167298 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 353686 Page 1 of 1
ONE CIVIC SQUARE CIRCLE CITY AUTO PARTS INC CHECK AMOUNT: $79.68
CARMEL, INDIANA 46032 9700 LAKESHORE DRIVE EAST
INDIANAPOLIS IN 46280 CHECK NUMBER: 167298
CHECK DATE: 12/23/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT D
651 5023990 315626 79.68 TRANSPORTATION EXPENS
j ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
CIRCLE- CITY ()(Fro PARTS
RD 97012>i 4-- O'KE:SF•I DR E'(-IS I'
AUTO PARTS INC. AUTO PARTS INC.
A Chl>?'1'ill�ltal �r).i_]:a IN 46280 A,
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Picked By: uvvuw.circlecityautoparts.com Checked By:
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"THE CUSTOMER SERVICE PEOPLE"
I-I faA R C1E:/� I N V O 'CE
R E 4 E I V.E:: i7 p Y
INVOICES NOT PAID BY THE 10TH OF THE MONTH ARE SUBJECT TO A SERVICE CHARGE AND COLLECTION COSTS.
VOUCHER 086940 WARRANT ALLOWED
33686 IN SUM OF
CIRCLE CITY AUTO PARTS INC
9700 LAKESHORE DRIVE EAST
INDIANAPOLIS, IN 46280
Carmel Wastewater Utility
'''JN ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
315626 01- 7502 -06 $79.68
s
sa7i
Voucher Total $79.68
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER a
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
353686
CIRCLE CITY AUTO PARTS INC Purchase Order No.
9700 LAKESHORE DRIVE EAST Terms
INDIANAPOLIS, IN 46280 Due Date 12/1612008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/161200 315626 $79.68
Ink
L?�
hereby certify that the attached invoice(s), or bill(s) is (are) true and
,orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
0
Date Officer