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193754 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 f ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA PCK AMOUNT: $141.35 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 193754 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 08502867 65.49 342521 651 5023990 08502867 75.86 779708 i Account No TERMS 08502867 2% 10th, Net 20th Closing Date Due Date Sequence No 12/31/10 01/20/11 16915001 Previous Balance Payment(s) Received .00 .00 New Charges /Credits Finance Charge New Balance 141.35 .00 141.35 ZT Total Past Due Current Future 141.35 .00 Account' Past Due Past Due Past Due }r w} l 10 Days 40 Days 70 or More Days Status $3 .00 .00 .00 Page 1 of 2 AT 01 027911 18939H 99 B *3DGT CARMEL WASTEWATER 760 3RD AVE SW CARMEL IN 46032 -2072 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: 2.83 Therefore if Paid By: 01/10/11 Your Payment Should Be: 138.52 Your WA acooun ul I's C0 �e webl www.NAPAaccouiit.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 Receive your monthly statement via E -mail Up to date account balance Last payment and date received E -Mail your customer representative We appreciate your business! I' WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH 0 B AND EGUIFAX. Customer Copy Retain for your Records Acct No. 108502867 1 Page 2 of 2 Customer CARMEL WASTEWATER Statement of Account with NAPA Auto Parts Date Type' 4 Inv.No. Amount Due Explanation 12/01 RI 342521 65.49 generator 12/06 RI J 779708 75.86 trk -151 TOTAL DUE $141.35 TYPE CODES RI Invoice RB Charge Back RM Credit Memo RU Unapplied Payment RF Finance Charge X# Miscellaneous Accounting Entry m O G E m r g O C E a C J C co C O N O Z a id N L C O) O O. m m a Control No. INK 7580927 0® CARMEL NAPA III WDICAL DRIVE y OCR y REMIT .-GPC-1111) REF BY VER BY 5959 COLLECTION CTR.DR. URREL, IN 4603m— 10 000601 97081 C I :�XCO I'LL. 6069-3 RECEIVED 777 AL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE I MTC@M M I STORE NO. EMP SR 85 -C )c? C'AIRMEL WASTEWATER 12/06/201(l 7 10 17 3131 AVIE" S I Of I TIME PURCHASE ORDER NO. ATTENTION CARMEL., IN 460322 15: It•r-k---•151 (ols) I I INVOICE PE Charge Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE I W. 7 F I L RRPAM OIL F11. 49. 9c 'E 7. 4 -3; C q2t 7. 4 3 T L 3.0C 55o( SHE ROTELLA T 15W40 18.11 1!4. 490( 43.47 .11. 7. 0000% �1 4.99 TOTAL 75.16 TAX S A Tq UB TAL V S 0� 0 Control No. RAW 12�31v0 0® NAPA AUTO FARTS 9501 Corporation O r Suite B Y OCR Y REMIT T O: G P C---I N D REF BY_VER BY SALES VER,_ 5959 C O L L E C T I.O N S C T R OR INOY 649 -1159, IN 46256 C Hj 1000060103425210 B 0 L L 6.0 fi, ,9 3 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATED 6� 0 STORE NO. EMP SR 85•- 002867 CARMEL WASTEWATER 12/01/2010 x2521 0 010 85 10 760 3RD AVE S W 1 of 1 TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 460322072 INVOICE TYPE 1 lCharcie Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1.00 605 -3344 SK rANK HEATER 103.05 65 2 DEC 01 2010 TOTAL 65 4 9 Mfg& 0. 0 0 7. 0 0 0 0 TAX 0.00 65, 9 a VOUCHER 106883 WARRANT ALLOWED 355214 IN SUM OF NAPA GENUINE PARTS CO INDIAN) 5969 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 779708 01- 7500 -02 575.86 1K�.35 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund V L� 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 355214 NAPA GENUINE PARTS CO INDIANAPOLIS Purchase Order No. 5969 COLLECTIONS CENTER DRIVE Terms CHICAGO, IL 60693 Due Date 12/29/2010 Invoice Invoice Description Date Number (or note attached .invoice(s) or bill(s)) Amount 12/29/201( 779708 $75.86 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 i /1 C 1 71C� Date Officer