193101 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAPCK AMOUNT: $240.52
+`tr' CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 193101
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 08517983 240.52 AUTO REPAIR MAINTEN
a �1q 0 Control No.
uU ®A CARMEL. NAF 7 5-1181339
111 MEDICAL DRIVE y 0C,R Y REM 1 T.- GPC I ND
REF BY VER BY q I�p `959 LL..EC'T Z C]IN Cl DR
CARE, m 460=2 ���ap���l�f C]��779 R
By DF�Iu IL..I_. E:i�..
41 eY X�
ALL GOODS R CTU ED MUST BE ACC NIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE 0 M STORE NO. EMP SR
civ ic so 1. 0 f 1. TIME PURCHASE ORDER NO. ATTENTION
CARME:L, IN 4 E,032 757 0 W- 2 -15:44 Iq. e
0 DeITVL2 Y I INVOICE NPE Cha Sa le
QUANTITY PART NUMBER LINE DESCRIPTION NET TOTAL CODE
2 I Gv w a 1 41 c_ C.
I rrrt
`cr09 Chev Impal:-A 1.... 3 CID V Cvit�;E`4',t��:th
SUB
f39 TOTAL MISC. YTAX Y TOTAL
0 Control No.
RAW 7581801
CARME L NAPA
III XEDICAL DRIVE Y OCR ''`.i1'.:.. REM] "I' fa�' 1 -INU
Rff BY VER BY �;9 COL 1E "f
C "I "IUN t
CARMEL, ltd W22922 °,j� CHI CAGC 1 GE
1000060177805 BV CE'VED X
ALL GOODS R NED MUST BE A O PANIED BY THIS INVOICE
ACCT. NO. SOLD TO J DATob STORE NO. I EMP SR
85-- 017` 8 1 5 C I T Y OF CA RMEL PO1_. I CE ID 12/14/'()ICJ 7 OE;t t 1 I 1 t E
3 C IVI L, SO O 'T° 1. TIME PURCHASE ORDER NO. ATTENTION
CARME.L, IN 46032757i) 10:;Rr)
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(13) lleli.ver- INVOICE TYPE Ch.�rclQ „le
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
0C_ 55M I NUO20 WWE: 55 gal washer f 0. r. ?_C_ 101, 75i ic_ 101.
S UB I MISC.�� �1 J
TAX O, I)(_ TOTAL .I. 1
Control No.
'758 A. 1)
?)l 70
o CARMEL NAPA
III OICAL DRIVE 0(R y REMIT GPC 1 ND
REF BY VER BY 5959 CpLLECTIqN "I DR.
CRME, IN 46032M CHICAGII I L 0 13
RE
1000060177808355 By CEIVED x
A LL GOODS *TPRNED MUS T E A CdIVIPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATENJ I M96@M M I STORE NO. EMP SR
85-017983' C11 OF CARMEL P D 12/16/2C)ICI 7808:35 106017 1 3E 3 3f
3 civic so .1. 0 f 2 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 4603ii? W 212:10 1 ,::5
INVOICE PE
(15) Deliver Charqe Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
7` 0. c)0
1. 0 0 -.a BK LAMP 74.40 G( f 000 6
C BPI 125 L01P HPLOW4 W 7. 58 4. 690C 14. 07
i. oc r05( NWW WHL WGHT 11. `,Li 6. 2400 6.21(1
1. C)C T1 0 0 1%JWW WHL WGHT 19.60 1 Cr. 70 0 0 10. '70
1.00 T 1 NWW W iL WGHTI 25. OE 13.5200 13.52
I ALCMCO50 NWW WHL WIGH 12.1. 6.5500 E.. 55
SUB TOTAL Cont inue
TOTAL misc. TAX
Control No.
CARMEL NAPA
\U OIO& 00V[ Y OCR Y REMIT:GPC- IND
REF BY NER BY 5959 CO
CAME, IN 46032M. CH I a.
1000060177808355 RECEIVED
By x
LL GOODS RJUIJNED MUST ANOMPANIED BY THIS INVOICE
3 civic so 2 of L TIME PURCHASE ORDER NO. ATTENTION
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
Genuine Auto Parts December 20, 2010
5959 Collections Center Drive
Chicago, IL 60693
Acct: 08517983 City of Carmel Police Department
Invoices paid:
Date Invoice Debit Credit
12/09/10 780097 $7.91
12/14/10 780530 $101.75
12/16/10 780835 $130.86
BALANCE $240.52 $0.00
TOTAL AMOUNT PAID $240.52
VOUCHER NO. WARRANT NO.
ALLOWED 20
Genuine Auto Parts
IN SUM OF
5959 Collection Center Drive
Chicago, IL 60693
$240.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #lrITLE AMOUNT Board Members
1110 43- 510.00 $240.52 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
Friday, December 17, 2010
Chief of Police
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))
12/17/10 payment for repair parts $240.52
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