195044 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA 0 CHECK AMOUNT: $55.74
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 195044
CHECK DATE: 3/212011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 08518011 55.74 785507
Control No. 9675100
CARMEL NAPA
III OICAL DRIVE y OCR Y R 1 1 G P) C I N D
REF BY VER BY COLLECTION CTR. DR.
TREI.- 11 49ZM C H I CA( 0 1 E." (0
X
ECEIVED
X 100006017785507 Ry 1
I I ALL GOODS RETURNED M LIST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. j SOLD TO E 'mm, STORE NO. EMP SR
85-0 BC�l 1 CAI:MEL-CLAY PAk'K'S/RECRE C)2/(74/2C)11 r785 3E 1C
I 4 III E 1 1 6' S T I f PURCHASE ORDER NO. I ATTENTION
o
triRMEL, I N 60"1'2 r61 1 .14:49 1
(05)1 -i 1 INVOICE TYPE C y at-ge 1 &a1c-
QUANTI*Y T NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2004 IFIr-d Ti ufk F150 1/2 fan Pickup
60 -4201 W I Wiper Blade E) 15. 72 9. 290C, 55.74
HAS 2 OF, 1 1} LADES 44
0. cc) u �e_ cAf�
SUB 55. 7 1MI 0. 0(__1 7. 0( X FTOTAL �T 1-J.
P 4
TTAL 0 "'0 1 d TAX 01
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
355214 NAPA Auto Parts Terms
(Genuine Parts Company) Date Due
5959 Collections Center Drive
Chicago, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
214111 785507 Wiper blades for trucks 55.74
Total 55.74
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,
355214 NAPA Auto Parts Allowed 20
(Genuine Parts Company)
5959 Collections Center Drive
Chicago, IL 60693 In Sum of
55.74
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 785507 4238900 55.74 1 hereby certify that the attached invoice(s), or
bitl(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
24 -Feb 2011
'A0jQ kum MQ
Signature
55.74 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund