HomeMy WebLinkAbout164302 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361867 Page 1 of 1
ONE CIVIC SQUARE KEYSTONE AUTOMOTIVE INDUSTRIES CHECK AMOUNT: $220.50
CARMEL, INDIANA 46032 3334 MESILLA COURT
INDIANAPOLIS IN 46226 CHECK NUMBER: 164302
CHECK DATE: 9/30/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1120 4237000 BB- 1.41545 220.50 REPAIR PARTS
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Invoice INVOICE B B1441545
INDIANAPOLIS
LOCATION 072
3334 MESILLA CT
INDIANAPOLIS, IN 46226 DATE 09/05/08 07:27:30
g Phone 317- 895 -0530 PAGE 1 OF 1
Fax 317- 895 -0852
BILL TO f� SHIP TO
553858 CITY OF CARMEL FIRE DEPARTMENT
CITY OF CARMEL FIRE DEPARTMENT. 2 CIVIC SQUARE
2 CIVIC SQUARE ATTN BOB
CARMEL, IN 46032 CARMEL, IN 46032
317-571-2600 317-664-0958
ORDER NUMBER ORDER DATE SALES REP CUSTOMER P!O NUMBER PAYMENT TERMS
BB26457'1 09104/08 A3221 AT TN.BOB.,'; N ET. IQTH FROX.:"
SHIP DATE VVRTN BY CONTACT R/O NUMBER SHIP VIA
09/05/08 OEDD KEYSTONE TRUCK 07207
For Questions, contact BRAD RAY, 317 -895 -0530, INDIANAPOLIS
Q1;Y Q Y Cl Y LIST
PRODUCT I pESCHIPTI() pH1CJ UlM r t XT> NSION
OP SHIF?I�Ef) ..10 pf110E..:._
1999 GMC YUKON
GM2502101 1 1 0 96.00 72.00 EA 72.00
FILAMP ASM ;LH;88 -02 CHV PUBLZ
92 -99 SUBURBAN
GM2503'101 1 1 0 96.00 72.00 EA 72.00
HLAMP ASM;RI- 1;88 -02 CHV PU /BLZ
92 -99 SUBURBAN
GM2520128 1 1 0 51.00 38:25 EA 38.25.
I'I< /SG;LII;VV /COMP;94 -2 CH PU /BLZ
94 -99 SUBURBAN UNDER HDLT
GM2521 1.2B 1 1 0 51.00 38.25 EA 38.25
PK /SG;RH ;W /COMP;94 -2 CH PU /BLZ
94 -99 SUBURBAN;UNDER HEADLIGHT
BUMPER INVENTORY IS BASED ON CORE AVAILABILITY, CORE RETURN IS NOW REQUIRED.
ACCOUNTS OVER 30 DAYS ARE SUBJECT TO A 1 1/2% FINANCE CHARGE ANNUAL RATE 18
MERCHANDISE HANDLING MISC CHARGE TAX FREIGHT DEPOSIT DEPOSIT INVOICE TOTAL
TOTAL AMOUNT APPLIED
22_0.50 0.00 0.00 0.00 0.00 0.00 0.0 0 2'20 50
Received By:
Cash Purchases returned on the same day as delivered will be refunded by your local.branch. All other refunds will be processed by
Keystone Automotive Indusl.des' corporate office and sent via U.S. mail within seven (7) working days..
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Prescribed by State Board of Accounts City Form No. 201 (Rov. 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))
BB141545 Parts C4550 $220.50
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
20
Clerk- Treasurer
VOUCHER NO. W NO.
ALLOWED 20
Keystone Automotive Industries, Inc.
IN SUM OF
3334 Mesilla Court
Indianapolis, IN 46226
$220.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 BB141545 42- 370.00 $220.50 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund