retain for your Records
Acct No. 108518032 1 Page 2 of 2
Customer CITY OF CARMEL ENGINEERING
Statement of Account with 40 NAPA Auto Parts
Date I Type' J Inv. No. I Amount Due I Explanation
11/09 1 RI 1 1 777300 1 24.62 1 e3
TOTAL DUE $24.62
TYPE CODES
RI Invoice RB Charge Back
RM Credit Memo RU Unapplied Payment
RF Finance Charge XH Miscellaneous Accounting Entry
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4NAPO CARMEL NAPA Control No. 9 587109
III KE➢ICAL DRIVE y OCR y REM I "i Gric I
REF BY VER BY `5 COLLECTION C TR. D R.
ma_,m 4603m CH 1L �)69
RCEIVED
1000060177773007 BY x
ALL GOODS RETU b MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE 0 a STORE NO. EMP SIR
85-018032 C11Y OF CARMEL ENGI NEE: F 1.1/09/201.c 777130(0) 06 17 11 1(.
I civic so I Q f 1. TIME I PURCHASE ORDER NO. ATTENTION
CARREL, IN 46o322584 08: 49 e INVOICE TY PE
'harge Sal
C e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODEJ
2
010 c r Truck F150 112 Ton Pickup 5.4 1- 33C CID V8 EOFIC 24 Valve
1. 011" 1 3 2 7 1 ZI F*1L Oil Filter (Goll 12. 0 3. 69.00 6- 9 R
9 9 0 c 93
'7.0( 75150 NO1_ WA WART 50 3. 7
SUB
TOTA L 24. E., MI ec* Q, TAX 7.000 0. 00 TOTAL 24. 6L.'
Prescribed by 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 Parks 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))
11/30/10 16790259 Oil $24.13
acnf# 0803
r
i
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
Napa Ai Ito Parts of raumel IN SUM OF
5959 Collections Center Drive
Chicago, IL 60693
c�a
$24.t
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
16790259 2 00- 4231500 $24.1& 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
20
Signature
An i YN L -Y'
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund