204349 12/06/2011 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: $43.06
ZIONSVILLE IN 46077 CHECK NUMBER: 204349
IC 0
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 26395 43.06 REPAIR PARTS
NO RETURNS WITHOUT THIS INVOICE.
NO RETURNS AFTER 10 DAYS. A 15% HANDLING CHARGE WILL BE ADDED,
PEARSON WHOLESALE PART'S NO RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS
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, LLC, hereby expressly disclaims alf
Zionsville, IN 46077 warranties either express or implied, including any implied warranty of
317.873.3333 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 EN71ERED 1.1 YOUR ORDER NO ATE SKIPPED INVOICE DATE INVOICE
NUMBER
S ACCOUNT NO. 6200 H PA 1 OF 1
L CITY OF CARMEL STREET DEPARTME I
T 3400 W 131ST ST T
0 WESTFIELD, IN 46074 --8267 0
SHIP IA LSM. 6/L N TER
ORD:.: SHIP >B.C.: PART NUMBER DESCRIPTION LIST :NET AMOUNT
1 a 0 8C3Z *9940602 *AA MOULDIN 41 53.83 43.06 43.06
THANKS FROM ALL OF US
AT PEARSON WHOLESALE PARTS 43__06_
WE APPRECIATE YOUR BUSINESS SUBLET
FREIGHT
SALES TAX Q
TOTAL
MT�qTnMRR f'(DPV
VOUCHER N WARRANT NO.
ALLOWED 20
Pearson Wholesale Parts
IN SUM OF
10650 N. Michigan Road
Zionsville, In 46077
$43.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 26395 42- 370.00 $43.06 E 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
Thurs Decembe
M1 2011
u
Street Commissioner s�
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))
11/22/11 26395 $43.06
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