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196346 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P% 0 5959 COLLECTIONS CENTER DRIVE 1ECK AMOUNT: $2,883.82 1, CARMEL, INDIANA 46032 CHICAGO IL 60693 CHECK NUMBER: 196346 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 08517995 2,883.82 REPAIR PARTS Control No. 9674714 UAW CARMEL NAPA III MEDICAL DRIVE y OCR y REM I T: GPc I ND PH BY VER BY 595. COLLECTION CTR.DR. CARMEL, IN 460&?M CHICAGO 1L.L. 6069� 1000060177851431 RECEIVED 13Y x ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE 0 0 STORE No. EMP SR 85-017995 CITY OF CARMEL -STREET E 01/31/2o1l 785143 106017 11 3� 3400 W 12 S 1 O f 1 TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 460748267 1.6.41. 0 1 INVOICE TYPE I G.harge S QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE ar 1. 705 Fm L;Lrdqp 3. ES BED(- 1. UE SUB 1. E;L m4c (y] Q TOTAL TPTAL 11 TAX Control No. 9675020 4NAPAO CARMEN,. NAPO III 01ch DRIVE y OCR y REM I T: GP"C'-- I IND w REF BY VER BY 5959-CBt.LLT'1)bN, C DR. MRAR, IN 460329F aH IC Adc/ i ECEIVED 1000060177854296 Y A A LL GOODk JETURNED UST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO MT 40 g(� GM I STORE NO. I EMP SR 85-017995 CITY OF CARMEL -S'TREET E 02/04/20111 785429 106017 1 1'=l 3E 34-Oo W .131ST ST I Of 1. TIME I PURCHASE ORDER NO. ATTENTION CARMEL, IN 46074826"t 07:4 Igar g a r y (0 5) 1 )INVOICE TYPE (3h.-.7.irge Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1. ()Q 905556 MB PRESSURE PROTECI 31.37 23.490C 21 3. 4 9 SUB 23. 4 jMlW" 0. 7, 0. TOTAL TAX C71 TOTAL W1 Control No. 9675247- CnRMEL NAPA III MEDICAL DRIVE Y OCR Y REMII*:GPC--IND FU BY VER BY 5959 COLLECTION S;.W.DR. OM, m 460322922 CHICAt� �111-. -60 REC 1000060177856383 BY ALL GOODS �ItTLJXNED MUST BE,4d6C�h0KN BY THIS ACCT. NO. SOLD TO, DATE STORE NO.'' EMP SR 85-0179 CITY OF CARMEL- STREET L o2/07/2o 785 11j 1 0 6 1 1- 3E ..400 W 13 1 ST S T I of I TIME PURC ORDER NO. ATTENTION CARMEL, IN 460748267 W 9HI:39 13,.-39 (07) L)elivet INVOICE PE Charge Style QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 24. o91314 CRC BRRKLEEt4 2002 5. 24 1.990c 47. 76 SUB r� 4 7. 7E-.J 0 0 000 7. 0% Oc TOTAL 47. E, TqTAL L/ 4 TAX I Control No. 9 675302 CARMEL NA 111 MEDICAL DRIVE y OCR Y REMIT :GPC --IND Rff BY VER BY 59 COLL_ECT I ON C''I °R. DR. CART L, IPA 4603292c 1 lJOQ60 9 7 ?8568§ 'T' BH C X(3O ILL. Ec �s✓`�: d y ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE i ACCT. NO. SOLD TO DATE 0 STORE NO. EMP SR B C'�17'�` `i C IT'Y OF' C:AfiMEL STREET C)2/( )8/2C)11 78568'! r 6017 1': 3E 3400 W 131 c; T ST 1 A f 1. TIME PURCHASE ORDER NO. ATTENTION CARMEL, I N 46C �748c67 b 99- 19 :�7: =,7 INVOICE TYPE (C;8) Deliver Ch:ar- e Salc- QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1. c_;c_ 827-4137 BK OEM REP. MIRROR 92:. Oc 69. Cic:af_•ac_ F,9. C) C TOTAL 69„ (1C MIS��'S C1, C1[. 7. (�1()(1f_TAX C1 TOTAL 69. f_ 1 Control Nj{ ti.q t WWOD CARMEL NAPA J VV p0 111 KEDICk DRIVE Y OC: R Y REM I T a GPC I ND Rff BY VER BY 959 COLLECTI CARgfL, IN 4643�29� 1000060177857 85 CFiB CAIaO ILl E;) JIN Z6 RECEIVED ALL GOODS RETURN M ST ACCOMPANIED B ACCT. NO. SOLD TO DATE o�im STORE NO. ffil SR 15-- 7995 CITY OF:' C:ARMEL• STREET D 02 /C +8/21)11 J'85768 017 ::1400 W 1131ST ST 1 o f 1. TIME PURCHASE ORDER NO. ATTENTION CARMEL.., IN 46o'74826*7 INVOICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1,. 00 8025 MCB WR SERVICE DI 10. 61 8. 49oC) 8. ��c a TOTAL q, 49 S_l, [)(Z 7, t_)()t)(j TAX 0. 00 TOTAL S 49 9t I 0 Control No. 9675250 OAK 3=8 CARMEL NAPA III OICRL DRIVE y OCR y REM I *f*: GPC ND Q REF BY VER BY 5959 COJ--LECT I ON& �A COME, IN W229E CH I CPb6 I LL. FC4 RECEIVED 1000060177856418 BY ALL GOOD R664*15 MUST BE AdCOK41 INVOICE ACCT NO. SOLD TO DATE STORE NO. EMP SR 85-017995 CITY OF: CARMEL.-STREET I 02/07/201 785641 106( 1 -3� :3E 400 W 131S'r s 1 of 1. TIME PURCHASE ORDER NO. ATTENTION ,13 CARMEL, IN 46o748267 173 42 (07) 1 INV OIC E TYPE Ch ar tae Sri I e QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 12. F16545 LMF HILOD UP 15. 98 9. 9500 119.40 TOTAL 1 1 4 C1 0 0 0 tjA/-x �i q. ci( I TOTAL �i 11 10 Control No. CARMEL NAPA' 9675643 III MEDICAL DRIVE y OCR y REM I T: GP` REF BY VER BY 5959 COL L CART IN 460370rc CHICAGO RECEIVED 1000060177860001 By x ALL GOODS�Fit`TURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE Q6,��MM STORE NO. EMP SIR 5-01'7995 CITY OF CALM -STREET D ()21101c2f)11 I F, .4 Is 1.(' 17 3400 W 131ST s I of 1. TIME PURCHASE ORDER NO. ATTENTION -.CA,r,'MEL., IN 460748267 lo:48 INVOIC PE 0) 1 C har q e Sa I e QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE oO 6025 NCB PNER SERVICE DI 10. 61 8,. 4900 16.98 TAX 0 TOTA SUB t 6. 0. 0 0000 TAX 7. TOTAL 16.98 I Control No. CARMEL- NAPA' 9675561 M�o III OICK DRIVE y OCR y REMI"r:GPC-- IND REF BY VER BY 5959 COLLECTION qR.DR. CAR 1, III 460322922 CHICAGO RECEIVED 1000060177859264 BY x ALL GOODS RETURNED MUST frEKCCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE STORE NO. EMP SR 5-017 99 5 CITY OF CARMEL-ST Z REET D -)9/26)I1 85926 0q(-.)17 -71 6 F) 3 00 W 131ST ST I of I TIME I PURCHASE ORDER NO. ATTENTION CARMEL., IN 4Eo*748267 W- 2-14:53 14: oa 9) JF I i V e r I INVOICETYPE Charge Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 50. 00 137299 NW FIB LMA-SPLIT P 0.48 0. 2900 1.4. 50 su 14. 0. Q0 00 TOTAL 14. 50 L T--T--,1 b(.) L:1I TAX Control No. K75470 CARMEN. NAPA III OICRL DRIVE y 0 CR y REMI*T:GPC•• -IND RE BY VEER BY 5959 COLI-E 1 CT R. CAROEl, IN 46032M CHICAGO r::) RECEIVED 11000060177858372 BY x ALL GOODS RETURNED MUST BE ACCOMPANIED BY IVS INVOICE ACCT NO. SOLD TO DATE STORE NO. EMP SR 5-017995 CITY Of CARMEL-STREET D. O /09/201 1 f8583 7 q 17 I'D w 3400 W 13199 ST I of 1 TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 460748267 W- 3-M-56 I t t ings eliver INVOICE TYPE JCI Gale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 4. 00 1862 X 8 L. 1 H,,'l F I TT I NU 19. 05 10. 4900 -4 1. 96 1.00 1662 X 4 r- ITTINb 13. 83 7.5900 7. 59 N." A` b b 0 0 0 o C) TOTAL TAX Control No. 9 E 7 6 3 1 4 6t'Y PA O CARMEL NAPA Y VVV V �1 69 111 t DRIU Y OCR d REM I T e GF'C- IN PH IER BY� 959 CULL C' ION CTR. DR. CA IN 460 10000 017`1663599 CH B D CX I 60 y ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE 0 m I STORE NO. EMP SR 5-- 01'7995 CITY OF CARMEL-- STREET D 02/14142011. 186358 O 36 4.6 3400 W 1.13 ST 1 of 1. TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 460 748267 14:47 .3) Nvoic Char -ge Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE -1, CiCi 4;3476 BAT WARRANTY 141.58 78. 19(")0 78. 19 CR his iten was 9:)t.a on invoice 7813145 1. 00 843 BAT C re Deposit 10. i_i0 1 Ci. 0 0 0o 10. 00 C::R 1. 00 8434 BAT A TTEi=;Y 141.38 '76. 1900 00 78. 19 R 1. 00 843478 AT Ire Deposit 10. 00 i 1 0 0000 10. C c, D urc_hase Date 01/10/2011 SUB TOTAL fYt, 0 IAA 0- (�10 t. 1)(_00 TAX O, 0c TOTAL f J r Control No. 96758 OAK. CARMEL IvAP III KEDICA DRIVE OCR Y JREIII "r -.'G P- C I ND 1 DM BY BY_ 4 R y BY 229 q p fj d Fj (j fjQ f} S r GOLLECl Ohl CT R. DR. /�J NUIIYGI.t R1EA3 1 15d�61 ab�M y`- �1 -I"RE EIVED X BY ALL G006S RETURNED MUST ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLDTO DATE 0CQO.. STORE NO. EMP SR 15- •017 CITY OF CARMEL-- STREET D 02/12/26,11 f86214 19 :•Er 3 4 0 0 W 1:31 ST S T i 1 of 1 TIME PURCHASE ORDER NO. ATTENTION CARMEL., I N- ;460 08 e 08 to tI)ER ON F INVOICE TYPE c:) C heri Q>: Sale QUANTITY 'PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 24. 0() 8. 10 0 AC EASS CLEMR 18 5.32 1.790o 42.96 bov;e Ite on Sale 12. 00 1066 P AC HITE LITHIIAI 5. 72' 2.490o 29. 86 bone ft m on Sale 1. c_ 0 l ISD 161 N DRILL BIT 3 4 39. iL 31. 3500 C 1. C5 TOTAL l i �4. 19 MI3�. 0. f )I_) 1 6 di(ioo TAX 0. 00 TOTAL 11 )4., 19 Control No. 9675607 ON* CARMEL NAPA III OICAL DRIVE OCR y REM I T: GPC-- *1 ND U BY VER BY 7 100006017859665 B 5959 COLLECTION CTR.J)IR. GAR L, IN 460329E C H I Y C A G 0 E -1'2 t RECEIVED 2- ALL GOODS RETURNED MUST BE AC66WANIED BY THIS INVOICE ACCT NO. SOLD TO DATED c3 STORE NO. EMP SR 5-017'395 CITY OF CARMEL-STREET D 0*L:.!./1(*)/2011 t85966 9 E. 3400 W 131 `;T' ST 1 0 f 1. TIME I PURCHASE ORDER NO. ATTENTION CARMEL, IN 46C)'748267 W- 2-08:15 0) Q e I i v e r INVOICE TYPE I Char ge e QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1. 00 E- 789 ►PT W) AIR DRIL 192. 20 1,36. 9900 138.99 0 7 TOTAL SUB A 38. 99 .0000 TAX W1 0. 00 1 13 8. 9 1 :9 TOTA 1 �W I I Control No. 9676091 CARMEL NAPA III OICAL DRIVE y OCR y REM I f* GPC-- I ND PH BY YER BY 5959 COLZEtTION' CHTCAGO (�IZL. RECEIVED 0" EL' 1000060177863918 BY x LL GOODS RETLIRNED/UST BE ACCOMPANIED BY THIS INVOICE ACCT NO., SOLD TO DATE 0 0 STORE NO EMP SR 5-01799 5 CII'Y OF CARMEL-S D (')2/15/2011 1,86391 (X 017 11.5 46 1.31 si S t 0 f 1 TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 460748267 0 7. 49 D41iver 1; INVOICE PE 4) Icharqe Sak ee QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 2,. 00 E 75--1248 EIK PIN 801146 KIT 19. 59 15. 0 30.oG 1. 00 11.12 E 100LUSTAP 20. 25 15. 1 1 15 9t, SUB 46. TOTAL 0. T -TOTAL 4 02 00 000 0. 00 6 02 I TAX I Control No. 96761u5 WAS CARMEL NAPA III 9EDICAL DRIVE y OCR y REM IT GPC I. ND REF BY VER BY 5959 COLLECTION CTR. I)R. CARJIU, rH 460. CHICAGO ILL.. 60 F1 RE 100006017786405i. BY CEIVED x V1 1 4 ALL GOODS RIVTUFYWEI5MbM1Ii AC60 BY THIS INVOICE ACCT NO. SOLD TO DATE I �0 M I STORE NO. EMP SR .S --C)1 I9`:75 CITY OF CARMEL -STREEI" 11 f864( 3 Li Oo 14 131ST S I o f 1. TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46-074826*7 /A I:hA r p Sa I e QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 004 GMC "FrUCk Sierra 3500 1 Ton Pickup 1.00 665-161A BI- ffiridihield Hashe 22.89 15.98ii) 5. `9H IL .OoO .1. 5, TSOUMB 1 5. 98 0. 0( 0. 00, TOTAL 4 98 17.0 TAX W1 Control No, 9676252 M n CAWS NAPA III GICAL DRIVE 0 C R y REMIl -.'?'PC--IND REF BY VER BY 5.959 COLLCUION CT DR. Wa, IN 460,3F- CHICAGO IL.4i-. sc 9- 10000601778G5202 RECEIVED BY 4 '5�� ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE a STORE NO, I EMP SR 5-017995 C 19 OF CARIA EL. -STREET D 0L. T S7 20 .6b TL 34( %i ST I of I A TTEN TION TIME PURCHASE ORDER NO. A cffp* 46C)'74826-7 I INVOICE TYPE 5 Charge Sa I e QUANTif** 43ART NUMBER LINE DESCRIPTION PRICE NET TOTAL 77 ;',CODE Z) 1 os EAR UM SEM 30. M 19. Si9tic) 0. a o (3 E F MISC TAX TOTAL _o Control No. 9676138 CARMEL NAPA P III WDIIX DRIVE Y DC: R Y R T: G EMI Pf'-IND O CAM REF BY VER BY 595": e-ILCTION 'r E, IN 4603EM :�AG I[k 'LL. RECEIVED 5 100006017 66 65 CH I y x A LL GOO CKRtURNED I)6ST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO WE W�STO RE NO. SR I m 1 EMP 5-017995 CITY OF CARMEL-STREET D OE 15/201 18643JIS 04017 "G 34-00 W 1.31S31 ST I of I TIME I PURCHASE ORDER NO. ATTENTION CARMEL, IN 460 4-- 99-23:36 11.36 e i 4) Celiver ICE TYPE Chat r g e Sa I e QUANTITY PART NUMBER- LINE DESCRIPTION PRICE NET TOTAL CODE 2.o( E-75....1248 BK PIN 8011IS KIT 19.59 15 03 C 30.o 6 one, JA Ike AU4 L�j I It' k-) tj tj U I) Ut-) ..s Q It TAX misc TOTAL TOTAL �l,olwo. RAW CARMEL NAPA III OICALU0YE Y OCR Y REM IT:GPC IND REF 8Y__N� HY 5959 COLLECTION CTR.DR. �0�.lN46O322rc2 CHICAGO ILL. 60693 1000060177865550 RECEIVED Hi IN 10111111111111111111 IN ALL GOODS RETURNED MUST BE ACCOMfANIED BY THIS INVOICE CqR,MEL, IN 460748267 7 QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1.00 MMM FINISHING GLAZE 20.35 17. 2 100 1.7.21 �ANTITY TOTAL TAX 01 1 i Control No. 9676289 OAK CARMEL NAPA III 9EDICPL DRIVE y OC y REM I T CiPC- I ND REF BY VER BY 5959 COLLECTION C*1"R. DR. CAME, IA 46032fE CHICAGO ILL. 5-0693 00060177865550 RECEIVED B x Hill 11110 10 Y 111111 �11 111111111 im ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE 0 C STORE NO. ±EMP SR ,5 0 1 799 5 C'I'I'Y UF CARMEL-SIREET C)*., 1 a t ,t 17 11 3bn1j it 3400 W 1.31ST ST 2 of 2 TIME PURCHASE ORDER NO. I ATTENTION 5) CARMEL, IN 46074626 55— INVOICE TY PE y 11 LIn al- g e QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1111111 )AND PAD 3. 9a misc TOTAL TOTAL 0 Control No. 9 fa a0® C" ARMEL NAPIA 76378 III KEDICAL DRIVE y OCR y REMIT -.GPC ---IND U BY VER BY 5959 COLLEC'r1ON C R. DR. rAma:,_iN 464322922 CHICAGO ILL. 1000060177866372 RECEIVED By x ALL GOODS RETURNED VUS ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE I @96@M I STORE NO. F EMP SR 5 1 C ITY OF CA. RMEL--STREET D 0 1/ 18/20 1 1 1 b v,b IJ400 W 131ST ST I of I TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 460748267 C 1 9 2 NVOICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 00 2S=4 Mos Em 1�m SEAL 30. 13 19. 89-00 TOTAL TOTAL 39. SUB MISC. r TAX I I o Control No. 9676375 R NAPA II DRIVE Y CIC:R Y REMIT:t�F'C -INS R BY r 959 COLLECTION CTR. TAR. CA It 4603 i;;� J f 1 p CFiI L:AGCI ILL. Et_�E' i3 j i- 1,0000601 f f 8663 5 B� X RECEIVED 'A r I ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INS OICE Ito SOLD TO. DATE o cQo STORE NO. I EMP SR 35-017995 CITY OF CARMEL_..S`FRE: ii' C3EEC4 ci oi 11 G �E 3400 W 1 3 1 :3 T ST O j. TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46Q7482 19 E INVOICE PE CI S a l e QUANTITY PART NUMBER D C TION PRICE NET TOTAL CODE 9 OTAL ,J MISC. TAX TOTAL o Control No. 9676595 CARMEL NAPA III NEDICX DRIVE Y OCR Y REMIT: COLLGPC-­1ND REF BY VER BY 5 D TR. L)Rj 959' E C LL)R- 1 0 CTR CAI 46032M CHICAGO IL 6)6,93 1000060177868469 RECEIVED BY x ALL GOODS RETLJ BE ACCOMPANIED BY THIS INVOICE i I 1 6 Id. SOLD TO DATE STORE NO. EMP SR- l5­017995 CITY OF CARMEL-STREET D 02 186846 O(J,017 1 16 340o W 131ST ST I of I TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 460 1 11-03 18) INVOIC at g e !;;a a QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL COE)ff= F e 1. 00 665­ 31.72 i RGH TYPE RETAIN 3 SUB W 'e"i misc Q. lj(.) 1. L) Vt.) 1 Q. TOTAL TOTAL I it TAX �j Control No. wwuw CARMEL NAPA 75 2- C 6 9 III KBICAL DINE y OCR y REM I T GV."C--- I ND Iff BY VER BY 5959 COLLECTI?p TR. DR. IMM, 1.4 4603M CHICAGO 9 1000060177869066 RECEIVED BY x 11111 M11 1111111 IN ALL GOODS RE URNEDPUVBE ACCOMPANIED BY THIS INV ACCT NO. SOLD TO DATE W0 M I STORE NO. I EMP I SR CI"I'Y OF CARMEL-SIREET D 1 slb:�Qlb OT01 136 f6 3400 W 131ST s I of 1. TIME PURCHASE OR DER NO. ATTENTION CARREL, IN 460'74826 -j 8) INVOICE PE LhEW 9 e S QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 213 tsw f(Ay 1EMMAMERNRIOR I LA. 38 4 1 I 90C) 41. 19 1. 00 d 1 3--40 1 1 -'3W I ZAY (ore Deposit 16 5) 0 16.5C)o0 1.6. 50 1) 1. 00 W RC 1 48 ECH t;R CONN 5.11 2' 9 2 o 2. 92 R SUB 60.61 c). TOTAL TOTAL Control No. QaapaD 5 7 5 21 'a 4 0® CARMEL NAPA ffl NDICk DRIVE y OCR y REM I T: GPC I ND fff BY VER BY 5959 COLLECTION CTR. DR. ma, 51 46032MO CH&G��q I c- Ejo= 10000601778696C BY 0 44 ALL GOODS RE D KGEFT BE K&'5KPANIED BY THIS INVOICE 11111 RINI IBM SO LD TO DATE oho STORE NO. I EMP SR 5- 01 9 5 C ITY 0 F C A R M EL ST D p 0" 1; r- 4 A i. lip 3400 W 131 ST 1 of I YWE I P 1 0A DEFT "qb". ATrEMT101q CARMEL, IN 1 1 1 1 INVOICE PE I UANTITY PART NUMBER LINE DESCRIPTION PRICE NET t 1 f'CfALJ tODE 3. 1869 X 4 X 4 WF1 F'I TTI NG I 13 3 kll'�' T. 3`_ C.) 22.17 SUB 22. 1 7 TOTA 22. 17 Q.`00 1 7. 0 0 0 0 T A X C 0 0 TOTAL Control No. QaapaD 1 A 0 57 5 32 CARME IlAP III OICAL DRIVE LEI Y R .1 T C3 P C 1 ND fff COLLEC"1­10N CTR. DR. BY 5 959 3 MRKEC— VER BY IN 40-30F2 CH FI QA(�q I 60 2 1 000060177870,9 ALL GOODS REURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE oo STORE NO. EMP SR _�.,�E'Ej D 'ARMELI cu, 5 0 1 1 -3 5) 5 C 1Y O C 1 :4 1 ATTENTIOR '3400 W 131STxS'F CARMEL, SIN 46074826-7 INV ICETYPE '"QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET "CODE 1 0 0 '721 BA'T 1 A'FTE We V 92 94, 4900 94. 49 -7 1. 00 7 236. 1- k A ,lore Deposit 15. r 0 15. 0000 15. 00 D 2. 00 "1 BAT- BA171ERY .135. G4 78. 0900 156.18 R 2. 00 756 AT' re Deposit up. 0 1 20. )0 D TOTAL 285. 67 00 0( TAX 6 0 c) TOTAL 285. Control No. 94 CARMEL NAPA III OICR DRIVE y OCR Y RE_MIT:GPC-APali) REF BY VER BY 595S) COLLECT10N CTR. DR. VA 3 RS, IN 4 C H JIGE, Q�i 9 1 LL 6 3 1000060177871936 .-Y 0a ALL GOODS RETURNED MUST BE AXCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO 11 DATE M96@MM STORE NO. EMP SIR 15 -017995 C I TY OF­ CAIRMEL STREE"I" D, 0 A r 11 A 7A C4 0 C 1 71 71/ TIME PuR_CeU E R O. ATTENTION 3400 W 1313T ST 1. of 2 C.ARMEL, IN C IF U AlAbIGE PE 'dUANTITY PART NUMBER LINE DESCRIPTION PRICE NET T6 PAC �ODE 4. 00 t' 43478 BAT BA'TTERY 1. 1.. 5 8 '78,. 1 90C) 1 2. L, R 4.00 8434 BAT I ore Depo;it :10. 00 10. 0000 40. 00 D -.3.0o 7L36. I FT- T (ore Deposit 1 0 C) 15, 0 C 45. ('-')0 CR 1) -.2. 00 ­7565 A'T' qore Plepuzit 1 1 1? 0 0 C­ CR I 'his item way pu� chased on inv ice 78 59 0 2 1.1. -7 54 it rvr 1 1 C 0 v cz: ra I Uzi Ck r r) MISC SUBF TOTAL TOTAL Continued Control No. QaapaD 50 7 5 2 3 9 5 CARREL NAPA III KEDICL DRIVE Y OCR Y RE1 I T. GPc I ND REF BY VER 9Y 595.) COLLEC CTR. DR. CAM, IN 4b03 0 CH11A1*kaPO IL�, LOE', 100060177871936 BY x 44 �A ALL GOODS RETURNED MUST ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE 0o STORE NO. EMP SR -1 Iul'71-47-, 017 15---01799-' CITY OF CARMEL-STREET D o 4 1 1 'A 3 W 13 1 ST S J' 2 o f 2 TIME PURCHASE ORDER NO. ATTENTION CARMEL., 11 4607482 `NVOICE TY PE M QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE •is item was put on inv@ice 78GS 02/2*CR*/'L-*:'011 -.;R. (m) 6575, )4PIT are Deposit 10. 00 10. 00(--)0 (K) CR 1) --2. 00 ffi4'78 AT Al" J'E R Y 136.58 5. 3 0 C) 1.5C -1. 7 8 C I 'hi=- item was Purchased on r C) 3. n V �a re Deposit 1 1. c. e 7 2 4 3 1 2olo --2. 00 78 AT' 6 (:J( 10. 000c) 20. C R 1) T 0. i TSUB TOTAL 01 2o.60 CR OT, 0.00 1 L 2 Q. IF, 0 TAX 00 Control No. Z, QaapaD 5752392 CARME NAPA III OICk DRIVE y OCR y REMIT: GPC U BY VER BY 5 COLL-EUTION CT'R. DR. CPRU, IN 46030L CHITEaksy i 1000 BY d? 060177871918 ALL GOODS RETXtfE MU BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE o M I STORE NO. EMP SR D O MEL S 5 I-­�A C, I T 01 CARI­fR L P0htAA AT .340o W 1.31ST iv 1. 0 f 1. CARMEL, IN 46.074�312'67 1 3 3 INVOICE PE L'i t "(JUANTITY PART NUMBER LINE DESCRIPTION PRICE NET 0 A e tODE 1. CIO f I L NWMU�AI F1 107.. 1 28,9700 28. R 0 RUSH A Deliver next time going'to si reef .e *epff.;- SUB TOTAL 97 (_)0 17. 0000 TAX �j 0. .()b, -TOTAL 28. Control No. CARMEL NAPA 5 75 4 755 III OICAL DRIVC y 0 C R y REM I J'- GPC I ND REF BY IIIER BY CLI LLECI 1 CTRI. DR. CAR M, IN 40322922 Cl--I�Tr 0 z k" Q,V,D ILL. 60".3 1000060177875095 BY x ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE oo STORE NO, EMP SR 5 17995 CIF7 C'ARMEL.-STREET D 2812f.'I 1 i6 7 0(k-1 3400 W 13 I. ST S'T I of I TIME PURCHASE ORDER NO. ATTENTION CARMEL., IN 460748;26-7 INVOICE TY PE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE t.( 819603E. 1W. LIFT--9MRT 51.47 33. 0 9 313. 09 CR bis item was purchased or, invoice 78 0211-@12011. 4 mist. o.c f !)0( 9 C .souT,BL.� 33. 09 4 -11 )0 C) TOTAL -1 33� TAX F Control No. QaapaD 57526- CARMEL. NAPA 1.11 OICAL DRIVE y OCR y RE M 1 G F C I ND REF BY VER BY Y 3`59 COLLEC]"ION CTR. E)R. CAWEL, IN 46OXM C F4 kqklp u LAL� 1000060177874540 BY x A LL GOODS RETPMD MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE o STORE NO. EMP SR 5_..x_)1 J C I I OF* CARMEL Oc 1 1 487454 (DACIL7 -34.00 W 13IS"T ST of I TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46( 1 1 IN VO ICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAI! CODE I. C) 0 8 1.95555 E K Lift Snpport 3 6 2 29. 6900 L29. E19 0 f 1 9 C, f" .3 G f IK L IFT -U%RT 5 1. 47 33. 9 0 0 3 3. (D 1 3 SUB TOTAL 6 7 0 0 f.) TAX TOTAL 7. 000( Control No. QaapaD 575 Cf-IRME"L NAF'n Ili MEDICAL DRIVE OCR R y REM 1 GPC N1.) REF BY VER BY '-595S1 COLLECTION CTR. T)R. U CARKE� 4903WE q BY x 1000060177874372, cF';Lr' ot�2 Z f�2 I ALL GOO DS KEfU'lInED T MUST [rE C60ffFfA'KWITV7HItr[ brdE ACCT NO. SOLD TO DATE M STORE NO- EMP SR 17'995 CITY Of" CAR1'1EL.'-'7 D TIME PURCHASE ORDER NO. ATTENTION 3400 W 131ST ST .1. of I CARMEL, IN 46074826*7 q I INVOICE TYPE 'QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET Z5 At CODE 1. 1) 0 -8 G "'HM TiERVZTPT 2 23. 09 TOTAL TOTAL 3,, 0 0 1 .7 0 0 TAX 0. 3. 09 1 Control No. QaapaD 7 5 2' 6 8 1 0® CARMEL NAPO III •ICAL [)RIVE y 01IR y REM I T. GPC KID REF BY VER BY 595-9 COLLEC CTR. DR. CARMLI, IN 4603MF CPIJ&�J�il]l ILL. 1000060177874390 BY x 1-:2- 7:2 ALL GOODSIiETURNED MUST BE AC(:70MPAJk`ffD rY THIS INVOICE ACCT NO. SOLD TO DATE 0 G STORE NO. EMP SR 5• -0 7 9 1 5 (1 OF CAF D ("u I 340C'- W 131ST 3"1" 1 of I TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN -4607482267 (1 I INVOICE TY PE 74 e QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE I F B 1.06 MC (WAY 8. C.". Gcq( G. E19 1 0 7 PIMM DAND P A1 5. 58 4. 82 ti i 4.81- SUB TOTAL 1. 1. 51 Ist. C). C) 0 Q 0 0 I TAX TOTAL 1 1.51 Control No. 5752423 o® CARME:1- NAFf� 111 "qt DRI 'Y OCR Y REMI 7': (CPC .1 'ID U ty �46 BY 5959 COL ATION CTR.DR. r mpa, 41'460 10! CIHILAW 1000060177872196 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE I W6(o�M M I STORE NO. I EMP SR 15-017995 CITY OF CAR MEL-STREET D Od /0 7 420 4A701Q ('1*11 PURCHASE ORDER NO. ATTENTION 3400 W 131ST ST I of 1. 1 CARMEL, IN 4SO74S26 1 3 10 0 It �Ifi �ICE TYPE QUANTITY FART NUMBER LINE NE DESCR ON PRISE NET 10 CODE -2.00 *43478 AT BATTERY 141.58 78.1900 156.38 CR R 'his item was purchased on invfice 787193 02/24/2011 -2.00 $43478 w-)T I are Depoiit 10. 00 10.0(100 20. 00 CR 1) CR JQV700 17.0000 J 1 76. 38 2 ;A1 0 1 C) TOT 17 IS 3 8 0,( TOTAL Control No. QaapaD 575292 o® C-ARME1- 14 )PA J11 MEDICAL DRIVE y 0( y RF)Y11. 'T.- GPI—` I ND REF BY YER BY COL.LF"CTION (TR. DR. f- 4C==b .1000060177875674 By X ALL GOOD RETURNED MUST 49 ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE odQ I STORE NO. I EMP SR 4A 7 j fl 1 51 5 1 T- 5 q: C ITY OF* (-'AFR1 1-.S 0 D I i f ("7 400 .s (,3 W 13 7* 1. 0 f 1. TIME PURCHASE ORDER NO. H ATTENTION ARME"', IN 46-07482--'67 INVOICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 0 NE�Ff TW91TRIEBLIT 86. 36- sc,. 8200 36. 82 `R his item was purchased on invoice fl: 7 10/2T/2'010 1 F f �1.35585 BK. WARRANTY 38, E 2 2 6900 1 69 Ch 'his 1i was purcha�iecj on inv I )ice '78 454 02/21/aoll 1 U .1. 0 c) 195585 14 1PPOR 1' 3 6 S. Il 2 9. 6 9 12.00 1 0o P U a murn t n TOTAL 4-7 4 o. 00 )00 1 0. 00 TOTAL N SUB 10.82 T W TAX 0 0. a Control No. I MRS 5 7 5 3 0.# 2 1 0® CARMEL NAPA III OICAL DRIVE y OCR y RE I r GPIC I ND RIT BY VER BY .5959 COLLEC.J* I ON UT R. DR. CARma, III 46oewc. 'CHqqk-W.0 11,L. 606`33 1000060177877440 BY X 6.ZU 4 ALL GOODS RETUR4E15M 7 B ACCOMPANIED SY THIS INVOICE I ACCT. NO. SOLD TO DATE oo STORE NO. "EMP SR 5­017995 CITY OF:' CARMEL --S*f*REE­1­ 1) 01 Z C) ('11 1 4R-?. 7 6 4 f) 1 1 F i 3400 W T' I of I TIME PURCHASE ORDER NO, ATTENTION CARMEL, IN 46074826- I S I INVOICE TY PE PART NUMBER LINE DESCRIPTION PRICE NET T5TAff CODE PIN B0 47 1.5. 3. 9 5 1". 030C.) ING KIT eliver CIN WEDNESDAY SUB TOTAL 1 5 /6:_ 4**. C). 00 1.7. 000c) TAX 01 0 [j(_) L= 15.031 Control No. INK x �����M��� x ^�/����JU� CARMEL NAPA III ODCkDRIVE Y OCR Y REMIT:GPC— IND 0FF8Y__N� 8 Y__ 5959 COLLECTION CTR.DR. �0�.lN4�J��� CHICAGO IL 3 1000060177877271 BY x ALL GOODS RETUf:rN MUS7�E ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE W6gM M I STORE NO. EMP SR 7. TIME PURCHASE ORDER NO. ATTENTION QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAC CODE TOT L Control No. QaapaD 5 7 5 2 9 T2 CAIRMEL NA(-''A III MEDICAL DRIVE y 0 C', p y R E 7 M J' GPIC IND REF BY DER BY 595':) COLLECTION CI DF,. CARREL., IN 4603M CFA� It.. 1000060177877155 BY x d 2 !k I V/ ALL GOODS RETL1 OOST BE ACC 6mPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE M96@MGM STORE NO. EMP SR 5 -017995 CITY OF (`ARMEL---STREE*T D -L 16 1j C). 1 1 4A7 (4017 E -3400 W 131ST ST I C) f 1, TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46074826-7 7.*,:-, INVOICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET IOTA r CODE 2. w t o 10;2 o!': Y -3 L.IT LAW` 1.90 1. 4 1. C) 2. 8 2-' SUB 0 o 00 7, 2 82.' TOTAL T TOTAL Control No. QaapaD 57530,69 0® CARMEL NAPA III OICAL DRIVE y OCR I Y REM I T. GPIC IND REF BY VER BY 595 COLLECTION CTR. DR. ma 460, alkqfV iO ILL. 60693 1000060177877887 BY x ALL GOODS i D 1 T&PINVOICE FfE FD (A&n EXtC bVANE ACCT NO. SOLD TO DATE I Mq�o oQ M STORE NO. EMP SR ,5 -017995 C11"Y OF• CAR111EL.---b 1) 0 07 I I 4LI7 o4017 e 3400 W 131ST ST I of 1. TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46(") 748267 Q INVOICE PE I 't4 a (*::�l QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TbTAf CODE 1.(. 07192 MMM F!ESf 28.86 1 2 18. 2116. 4 1.00 36 1050 !AS N F5 DUST M% 5. 4 3 14 3.14 0 0 TOTAL 2 1.4 0 C.00 17. 0000 TAX I 1 4 0 JFMW. Control No. QaapaD 5753 CAIRMEI-. NAPf) III REDICAL DRIVE Y 0 C' FZ y REN I T. GPtG--JNEY REF BY VER BY 5959 COLLEc r CABIN, IN 4603M CFI 1.1-L. 1000060177879698 By x ALIT GOODS RETURNS MUST BE COMPANIED BY THIS INVOICE ACCT NO. SOLD TO .1 DATE STORE NO. EMP SR A �5 -01 7 C ITY OF' CAF�MEL D ,.01�Q4/204 1 0 017 6 6 TIME PURCHASE ORDER NO. ATTENTION CARMEL 3 4 0 0 W 1 1 1. s "r s f .1 of 1. :L td F i 27 4 17 A 267 lll-� NVOICE TYPE h -ra QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 2. 60 1 9 1 BK 2 7- LED DGMET L 1 99 8 J 0 17. 98 TOTAL 1 7. 98 (1.00 C 2 0C 1 FTOTAL 1 7. '98 Control No. 5753446 C.ARME1- NAPA III MEDICAL DRIVE y OCR y REM T T GPC I ND REF BY VER BY 5959 COLL- EC.."I'l ON CTR. DR. CARMEL, IN 4603M C114ke(AG BY 9 L 2 C 7 1000060177881293 ALL GOODS RfUfWED VkST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE @M M I STORE NO. EMP SIR 5 01 C I TY OF CARMEL -ST REET D P P 4 I-) C) .".I r. *3400 W 13T ST PtjPt�rASI�"OTIDEN ArfENTIOW I of I CARMEL, IN 1S 46074826-7 1 _4 f INVOICE PE "'QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET A -J tODE T D A'T T E R Y 49. 9""' 94. 4900 74. 49 1. 00 11A C:� 1.00 72 3 HAT Corp Deposit 15.( 15. 0000 15. D 2. 0o 7236 I A'T' B A 1"T'll- R Y 1 9 2-' '3 4. 49 0 T4t "T236 A I" r r10 Deposit 1 0 :1 1 5", C C) 0 -Jv� 00 D --1. (;C) 1237 i� ore Deposit 15. 0 15. i t oo i 15. C R 1) 0 TOTAL El R 1. TAX r t 1 28 3. 47 283. 47 0 o u Control Na QaapaD 575342-3.0 0® CORMEL NAPA III REDICAL DRIVE y OCR y REM I T. GPC I ND U BY_ VER BY 5959 COLLECTION CTR.DR. CA%la, 91 4L03 22 i :(LLa :C 1000060177884655 ALL GOODS RETURiTlD'M j WCOMPANIED BY THIS INVOICE ACC GM STORE NO, EMP SR T NO. SOLD TO DATE sm 9 =0 5-017995 CITY OF CARMEL-STBEET 1) qg' TI -3400 W 131ST ST I of I CARMEL, IN 46074S26 I f g 00 INVOICITYP� OUANT[TY FART NUMBER LINE DESC RIPTION PRICE NET --I W%Af c wn x CODE 1.00 3533 FIL W&DRI&I 50.70 13. 3900 13.39 R 1.00 3531. F I L I MOLD REL R 49.76 13.0900 13.09 R 6.00 IGAL NA• ANTIFREE 0.00 8.9900 53.94 6.00 1 EX NVIF A PN DMEX CWL M 18.76 14.4900 86.94 TOTAL T 01 167. 36 Q 0.00 1.0000 (:)C) 16:7. 36 Control No. 5 7� CARMEL NAPA QD U\ MEDICAL DRIVE Y OCR' Y REMIT:GPC IND REF 8Y__NER 8 Y__ 5959 COLLECTION CTR. DR. CAR0I IN 4603&V2 CH ALL GOODS R�Tllh4E ST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE 1 Mq6gM M I STORE NO. EMP SR TIME PURCHASE ORDER NO. ATTENTION 3400 W 131ST ST 1. of 1, INVOICE PE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE TOTAL 0 TAX Control No. QaapaD 5753774 CARMEL -NPPA III OICAL DRIVE y OCR y REM !'I*.- GPC I ND REF BY VER BY 5959 COLLEC]"ION Cl R. DR. CAM, IN 46033-W CHI ECEIVED CAGO ILL. 6,0693 R 1000060177884129 BY x ALL GOODS RETURN 6D�MU T E ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE STORE NO. EMP SIR J---017 CITY OF' CARNEL-STREET D A88412 0-(1 1 E, 3I8 3400 W 131ST ST 1. of I TIME PURCHASE ORDER NO. ATTENTION CARMEL., IN 460 7 :4 E. 9) INVOICE TY I- QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1. 3813 F I L P4 PARLD FUEL F I c::*5- 19 9 2. 00 6433 F I L WARID AIR F1 92.37 c 4.. 8 8 49. '71 R 25 0 0 014(:)7 MMM 3 DISC A. 5 1. 57(. 39. 25 2.()(. 3604 F L 14 PIAM FUEL F I i"l). 18 2 29 42.58 R TA—XP�] 00 o,,L SUB TOTAL 1.51. 56 0� 00 17. 0000 L/I 15 1 "f') G Control No. CARMEL NAPA 5753384 X 111 WEDICAL DRIVE y c) C F-2 y REMFr: IND REF BY VER'i BY 59r,59 COLLECTION CTR DR.-i" FAME, IN 4603M C H 0 1/- L�. 606 3 1000060177885155 BY x ALL GOODS RV BE 46&0;q5;WTHIS INVOICE ACCT NO. SOLD TO DATE STORE NO, EMP SR (")F1 1 F" a- -c 1 3 1 3 15 ci oi:� CARMEL-- -STREET D 3 1 TIME PURCHASE ORDER NO._ ATT ENTION 3 W 1 -"'p I SJ' ST I of 1 CARMEL, IN 46074B267 1 2 -75 INVOICETYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET !M a CODE 1.00 735-1145 '8K WIN CLIP 5. 7 E 2. 9100 2. 1. 00 E-652:394 13 RETAINER El. 79 4. 9m) 4.90 TOTAL 7.81 (i [7. 0 0 TAX f„), TOTAL 7. 81 1 Control No. awl® 5753'-949 CARMEL.. NAPA III &DICAL DRIVE y 0cfR Y REM F• Gr'C--- I ND RE BY VER BY 5 9 C 0 L IL E C ­F 10 N C T R D)R =a, M 4603K?22 CH L69a LVE� 10000601,77885725 BY ALL GOODS RETUhN_ED MUST BE XCCC ANTE M&HIS INVOICE ACCT NO. SOLD TO DATE 0 C O STORE NO. EMP uR 5 1799 5 CITY OF CAf RMEL-.-STIREET L) 3 1 1 ri 1 1 Q EIC 'I 7 I P TIME PURCHASE ORDER NO. ATTENTION :34()() W 1.31c, S*'f' .1 F I CARMEL, IN 46o'7482F_,7 OICE TYPE F1 p 'ale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET )-0'rA1__ ma CODE .0 0 4 G M C T Y u c k S i e r r 'c"' 5 0 0 1-4 D 3 4 T o n P i c k l..i p Cj L at,6 C I D V8 VL 2. ()0 295 PUJ U-JQint Rear D' 4 0'. 71 2G. 3'�)00 SUB F TOTAL 52. 78 00 o. 17. Q C) 0 TAX 0 TOTAL 52.78 Control No. 5753987 CfaIRMEL WP() i I I KEDICAL DRIVE y OC y REM IT- GVT .:[ND REF BY VER BY 5':-) 5 C 0 L L E C TI 0 N CT* R. D R. CARKI, IN 40=2 c v! -.tpG�� �F�. Fd Ai.000060177886109 ALL OODS 4e<6nqM3n M D BY IS ACCT NO. SOLD TO DATE STORE NO. EMP SIR 0 17995 CITY Of*-* CARMEL S "I" R E T D t I-,' q L 4 G 'JF- T ME- I P A C-It-kSt ONDLA-N6.' A4T1ffNT1eW �400 W ST 1. of I CARM� IN 460748267 1 7, n 4 1 1 INVOICE TYPE bUANTITY PART NUMBER LINE DESCRIPTION PRICE NET unfcfAfe 2 1 9 4 -7 '1,, 9 0 1 Cyr. G! T FP 4 10 MS c HS PRIMER SUR 2 78 i:-. A.() 1. 00 Or 1 I I M E3 2? HS HARDENER 40. 1 :3c_. U1 1. 00 01" 1 F'44 11 G ACRY PRIMER -2 18. 3 "'J' 0 C) UB TOTAL S TAX I TOTAL misc. 7 Control No. QaapaD 5 7 '55 3 '20 2.0 0® CARMEL NAPA III MEDICAL DRIVE Y OCR Y REM 1 1*'-. GP: I ND REF BY_ VER BY 5959 COLLECTION CTR.DR. CARMEL, IN 40322-322 CHV94@4 606 ;6 1, Z 7 2 1 1000060177885627 ZD MUS P�666MFArh-� THIS INVOICE ACCT NO. SOLD TO DUE I M,%OC M I STORE NO. I EMP SR 5-017995 CITY OF CARMEL-STREET D ymp ppm— 1 9' 3400 W 131ST S''I'' I of 1. CARMEL, pi Italy brRHAWO? ARMS IN 4SO4 7S26 INVOICE TY 1JANTITY PART NUMBER LINE DESCRIPTION PRICE NET L, I t k' 1.00 08609 MMM SEALER 23.20 14.5900 14.59 1.00 75130 NPP P RNFIS 4. 28 2.4900 2.49 1.00 GAL FC720 M3 U CLEAR= 92.01 73.0300 73.03 1.00 GAL FT220 M .3 F1 LACRER THINK 24.92 18,9700 18. 97 1.00 OT F Tom' 00 M Sl RFACE CLENIER. 26.67 21.1900 21.19 T FHW2 .07 90. 30. 20 ()o "now [AST 1 160.47 7.0000 0.00 160.47 d Control No. QaapaD 5754177 K:::�® CARMEL 1' III MEDICAL DRIVE y ki C R y REM I'1":GP'C­'­1ND REF BY VER BY 595S) COLLECTION C DR. CARPEL, IW 460'22922 CHi:(a�a 2 CIE, t 2 1000060177887 BY ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE STORE NO. EMP SR 5-0 17995 CITY OF I) 1 .4 1 3400 W 1,*:;'I.S ST 1. f I TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 4150748267 INVOICE TY QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET YbTAV CODE 1.. 0C) at( -'R FIL. 17.88 14. 1. SUB 14.7 mlsc-�j 0. [_)(J TOTAL 14.70 TOTAL o.. 6 C)00(. TAX Control No. QaapaD 575 oe CARMEL NAPA III NEDICq DRIVE Y OCR y REM IT: GIDC I IAD U BY VER BY 5959 COLLECTION C'Y'R.)E)R. CARK IN 460322V2 a ,12 BY 1000060177887812 c"� HtS-+WVOlCE ALL GOODS' IfTIJF�NED MUST BE %C(5dA)WEb3p1 ACCT NO. SOLD TO DATE M96@M M STORE NO. EMP SR .114 I 5 0 179 9 5 CI OF (:.ARMEL D 0 3, P P 4 A 1 AWCF.' I A Tr W 131ST ST I Of I CARMEL, IN 460748267 1 s 4. INVOICE TV PE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET L" 1- r&AL L- -e CODE 1. 00 QT CS2 MS SEAL. ER 26.04 i:: 4 )0 21.41 1.00 SOZ FH41 I MS 2 W. HAWAR 1,23. E,4 10. 81 0K) 10-81 SUB TOTAL 22 �j C C C TOTAL 3210 k r0l 0. oo 1 7. 0000 TAX .3-i 22 0 Control No. 557541171 ON C A R M E L N A P A III Olut DRIVE y OCR y REM IT. T1\111 Rff BY VER BY 5'359 COLLEUTION (.'TR. I CART, IN 46OW2922 C ViWi R'(4 60E-93 BY x 1000060177887340 ALL GOODS AETURN01 MUST I3116CCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE00 STORE NO. EMPJSR F:J( 1 7 5-017995 C11"Y OF* CARIMEL-STREET D C)3 /1 4 0 1 A A7 TIME PURCHASE ORDER NO. 3400 W "3"T 1. Of f ATTENTION CARMEL, IN 460748267 INVOICE TY PE L QUANTITY PART NUMBER LINE DESCRIPTIO PRICE NET 'fbtAi CODE 4 4. 32 1 VAlk. j Q 1 7. C)(" )00 3 TOTAL TAX C) o C7) TOTAL 4. 2 QaapaD J! Control No. 5754 19,9. CAR1VICL. NAPIn. III MEDICAL DRIVE iy Of."R y REM IT: UPC I ND REF BY VER BY 59b9 COLLECTION GTR. DR. CARMEL, IN 46032?3K CH LFF�pq I L_ 6069 1000060177888143 By x ALL GOODS RETUIk<E6TAU9;KE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD fO DATE STORE NO. I EMP SR '9 9 5 C."J. TY CJ F D C)'3 ,.54 w 1 l s,r TIME PURCHASE ORDER NO. ATTENTION CARME"L IN 46074826 57 e X INVOICE PE QUANTITY PART NUMBER LINE DESCRIPTION PRICE -NET "CODE 1 (0 G L--'.'7 FIL.. NIPRAWIVIR F1 `;t 8 G I '.3'. 3`30f) 1.00 6. -71 FUL. NIPASM F 67.53 1.7. 8 7'C 17. 87 R 37 J.' FIL_ fSPA GOLD FLELF1 5 _3' 7 2 14. 1 i o 1 -4. 19 R 1. 00 7 ,7G F.0 L.. NJ PAGOLD OIL FIL 19.41 5. 090 0 5. R SUB TOTAL C)( 50. 5A *1.09c-�j 0. 00 1 7. 0 TOTAL 5o. Control No. �/���l� \�m CARMEL NAPA III MEDICAL DRIVE Y OCR Y REM IT:GPC'IND REF 8Y__0ER OY__ 5959 COLLECTION CTR.DR. 1000060177889213 BY �a I. 1 3 ALL GOODS IiFf VA�KdM�KI BY THIS AVOICE ACCT NO. SOLDTO DATE STORE NO. EMP SR 3400 W t3is"r s I of I TIME PURCHASE ORDER NO. ftTI bUANTITY PART NUMBER LINE DES RIPTION PRICE NET YUFAV CODE SUB TAX Contro No. \:::�w CARMEL NAPA fit MDICALDRIVE Y OCR Y REMIT:GPC IND REF 8Y__NER BY__ 5959 COLLECTION CTR.DR. CARa, 114 460322K2 CH�tf-cRcio 1000060177889204 BY ACCT NO. SOLD TO DATE M I STORE NO. EMP SR :3�-oo w i 3 s I of 1. TIME PURCHASE ORDER NO. ATTENTION bUANTITY PART NUMBER LINE DESCRIPTION PRICE NET CODE QaapaD Control No. r 7 T 87 3 CARMEL NAPA III MBICAL DRIVE y OCR y RE-'*M I r: GPC-- I ND RE BY VER BY 5959 COLLFc CTR. DR CARPI, M 460Y&M CHLQRUQ BY 100006017789.4403 ALL GOODS RETURNED THIS INVOICE ACCT NO. SOLD TO DATE STORE NO. EMP SR 5-01799-5 CITY OF CAFRMEL-.s-rRE*E"F D -7 /P i e) i i .41 7129440 UGIOJ�! 12 3400 W 131s'r ST I o f 1. TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 460748267 INVOICE TYPE CODE a WANTITY PART NUMBER LINE DESCRIPTION PRICE NET rUTAL L 1 0 1 5 F'I L W PRGOLD OIL FIL 21.37 5. 6900 5.69 R 2.00 3166 F IL WffiOLD FUEL FI 15.36 4. ODi?() 8.18 R 1. 0o Issia-013 FIL. WPAGOLDAIR F1 1 2 ';'1. 31. 69 FR 1.00 G-B29 F I L. WASOLDAIR F1 1 2 3. 4 3 9 7 0 0 .32. 97 R SUB 0 TOTAL 78� 53 00 17. 0 0 7853 TOTAL Control No. 5"7155011 0® CARMEL NAPA III KBICAL DRIVE Y OCR Y REM IT.-, GPC-- IND FU BY_ VER BY 5959 COLLECTION CTR.DR. CARPI, IN 4603M CH:6CAG IL41 1000060177895634 ALL GOODS RETURNED MUS ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE 0,Tm @MA M STORE N 0. EMP SR 5-017995 CITY OF CARMEL-STREE7 D assm 0E.J01 U 3400 W 131ST ST I of I _TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46074S26'7 10:51 INVOICE QUANTITY FART NUMBER LINE DESCRIPTION PRIC E NET MFAt CODE 1.00 GAL. CR733 ME) Cf W IRE NODERA 54.76 45.0400 45.04 2.00 T56A MS INTERMIX 37.98 31.2600 62.52 MIL 107. 56 C 0 17. 0 0 C) 0 0. CIO I TOTAL 107. 56 Control No. 575-57220 CARMEL. NAPA III MEDICAL DRIVE y OCR y REM I F. GPC--- I ND REF BY VER BY 5959 COLL.EC'rION CI DR. CAM, IN 460322M 1000060177 CH LQ14RID 897516 BY Z 2 2 3 ALL GOODS RETURNED MUST BE ACCOMPA, THIS INVOICE ACCT NO. SOLD TO DATE MT,4@M M STORE NO. EMP SR 5 -0 95 CII'Y OF' CARMEL-S D I i 1 7 TIME PURCHASE ORDER NO. A TTENTION ,3400 W 131ST S'T 1 of I. CARMEL, IN 460748267 t 5 1 INVOICE TYPE ga QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET 3hiMe 1 e CODE 3. 00 26 MIv1M 2'3 NO.1% TAP 5. 09 3. 2500 9. 75 2. 00 263 MIAM 213 WING TAP 13.61 a. GO(I)o 17. 20 SUB TOTAL 2C-',. 95 dv*c.�j 0. 00 17. TAX C). TOTAL 26 �3 5 1 I It Control No. �<�����J CARMEL NAPA III MEDOCXDRIVE Y OCR Y REM IT:GPC—IND REF BY NER BY 5959 COLLECTION CTR.DR. BY ,7 z 1000060177896768 ALL GOODS RETURNED M ACCT NO. SOLD TO DATE ff&��MGM STORE NO. EMP SR 'OLIANTITY PART NUMBER LINE DESCRIPTION PRICE NET 9 U CODE SUB TOTAL Control No. QaapaD 5755763 CAPMEL NAPA III OICAL DRIVE y of" FR y R 1. T: G. C I 1\1 D REF BY VER BY 5 9 5 (3) C 0 1- L E CTI 0 N C T R. D R. CAVa, IN 4&DK- M, r ,,qV z tlj'-'.AGO 11-L. E-0693 1000060177902467 BY x ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE Mrg@M M STORE NO, I EMP SR 85--- 01 7995 CITY OF CARMEL-STREET D T ()E.( 1b 3 3400 W 1.31ST' 3"1" 1 f f TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46kC') 1 1 771 1 INVOICE N PE 11 1 h QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 0 F-1-.- NB -1 FUEL LRE WSE .1 .75 1.. 01 7 1,� 7... SUB I '.0 T OTA L 0 01.) 7. 0004 �j 0.0 TOTAL 'Aill I I Control No. '7755310 QaapaD CARMEL NAPA III KEDICAL DRIYE y OCR y REM IT: GPIC IND REF BY VIR BY 5959 COLLECT ION C**I'R. DR. CARgEL, IN 460= CHLQt�2� 1000060177898365 BY ALL GOODS RETURNED MUST 4 BY THIS INVOICE ACCT NO. SOLD TO DATE00 STORE NO. EMP JSR 5-01*7995 CI'TY OF CARMEL-STREET D C) 1 '712 9 S'L E, *340o W 1' IST S'T TIME PURCHASE ORDER NO. ATTENTION 1. f 1 CARMEL, IN 46o 13.34 N '*VCI1'-'L'TYPE k; R E ale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TUTAi CODE 1 0 '73 i -537c; B IN CUP HIDER 12.68 1 ty. 14( 1 1 n", 00 F7'- )O TAX 0. 00 1 T OTA L '4 I OT, TOTAL 1. 0. 1 *1 -k Account No TERMS 4 pI �PA� 08517995 GOVT.45 DAYS NET N Closing Date Due Date Sequence No Now. Awmmimmmmmmmmmmamw 03/31/11 04/14/11 17256332 Previous Balance Payments(s) Received MARCH S r rA EM ENT 1,397.25 .00 New Charges /Credits Finance Charge New Balance Account No. 08517995 TOTAL DUE 1,383.32 .00 2,780.57 $1,397.25 Total Past Due Current Future Closing Date 03/31/11 Aged 71.74- 1,468.99 1,383.32 DUE DATE 04/14/11 Account Past Due Past Due Past Due 10 Days 40 Days 70 or More Days Status 1.82 .00 73.56 iC Please fold on this line before mailing y Page 1 of 2 L N MDG2011 00050766 1 MB 0382 ate., III�IIIII�'�I'lll'll�lll'���'�' 111 '��I "I�III'I'I�'�'�I�III "'II� M CITY OF CARMEL- STREET DEPT 3400 W 131 ST ST F`- CARMEL IN 46074 -8267 F- W W p p E a I f you have QUESTIONS CALL: (877) 558 -9287 Press 1 for invoice copies. I j Q a o Visit our website for invoice copies at -S z www.MAPAaccount.com O 3 E C.. U) F c W W O� r v w Ix M N �o Please Pay The Total Due U rn c i No Later Than 04/14111 o 6 cc Thank You. O m c CL LO n. J O f0 Your WA account is on the web! E w O a, z z o ri Q w www.NAPAaccount.coni a m L� W o Z o Click on CUSTOM LOGIN and Q Q iJ o Q Z w y CU ACCOUNT ACTIVATION CL Z c u5 o v CD Enter the 8 -digit sequence number from your current U) o 0) m a monthly statement and enter your email address. O a w O m A password will be emailed back to you. CL z 0 0 0-6 You will have access to: zmv o Copies of statements and invoices 0LOD) CL Receive your monthly statement via E -mail N to Up to date account balance U) Last payment and date received W 1 E -Mail your customer representative Of o a C.�L o We Appreciate Your Business WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY' SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D B AND EQUIFAX J 050766 1 1 060992 P Customer Copy Retain for your Records Payment Copy Return with Payment Acct No. 108517995 Page 2 of 2 Amt No. 08517995 1 Page 2 of 2 Customer I CITY OF CARMEL- STREET DEPT Customer CITY OF CARMEL- STREET DEPT Statement of Account with 41UA! AI! Pis Statement of Account with f -A! AUMFAW Date Type Inv. No. Amount Due Explanation Date Type Inv. No. A moun t Due Explanation 02/22 RU 5961661 73.56- unid inv. ck181 02/22 RU 5961661 73.56- 01/31 RI 785143 1.82 01131 RI 785143 1.82 02/04 RI 785429 23.49 gary 02104 RI 785429 23.49 02/07 RI 785638 47.76 02107 RI 785638 47.76 02/07 RI 785641 119.40 gary 02/07 RI 785641 119.40 02/08 RI 785689 69.00 02/08 RI 785689 69.00 02/08 RI 785768 8.49 02/08 R! 785768 8.49 02/09 RI 785837 49.55 02/09 RI 785837 49.55 02/09 RI 785926 14.50 02109 RI 785926 14.50 02/10 RI 785966 138.99 02/10 RI 785966 138.99 This line intentionally left blank 02/10 RI 786000 16.98 02/10 RI 786000 16.98 02/14 RI 786214 104.19 02/14 RI 786214 104.19 02/17 RI 786391 46.02 02/17 RI 786391 46.02 02/17 RI 786405 15.98 02/17 RI 786405 15.98 02/17 RI 786436 30.06 I 02/17 RI 786436 30.06 02/17 RI 786520 19.89 `I I 02/17 RI 786520 19.89 02/17 RI 786555 292.42 02/17 RI 786555 292.42 02/18 RI 786634 19.89 02/18 RI 786634 1989 02118 RI 786637 39.78 02/13 RI 786637 39.78 02/21 RI 786846 10.29 02/21 RI 786846 10.29 02121 RI 786906 60.61 _p 02/21 RI 786906 60.61 02/22 RI 786964 22.17 a 02/22 RI 786964 22.17 02122 RI 786995 137.58 3 02/22 RI 786995 137.58 02/23 RI 787059 285.67 a 02/23 RI 787059 285.67 02/24 RI 787191 28.97 02/24 RI 787191 28.97 02/24 RM 787193 20.60- credit 0 02/24 RM 787193 20.60- 02/24 RM 787219 176.38- credit 02/24 RM 787219 176.38- 02/28 RI 787437 23.09 o 02/28 RI 787437 23.09 02/28 RI 787439 11.51 w 02/28 RI 787439 11.51 02/28 RI 787454 62.78 02/28 RI 787454 62.78 0 0 This line intentionally left blank M 0 v 02/28 RM 787509 33.09- a 02/28 RM 787509 33.09 03/01 RI 787567 DT: 10.82 03/01 RI 787567 03/02 RI 787715 DT: 2.82 03/02 RI 787715 03/02 RI 787727 DT: 15.03 a 03/02 RI 787727 03102 RI 787744 DT: 15.03 a 03/02 RI 787744 03/03 RI 787788 DT: 21.40 m 03/03 RI 787788 03/04 RI 787969 DT: 17.98 03/04 RI 787969 gary a 03/04 RM 787978 DT: 29.69- 03/04 RM 787978 03/07 RI 788129 DT: 283.47 03/07 RI 788129 03/10 RI 788412 DT: 151.56 03/10 RI 788412 03/10 RI 788414 DT: 32.16 03/10 RI 788414 03110 RI 788465 DT: 167.36 03/10 RI 788465 03/10 RI 788515 DT: 7.81 03110 RI 788515 03/11 RI 788562 DT: 160.47 03/11 RI 788562 03/11 RI 788572 DT: 52.78 03111 RI 788572 03/11 RI 788610 DT: 72.28 03/11 RI 788610 03/11 RM 788625 DT: 50.34- 03/11 RM 788625 03/14 RI 788734 DT: 4.32 03/14 RI 788734 03/14 RI 788781 DT: 32.22 03/14 RI 788781 03/14 RI 788792 DT: 14.70 03/14 RI 788792 03/14 RI 788814 DT: 50.54 03/14 RI 788814 03/15 RI 788920 DT: 20.91 03/15 RI 788920 03/15 RI 788921 DT: 92.83 03/15 RI 788921 03/21 RI 789440 DT: 78.53 03/21 RI 789440 03122 RI 789563 DT: 107.56 03/22 RI 789563 03/23 RI 789676 DT: 6.61 03/23 RI 789676 03123 RI 789751 DT: 26.95 03/23 RI 789751 03124 RI 789836 DT: 10.14 03/24 RI 789836 truck 60 03/29 1 RI 1 790246 DT: 7.07 03/29 1 RI 1 1 790246 TOTAL DUE $1,397.25 TOTAL DUE $1,397.25 TYPE CODES RI Invoice RB Charge Back RM Credit Memo RU Unapplied Payment RF Finance Charge X# Miscellaneous Accounting Entry 03/31/2011 18:40 3178446220 CARMEL NAPA PAGE 01/02 Fax Server 4/6/2011 2:35:53 PM PAUL Z/UUL rax 6ervur ORA °wft)W 5752165 CARMEL NAPA III IDIDLBRIE Y OCR Y REMIT:GPC- -IND lu gy qo By 5959 COLLEC 71ON CTR. DR. rt IS HI I 1OOOQ60177869958 C ALL ODOD9 ED MUST EE ACC9fdPANIEO 8V TMIb INVOIG[ SOLD TO WRF 6TDAE HD. E p SR ti5- 017995 CITY DE CARMEL— STREET D 1 86995 C4017 3400 W 131ST ST 1 or 1 NUACHOOFOACER NO. I ArfFNnON CARMEL, IN 460746267 INVOICE Tm OUANTTe MAT NUMBER LINE DESCpIPTION PglQP NET TOTAL CODE 8.00 6575 SAT 3ATTERY 96.73 58.7904 117.58 2, 00 575 1 i art Dgmsi! 10.40 10.0000 20.00 D E I Tn� 137.56 4.40 7.0000 Tax 0.00 TorA� p 137.58 [11 INVOICE4= 786995 [QPADEV0018 NEWTONI 783170 04106/2011 14.35.391 N CD CARMEL NAPA 011 1441 8 GUILFORD AVE STS 140 CD REP BY VER BY CARMEL,IIN 460322922 W Printa 0_ ACCT BOLD TO DATE TIME STORE EMP INVOICE 17995 CITY DF CAP.MSL- STREET DEPT 03/11/2011 14:51 100006017 16 788625 3400 W 131ST ST PURCHASE ORDER aTTBNTION SR .ACCT 7995 36 CARMEL, IN 460748267 TAX EXEMPTION: REPRINT AD TERMS: NET 10 Credit Memo lp DELIVERY: Q PART NUMBER LDT DESCRIPTION QUANTITY PRICE NET TOTAL a- Z QT FH411 MS 28 HS HAR.DSNMR -1.00 40.37 32.0100 32.01 CR J This item was purohased on invoice 788610 03/11/2011 Ld QT FP401 MS GRAY ACHY PRIMER SURF -1.00 23.22 18.3300 18.33 CR ry Tlis item was purchased on invoice 758610 03/11/2011 Q U R.EMIT:GPC -IND Subtotal 50.34 CR m 5959 COLLECTION C�TR.DR. Indiana Sales Tax 7.000O% 0.00 N CHICAGO ILL. 60693 0.00 LD TOTAL 50.34 CR v m ti m CD SIGNATURE v all goads returned must be accompanied P by this invoice ao CD N (�1 m m VOUCHER NO. WARRANT NO ALLOWED 20 GPC -IND IN SUM OF 5959 Collection Center Drive Chicago, IL 60693 $2,883.82 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department Spy PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board MemberE 2201 42- 370.00 $2,883.82 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 �TYursdoy #April 07, 2011 I k h A-A Street Commissi ner Street uornT 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)) 04/01/11 $2,883.82 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