193104 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA P_CHECK AMOUNT: $44.87
i± CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 193104
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1115 4232100 0853425 44.87 7808881
Control No.
au0® 7582197
CARMEL- NAPA
III GFICAL DRIVE Y OCR y R[': IT: GPIC I ND
RE BY YER BY 59,'-fig COLL.ECTION CTR DIR
CAM 1 000060 1 77808 1 8 C H I Itl 4603a'?22 A G 0 14. 6 C-) 169 ECEIVED
8 Y x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE MTfqM M I STORE NO. EMP SR
8 CFFY OF CARMEL. COMMUNIC 78C.)881 If) J( "7 1 1 r I
I CIVIC; SQUARE I of 1. TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 4E- 1 4 2(
(15) 1 INVOICE TYPE Charge
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
ILTetit Iruck 1,Rhoe
2. oc 111x3 B 0141 Wiper Made W 2C 5., 19 ic_
1..: Ca t 82 2,5 4 BK BMSTER CABLE 42. 97 C 4. 49 1 3 4. 49
44. (,!(T �1 0. 0 c TOTAL jq
4-!4 T SUB ?TAL It TAX I— 4 4. I
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC -IND
5959 Collection Center Drive
IN SUM OF
Chicago, IL 60693
$44.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
��5
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1115 780881 42- 321.00 $44.87 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
Director
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))
12/16/10 I 780881 I $44.87
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