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204562 12/13/2011 f CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P %CK AMOUNT: $184.89 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 204562 CHECK DATE: 12/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 08518048 184.89 OTHER EXPENSES 0 Control No. 1441 S G1IRM AVE 1'144.'? OCR `r REM:[ j,ND RIB BY VER BY 959 yx i' l:_ ,1°TON C UR„ CARREL, IN 46032-2922 C H T C L. 8130940 RECEIVED V.. �V BY ALL GOODS RE R D MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE o STORE NO. EMP SR B5°- 018045 CT "Y C7F° Ci= 1Fth1E MqNq 11� i�w��. 1 s1�;( }'�r� ii ii1 1` 1( f7 I 3RD AVE SW 2G_1�1. TIME PURCHASE ORDER NO. ATTENTION C:A RMEL.;, 1 N f +6,032.... 2584 12-54 r i 1 latch (02) p INVOICE TYPE Ch S QUANTITY PART NUMBER o DESUHIH I ION RICE NET TOTAL CODE 2`S. OC NOL. TPRIIFLUOT 5. 36k 4„ 290— 1 0. 1�' 1. 0C WJ*i'- t )6 rw NO CATCH RUB, 9. 1 t 6. 5 70 C 6.57 i:- Is TOTAL a� Control No- 733740A 0® It. NAPA 1441 '1 61JIVORD AVE STE 140 Y OCR y REM ID 0 tl CTR. DR- 1 0? 5 95 1 IN 46 32-292? B _D MU IS INVOICE UK C' U I A 6 1 REF BY VER BY RECEIVED NOV 0 3 2 ALL GOODS RETU�41� T)5'E ACC NO. SOLD TO UU DATE 1 STORE NO. EMP SIR 85­01 804&�. OF CARtIrf SEWAGE D 1. o 2. 1 tr8 1:31. 28 6 c" 1 I c _76-0 3RD'. *A'V'E Sw �y_ TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46032­2584 1.5 4 4 11 ()C (0 2) INVOICE T YPE Charicie Salle QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 2. 0c 651 '2 15 B K PTEX BLLE PTY I 7 4 5. c5j80(. ii. 16 1 4 0 6- 5 t 3 4 P_ B K BL PTV SIL GSK t 15. 5S 1 1. '760c 4*7. 04 jmlsc*�m C 1 7. 0000 �1 TOTAL 5 S. 2 C T SUB 58. 2c qTAL 'L/1 TAX Account No TERMS 08518048 2% 10TH,NET 20TH Closing Date Due Date Sequence No 11_/30111 12/20/11 181.57147 Previous Balance Payments(s) Received e 365.18 365.18- New Charges /Credits Finance Charge New Balance 191.61 .00 191.61 Total Past Due Current Future Aged .00 191.61 .00 Account Past Due Past Due Past Due 10 Days 40 Days 70 or More Days Status .00 .00 .00 Page 1 of 2 CITY OF CARMEL- SEWAGE DEPT 760 3RD AVE SW w CARMEL IN 46032 -2584 If you have QUESTIONS CALL: (877) 558 -9287 Press 1 for invoice copies. Visit our website for invoice copies at www.MAPAaccount.com You may deduct early Payment Discount of: 3.82 Therefore if Paid By: 12110111 Your Payment Should Be: 187.79 Your WA account is on the web! www.NAPAaccount.com Click on CUSTOMER LOGIN and ACCOUNT ACTIVATION Enter the 8 -digit sequence number from your current monthly statement and enter your email address. A password will be emailed back to you. You will have access to: Copies of statements and invoices Receive your monthly statement via E -mail Up to date account balance Last payment and date received E -Mail your customer representative We Appreciate Your Business NE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY B� SHARING OUR 11000UNTS RECEiV ABCE INFORrJ1ATlON WtTN nNO Et1��Fax 041524 2 2 049399 P Customer Copy Retain for your Records Acct No. 108518048 Page 2 of 2 Customer I CITY OF CARMEL- SEWAGE DEPT 0 Statement of Account with 41AM ADl PApIS Date Type Inv. No. Amount Due Explanation 11/02 RI 813094 126.69 11/02 RI y 813128 58.20 11/22 RI 815060 6.72 TOTAL DUE $191.61 TYPE CODES RI Invoice RB Charge Back RM Credit Memo RU Unapplied Payment RF Finance Charge X# Miscellaneous Accounting Entry ai u c m a E v r r n 0 U N E a m n Z2 v a c m 0 `o v a m m m m n m v v N l9 01 a <r K 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 355214 NAPA GENUINE PARTS CO INDIANAPOLIS Purchase Order No. 5969 COLLECTIONS CENTER DRIVE Terms CHICAGO, IL 60693 Due Date 12/7/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/7/2011 813094 $126.69 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 -1.6 122// i 112 Date Officer VOUCHER 116391 WARRANT ALLOWED 355214 IN SUM OF NAPA GENUINE PARTS CO INDIAN) 5969 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR l Board members NEA 1 PO INV ACCT AMOUNT Audit Trail Code 813094 01- 7502 -06 $126.69 81 �g Voucher Total -$4-26 Cost distribution ledger classification if claim paid under vehicle highway fund