199935 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P%%
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE L�1ECK AMOUNT: $18.34
CHICAGO IL 60693 CHECK NUMBER: 199935
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 18.34 792765
p' Account No TERMS
ASM APA 0851.8032 Past Due Pa Total Immediate
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Closing Date Due Date Sequence No
m 06/30/11 Urgent 1.7588761
Previous Balance Payments(s) Received
JUNE STATEMENT 1.8.34 .00
New Charges /Credits Finance Charge New Balance
Account No. 08518032 TOTAL_ DUE
$18.34 00 .00 1.8.34
Closing Date 06/30/11 Ag Total Past Due Current Future
g 18.34 .00 .00
DUE DATE Urgent Account Past Due Past Due Past Due
10 Days 40 Days 70 or More Days
Status ,00 18.34 .00
L/ Please fold on this line before mailing N
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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
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Customer Copy Retain for your Records Payment Copy Return with Payment
Acct No. 108518032 Page 2 of 2 Acct No. 08518032 Page 2 of 2
Customer I CITY OF CARMEL ENGINEERING Customer I CITY OF CARMEL ENGINEERING
Statement of Account with 1 I 1 AP 0 Statement of Account with 41 M
Date Type Inv. No. Amount Due Explanation Date I Type Inv. No. I Amount Due I Explanation
04(21 RI 792765 18.34 E 1 04121 RI 792765 1 18.34
TOTAL DUE $18.34 TOTAL DUE $18.34
TYPE CODES
RI Invoice RB Charge Back
RM Credit Memo RU Unapplied Payment.
RF Finance Charge X# Miscellaneous Accounting Entry
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Control No.
RE BY VER BY 5959 COLLECT" N CTR. DR.
1000060177927654 BY x
I civic 1 3 cli 1. Q f TIME PURCHASE ORDER NO.
MOICE PE
qV�NTITY PART NUMBER LINE DES RIPTION PRICE NET TOTAL CODE
Above Item or, Saie
SUB
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Napa Auto Parts of Carmel
Purchase Order No.
5959 Collections Center Drive
Terms
Chicago, IL 60693
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/21/11 17588761 Oil $18.34
acnt# 08032
Total 18.34
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 NO. WARRANT NO.
ALLOWED 20
Napa Auto Parts of Carmel IN SUM OF
5959 Collections Center Drive
Chicago, IL 60693
$18.34
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Pots or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
08518032 2 200-4231500 $18.34 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
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Signature
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund