HomeMy WebLinkAbout202119 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA P-CHECK AMOUNT: $22.36
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 202119
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 22.36 17814908
RAW Control No- T 3 13 0 6
De CARM•L. NAPA
1441 S GUILFORD AVE STE 140 Y OCR y REM I T GPC I ND
REF BY VER BY 5959 COLL-EC'T C R. DR.
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1000060178056129 BY
LL GOODS ,RIfTVKED W &PA THIS INVOICE
ACCT NO. SOLD TO DAT STORE NO, I EMP SR
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85-.018032 ITY OF CARMEL ENGINEER 08/1 9 /20 1. 80561 21 60 71 1 1
1 civic SID I of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46C)32-2584 1 0A1
(19) 1 INVOICE T YPE
QUANTITY PART NUMBER LINE DESC RIPTION PRICE NET TOTAL CODE
2009 Ford Truck Escape 2.5 L 2488 CC -.4 Hybrid
1.00 21348 SF Dil Filter (PrDS 4.11 2. 41.01) 2.41
5.00 75150 NO Rotor Oil Nfl)A 5.19 9` 0 C) 19.95
7. 00c"41.
._TOTAL 22. O.0 0. 0 -J TOTAL 22 76
Account No TERMS
Ann RA N 2% 10TKNET 20TIl
H Closing Date Due Date Sequence No
08/31/11 09/20/11 17814908
Previous Balance Payments(s) Received
AUGUST STATEMENT 18 .34 18.34
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New Charges /Credits Finance Charge New Balance
Account No. 08518032 TOTAL DUE 22 .36 .00 22.36
$22.36 C
Total Past Due Current Future
Closing Date 08/31/11 Discount Amount Aged
$.46 .00 22.36 .00
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DUE DATE 09/20/11 Net Payment Account Past Due Past Due Past Due
$21 10 Days 40 Days 70 or More Days
Status .00 .00 .00
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4`U We Appreciate Your Business
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SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D B AND EQUIFAX
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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
I Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total d
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
VOU HER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
j�l� 2OO ill(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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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund