HomeMy WebLinkAbout163816 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361867 Page 1 of 1
0 ONE CIVIC SQUARE KEYSTONE AUTOMOTIVE INDUSTRIES CHECK AMOUNT: $128.80
CARMEL, INDIANA 46032 3334 MESILLA COURT
3NDIANAPOLIS IN 46226 CHECK NUMBER: 163816
CHECK DATE: 9/17/2008
DE PARTMENT AC PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1120 4237000 BB139168 128.80 REPAIR PARTS
I
I n voice INVOICE BB139168
INDIANAPOLIS LOCATION 072
3334 MESILLA CT
INDIANAPOLIS IN 46226 DATE .,08/27/08 08:59:39
Phone 317 895 -0530 PAGE '1, OF 1
Fax 317 895 -0852
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BILL TO SHIP TO
F 553858 F CITY OF CARMEL FIRE DEPARTMENT
CITY OF CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE t
2 CIVIC SQUARE CARMEL, IN 46032
CARMEL, IN 46032 317- 571 -2600
317- 571 -2600
ORDER NUMBER ORDER DATE SALES REP CUSTOMER P/O NUMBER PAYMENT TERMS
BB258060 08/21 /08 A322/' NET;10TH.:PRQX...::
SHIP DATE WRTN BY I CONTACT R/0 NUMBER SHIP VIA
08/26/081 1 AF2 I KEYSTONE TRUCK 07207
For Questions, contact ANDREW.CASALINO, 317 895 0530, INDIANAPOLIS
PRQD1iCT DESGRIPTIQty PEiICE U/M EXTENSION
QTY L2TY i17 Y LIST
OPEN SHIPPED BQ PRICE
FWCO3232U20 8 8 0 21.47 16.10 EA 128.80
WC;00 -04 M CAR /IMPALA; 16 ";7 SP
2001 LUMINA
FWCO3232U 8 8 0 0.00 0.00 EA 0.00
WC;00 -04 MCAR /IMPALA; 16 ";7 SP
2001 LUMINA
REF# 506286
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
128 .80 8 80
0.00
0.00 0.00
0.00 0.00
0.00 >9 >2$80<!
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 Industries' 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 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHEK
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))
BB139168 Hubcaps $128.80
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
VOL:•CHER NO. .WARRAN NO.
ALLOWED 20
Keystone Automotive Industries, Inc.
IN SUM OF
3334 Mesilla Court
Indianapolis, IN 46226
$128.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #lrITLE AMOUNT Board Members
1120 BB139168 42- 370.00 $128.80 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