193102 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 4
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA PCK AMOUNT: $64.34
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
'ti toa ,�p` CHICAGO IL 60693 CHECK NUMBER: 193102
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 18.58 779393
1120 4237000 08517996 25.06 779826
1120 4237000 08517996 17.01 780715
1120 4237000 08517996 3.69 780933
Control No.
RAW CARMEL WAPAi 7%582250
III 01CAL DRIVE y OCR y REM I'V: GPC I ND
U BY VER BY 59ctj'�3 COLLECTI ON CTR. DR.
DRWL7,1N 45�-�W_ Cjj T CA 6 0 L L T� 3
R CEIVED
10000601,77809336 13Y X 1.4
ALL GOODS qTURNED MIS T BY THIS INVOICE
ACCT. NO. SOLD TO DATE STORE NO. I EMP SR
85 -01 996 CITY OF' CARMEL--FIRE DEP: 12/17/201(l 78C. `J 1 0 6- 17 1 3 E
1. CIVIC 'S G'! U A R E:.. I a f t TIME PURCHASE ORDER NO. ATTENTIO
CARMEL, I N 4 6 0 8 4 0 8 I
(16) ",VOICE T YPE Cha 7i31 d"
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
Clot F d 1ruck Excursi,or 6.12 L 1-15 CID Vt() 1 50 �c
I 1 35 F11-, Oil Filtar (Gold 12. GA 3. 69 rZ
0. (.)(1 1 f )c TOTAL
SUB Jil 1011 TAX
TqTAL V vi I W I
Z Control No.
RAW 7532024
0® CARMEL NAPA
11 MEDICAL DRIIJE Y OCR Y REMIT: I ND
REF BY_ VER BY 5959 COLLECTION CTR.DR.
CAME, IN 46OMW CH I CAGE", L. 069
1000060177807150 REC EIVED
ALL GOODS RETYANED MUST 010OM5#1ED BrMM1�
ACCT. NO. SOLD TO DUE I I V"ao@ Ms, I STORE NO. EMP SR
35-017996 CITY OF CARMEL-FIRte: I)Er- 1.2/15/201§ 7S(- Q60171 11 3E
1 CIVIC SQUARE I o f 1. TIME I PURCHASE ORDER NO. ATTENTION
CARMEL, IN 460322584 12:38 ISTOCK
INVOICE TYPE
(14) 1 Charne Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
3.00 PC579 LMV. NINIAI*URE LW 11.12 5.670C 1 7. 01
Above Item on Sale
SUB 17. 9CV1 0 (1 -7 C -()I TOTAL 17.0 1 ti TOTAL 1 W&I It
VO N WARRANT NO.
ALLOWED 20
Napa
IN SUM OF
5959 Collections Center Drive
Chicago, IL 60693
$20.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 780715 42- 370.00 $17.01 1 hereby certify that the attached invoice(s), or
1120 780933 42- 370.00 $3.69 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
DEC 2 4 2010
Fire Chief
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))
780715 $17.01
780933 $3.69
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
Control No.
7580539
K�@ CARMEL NAPA 11
III rEEDICAL DRIVE y OCR y REM I r. opc I ND
REF BY VER 5959 COLLECTION CTR.DR.
CARREL, 11-, IN 460329 RECEIVED c c E;` 3,
1000060177793
j y D42
0 31 C I c A 0 92
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE I M6@M M I STORE NO. EMP SR
85 0 1 799E CITY OF' CARMEL -FIRE DEP 12,10 12 1111 779393 1►6017 1 1 E
I CIYIC SQUARE 1 0 f 1. TIME PURCHASE ORDER NO. ATTENTION
2-15-08 14:2, AT 4
CARMEL IN 4F3o,31*.-:,2564 INVOICE PE
Deliver Char ge Sale
'06JAUTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2005 Fat-d Tt-uck Excursion G. L 3 CID 'Jig Diesel
2. 00 60 WIP Wiper Blade'- Wj 18.5L� 9. x' `30 1.8.58
iFT A $�l oc
T TAL MI Al
Y, TAX T� 1 8. CI S
S LIB I I
Control No.
K a CA1*1EL. NAPA 7581050
III OICAL DRIVE y cic R y REM IT OP I ND
IU BY VER BY 5959 COLLECTION CTR.DR.
CARr. IN 46032M- CFII(:AGa-,1AA. 0(f,93
EIVEO
REC
1000060177798268 BY
ALL GOODS RETUPNED MUST BE ACCOMPANIED BYA
IAIS INVOICE
ACCT NO. SOLDTO DATE STOF9 NO. EMP SR
85 -iii '7,99 6 C1 '1'Y OF CARMEL-FIREE DEF 12/07/201(1 779826 106017 1 1'= :3
1 CIVIC SQUARE 1 0 f 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, 11\1 4Eo-* 1 2G
((-)7) INVOICE TYPE Ch a. e IDa I e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1.("-)Ci 730-1 1 0I.C2 BK '18P SIDE KW I 11. 72 n, 5 4 0 9. 54
S. OC 825 U-1 Spark Plug Col 4. 07 1. 940 15.52
aax SUB
T TAIL TAX
VOUCHER N WARRANT NO.
ALLOWED 20
Napa
IN SUM OF
5959 Collections Center Drive
Chicago, IL 60693
$43.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 779826 42- 370.00 $25.06 1 hereby certify that the attached invoice(s), or
1120 779393 42- 370.00 $18.58 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
DEC 2 0 201.
Fire Chief
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))
779826 $25.06
779393 $18.58
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