204807 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P% tiNE
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CK AMOUNT: $81.93
CHICAGO IL 60693 CHECK NUMBER: 204807
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 81.93 REPAIR PARTS
0 Control No. 7323339
C A 13 M E' L. N A F.
1441 S GUILFORD AVE STIL 140 Y OCR Y REM I T. GPC I ND
REF BY VER BY 59!:59 COLI ECTI ON CTR. DR.
CAM, IN 46032-29K H I C f C� L 1- 0 cr
RECEIVED
100006,0178170095 BY x
ALL GOODS RE TURNED MUST B BY THIS INVOICE
ACCT NO. SOLD TO DATE mmm m I STORE NO.E!P SR
0 17 -3c
17996 ITY OF' CORMEL.-F'TRE DEP 81 -9
B 5
2 C I V I C s Iq k L I of 1. TIME PURCHASE ORDER NO. ATTENTION
CAPMEL, I N 4 601:, 2 -2 B LI, W 39 -cia 2 i JR 1:riqnpIr� re 4" In n
-I DICE T YPE p
I C1 a r 0 Ga I e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
0C 6 5 8 L*:'3 LA K, DEFOGRER REPAIR 1 8. Ili. 1 3 Do(. 13.
-pp q5-C)L-1
(-)Ic r
SUB ml Q Qj TOTAL TAX TOTAL S*cll
Control No.
RAW
CARMEL NAPA
i4&SGUILFORD AVE STE.l4V Y OCR Y REM IT:GPC'IND
REF BY NER BY 5959 gx�N DR
1000060178170451 RECEIVED
ALL GOODS RE MUST BE AC�OMPANIED BY THIS INVOICE
ACCT NO. SOLDTO DATE STORE NO. EMP SR
2 CIVIC SOUARE I TIME PURCHASE ORDER NO. ATTENTION
13 I INVOICE TYPE Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
ac�apaD Control No. Lj
7 3 2 3 0'
0® CARMEL NAM.)
1441 S GUILFORD AVE STE 140 Y DC R y REM I T: GPC IND
59 COL-I-EC'TION C TR. T) R.
m REF Rv, BY [L,—m VER BY %02-2E G �1 G CV. L
100006017817 1469 5
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE jmmagmj STORE NO. EMP SR
5 -01'7` c) 6 CITY OV-' DEP J. 1 4 2 1 1 1 C3 71 6 j0601 °T -J� 3C-
2 C- I:)IC !3'QUARE 1. of 1. TIME PURCHASE ORDER NO. ATTENTION
CF4R IN -46032-2584 khrin tnnjl=�
NV DICE TYPE
I C ha r n, e S ia I e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1 3 NT1- GALJGE -J9. SC 2 4 o c c:2.
L
1. 9038/4 NTH (""3AIJG[*- 5. 56oC 5. 56
SUB
T 27. ac jm,&.jp j 0. (-')CI I. 0' 0 ();A/.I 0.0 "1 TOTAL 27. W.)
TOTAL 1 1 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
5959 Collections Center Drive
Chicago, IL 60693
$81.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
N/U-0L 6 kj2l
PO# Dept. INVOICE NO. I ACCT #rnTLE AMOUNT Board Members
1120 1 817045 1 42- 370.00 j $40.14 1 hereby certify that the attached invoice(s), or
1120 1 817009 1 42- 370.00 $13.99 bill(s) is (are) true and correct and that the
1120 817146 I 42- 370.00 I $27.80 materials or services itemized thereon for
which charge is made were ordered and
received except
DEC 1 .2011
Fire Chief
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))
817045 $40.14
817009 $13.99
817146 I I $27.80
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