203577 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 365791 Page 1 of 1
ONE CIVIC SQUARE PEARSON WHOLESALE PARTS
CARMEL, INDIANA 46032 10650 N MICHIGAN ROAD CHECK AMOUNT: $169.93
ZIONSVILLE IN 46077 CHECK NUMBER: 203577
CHECK DATE: 1119/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 22994 169.93 REPAIR PARTS
NO RETURNS WITHOUT THIS INVOICE,
NO RETURNS AFTER 10 DAYS. A 15% HANDLING CHARGE WILL BE ADDED.
PEARSON WHOLESALE PARTS NO RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS
1 DISCLAIMER OF WARRANTIES
10650 North Michigan Road Any warranties on the item /items sold hereby are those made by the manufacturer.
The seller, PEARSON WHOLESALE PARTS, I hereby expressly disclaims all
Zionsville, IN 46077 warranties either express or implied, including any implied warranty of
317.$73.3333 merchantability or fitness for a particular purpose, and PEARSON WHOLESALE
PARTS, LLC, neither assumes nor authorizes any other person to assume for it any
liability in connection with the sale of this item items.
DATE ENTERED YOUR ORDER N0. DATE HIPP D INVOICE DATE INVOICE
NUMBER
o ACCOUNT NO. 6200 H P 1 OF 1
L CITY OF CARMEL STREET DEPARTME I
ID 3400 W 131ST ST T
0 WESTFIELD, IN 46074 -8267 0
HI VIA L !L TERM F. .B.
27 e; ORD. $HIP 28!0; PA'RT:NUMBE11 DESCRIPTION I LIST NET I AMOUNT
�J 0 17D784H M BRK PA 79.99 39.95 39.95
v2 0 18Al206v ROTOR 321 89.99 64.99 129.98
THANKS FROM ALL OF US
AT PEARSON WHOLESALE PARTS 63.53_
WE APPRECIATE YOUR BUSINESS SUBLET
FREIGHT Q d
SALES TAX O C)
TOTAL.
aovig i Inn,
CUSTOMER 6 OFY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Wholesale Parts
IN SUM OF
10650 N. Michigan Road
Zionsville, In 46077
$169.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member=
2201 22994 42- 370.00 $169.93 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
�tThursday, ;November 03, 2011
Street Commissioner
i y
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 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))
10/17/11 22994 $169.93
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