202551 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
~f ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAPO��S
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE Cl1ECK AMOUNT: $100.60
CHICAGO IL 60693 CHECK NUMBER: 202551
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 085 900000 100.60 7334256
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FORD AVE W 141! i' }L;R 3
ER EY `S`-i`_.'`:� ffO ,�'1J I Y E=C T I ON C f R. DR.
46Q.?-c�2?- RECEIVEDF.�G I
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100005017810775 B ?ldr�r(r �rr✓�C
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO
DATE (pp STORE NO. EMP SR
`3C)t_)Ci(:)Ci r;I7'Y (_IF. C;F�1F ?h1EL C!:.iMlYILlI':! f f
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1 CI SQUARE— 1 o 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, J N 4l 0
(0 5) 11 e ;s Wipers
INVOICE TYPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NE J! I y
4. CiC �O (:ii_t) -1 TOTAL CODE
W I P EXACT FIT BLADE 1.5. 7 G
N TI E. FE_tVGN 1c_'. 7r li ;`�t)i)
4. C)t_ i 022 -1 W I P EXACT F I1 BLADE 1. G. 9 (a0- C)t:
1 O(. r
G SA RC CORt1IDE 6 25
�}Y T TAL MISC.� TAX TOTAL 00.
Y
VOUCHER NO. WARRA NO.
Carmel NAPA ALLOWED 20
IN SUM OF
1441 S. Guilford Avenue, Ste. 140
Carmel, IN 46032 -2922
$100.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# /Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 I 7334256 I 43- 510.00 I $100.60 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
Monday, October 10, 2011
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund