HomeMy WebLinkAbout199871 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 00352688 Page 1 of 1
ONE CIVIC SQUARE CARQUEST NOBLESVILLE
i' CHECK AMOUNT: $67.55
CARMEL, INDIANA 46032 PO BOX 503589
ST LOUIS MO 63150 -3589 CHECK NUMBER: 199871
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236400 2601 -86990 67.55 PAINT
Great people, great products, great prices!
CAR UEST CQ OF NOBLESVILLE IN 9186 PAGE 1 OF 1
164 N 10TH ST REF# 133308
I N Vol NOBLESVILLE, IN 46060
317- 773 -4274
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
IIIIIIII II Illllllll Illlllllllllllllllllllllilll IIII 6 PO BOX 53589
ST LOUIS, MO 63150 -3589
21201107270260100000869900000133308278
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
gCITY OF CARMEL STREET DEPARTMENT HCITY OF CARMEL STREET DEPARTMENT
3400 W 131ST ST 13400 W 131ST ST
T WESTFIELD, IN 46074 T WESTFIELD, IN 46074
0 0
CUSTOMER SALES TEAMMATE
INVOICE NO. NO DATE OUST. P.O. NO. ID ID FORM OF PYMT.
2601 86990 860097 07/27/11 TK1710 CHARGE
MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX
1 DPC KH -8 1 1 84.42 67.55 0.00 67.55 41N
CHROMABASE COLOR
4 OLE
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X
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WARRANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED
OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. I SALES TAX TOTAL CORE PREV. DEPOSIT
0.00 0.00
RECEIVED PAY THIS
08:57 AM BY X CUSTOMER COPY AMOUNT 67.55
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carquest Auto Parts Stores
IN SUM OF
P. O. Box 503589
St. Louis, MO 63150 -3589
$6 7.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
2201 2601 -86990 42- 364.00 $67.55 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
y, July 29, 2011
Street Commisxioner
Title (11 ier
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))
07/27111 2601 -86990 $67.55
f 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