HomeMy WebLinkAbout199340 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365468 Page 1 of 1
ONE CIVIC SQUARE ADVANCE AUTO PARTS
CHECK AMOUNT: $8.49
CARMEL, INDIANA 46032 Po eox 5219
CAROL STREAM IL 601975219 CHECK NUMBER: 199340
CHECK DATE: 7120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 88161173347 8.49 OTHER EXPENSES
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F New address or phone number?
Please check box and complete reverse side
Advance
RETAIN THIS PORTION OF YOUR STATEMENT FOR YOUR RECORDS. DO NOT RETURN WITH PAYMENT.
Account Number Billing Date Credit Line Available Credit Amount Total Payment Payment
Past Due Amount Due Due Date
07/02/2011 $9,000.00 $8,991.51 $.00 $8.49 08/02/2011
ADVANCE AUTO PARTS
SAME PO BOX 5219
CAROL STREAM IL 60197 -5219
TDDIHearing Impaired: 800 365 -0185
SUMMARY SUMMARY OF ACTIVITY YMENT AMOUNT DUE
A. Open Debits (Invoices /Fees /Adjustments) A. Previous Balance $.00
Fees and Adjustments (Debits) $.00
Current Billed Debit Invoices $6.49 B. This Billing Period Posted Debits
Previous Billed Debit Invoices $.00 Invoices $8.49
Total Open Debit Invoices $8.49 Fees and Adjustments $.00
Total Debits Posted this Period $8.49
B. Open Credits (Payments /Returns /Fees /Adjustments)
Current Billed Unutilized Credits -$.00 C. This Billing Period Posted Credits
Previous Billed Unutilized Credits -$.00 Payments Received -$.00
Total Unutilized Credits (Available to Pay Debits) -$.00 Returns -$.00
Fees and Adjustments -$.00
C. New Balance (A B C) $8.49 Total Credits Posted this Period -$.00
D. Total Amount in Dispute $.00 D. New Balance (A B C D) $8.49
E. Total Payment Amount Due (C D E) $8.49 E. Amounts In Dispute
a. Previous Billed items in Dispute $.00
SUMMARY OF OPEN DEBITS b. Current Billed Items in Dispute $.00
Total Amount in Dispute $.00
Total Open Debits Current Debits 1 -29 Days Aged F. Total Payment Amount Due (D E F) $8.49
1 $8.49 1 $8.49 0 $.00
30 -59 Days Aged 60 -89 Days Aged 90 -119 Days Aged
0 $.00 0 $.o0 0 $.00
120 -149 Days Aged 150 -179 Days Aged 180 Days Aged
0 $.00 0 $.00 0 $.00
0
ACCOUNT DETAIL
6
O
Current Billing Period Debit Transactions (Open and Paid)
Transaction Transaction Description Invoice Number Original Amount Balance
M Date Store Number Where Transacted P.O. Number Amount Paid Remaining
0
a
0612 2120 1 1 PURCHASE CARMEL IN
8816
Customer Total Current Billing Period Debits(Open and Paid) $8.45 S.00 $8.49
For Billing Errors or Queslions, Please Call 1- 888.236 -7474 Page 2 of 3
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TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER-CASE LETTERS
AND NUyNBERSONLY!
L8_�|Ey_��LJLI M
Street Narne or 1�e words "PO BOX" Unit or `0 Box Number
IT 71 011E
=1 D[I�I]FEIEIFIFEIEI
Important wouoa Promptly review this statement and notify HSeC Bus Solutions in writing of any errors m
unauthorized purchases. K you d, not notify HSaC Business Solutions within 02 days m errors o, unauthorized purchases,
this statement will be presumed mbocorrect.
Write mn3sC Business Solutions atP.O. Box 41on. Carol Stream, |L 60197'4160
You may telephone HSBC Business Solutions at 1-800-210-8115, but it will not preserve your rights.
Notify HSBC Business Solutions in writing of the cancellation of a credit card or authorized user,
STMT221s(9/07)
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Please check box and complete reverse side.
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Invoice Account Number Invoice Date Purchase Order
8816117334776 06222011 TRUCK 112
Store Nbr Where Transacted Store Location Where Transacted Purchaser Tax Exempt
000028816 CARMEL IN CORPORATE CARD
SKU Number Description Quantity Price Each Total
018310034 DISC BRAKE NOW KIT 1 EA U 1 $8.49 $8.49
r® Total Invoice Items $8.49
Other Payment Types $.00
Other Charges $.00
Tax $.00
Total Net Invoice $8.49
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000008490000084900 []6478038100012970007369
Page 3 or 3
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TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER-CASE LETTERS
AND NUMBERS ONLY!
Street Name or the words TO BOX" Unit or PO Box Number
Slalo Z'
�T
Important mnhry Promptly review this statement and notify HS8C Bus Solutions inwriting o* any errors o,
unauthorized purchases. U you do not notify HIGBC Business Solutions within Un days o, errors m unauthorized purchases,
this statement will be presumed to be correct.
Write mHS8C Business Solutions atP.0. Box 41on. Carol Stream, iL8o1s7'41oO.
You may telephone HGaC Business Solutions a/1'800'o1o'8115. but it will not preserve your rights.
Notify HSaC Business Solutions in writing of the cancellation of u credit card or authorized user.
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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
365468
ADVANCE AUTO PARATS Purchase Order No.
PO BOX 5219 Terms
CAROL STREAM, IL 60197 Due Date 7/12/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2011 8816117334 $8.49
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
7 I S
Date Officer
VOUCHER 115475 WARRANT ALLOWED
365468 IN SUM OF
ADVANCE AUTO PARATS
PO BOX 5219
CAROL STREAM, IL 60197
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
88161173347 01- 7502 -06 $8.49
Voucher Total $8.49
Cost distribution ledger classification if
claim paid under vehicle highway fund