198516 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P_ %CK AMOUNT: $503.85
,•+o CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
`o CHICAGO IL 60693 CHECK NUMBER: 198516
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 08517983 503.85 REPAIR PARTS
Genuine Auto Parts ,rune 20, 2011
5959 Collections Center Drive
Chicago, IL 60693
Acct: 08517983 City of Carmel Police Department
Invoices paid:
Date Invoice Debit Credit
05/12/11 794892 $70.00
06/05/11 795361 $20.00
06/06/11 797471 $18.99
06/07/11 797579 $17.24
06/07/11 797614 $21.02
06/07/11 797616 $172.08
06/09/11 797856 $13.59
06/09/11 797878 $4.72
06/09/11 797914 $38.82
06/10/11 797987 $28.92
06/10/11 798056 $4.85
06/13/11 798221 $162.18
06/14/11 798340 $95.64
06/15/11 798503 $57.84
BALANCE $614.87 $111.02
TOTAL AMOUNT PAID $503.85
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))
06/17/11 payment for repair parts $503.85
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 N WA NO.
ALLOWED 20
Genuine Auto Parts
IN SUM OF
5959 Collection Center Drive
Chicago, IL 60693
$503.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT__ Board Members
1110 42- 370.00 $503.85 I 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, June 17, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund