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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