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178092 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 353686 Page 1 of 1 ONE CIVIC SQUARE CIRCLE CITY AUTO PARTS INC CHECK AMOUNT: $15.87 {4�0 CARMEL, INDIANA 46032 9700 LAKESHORE DRIVE EAST +y INDIANAPOLIS IN 46280 CHECK NUMBER: 178092 CHECK DATE: 10/1412009 DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION '651 5023990 339274 15.87 OTHER EXPENSES ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE* fll j} CIRCLE CITY AUTO PARTS 9700 LAKESHORE DR EAST AUTO PARTS INC. AUTO PARTS INC. INDIANAl-'UL IS IN 46280 IA 113 1B ;it ._u lu". UV -jd, jit--571-26-34 PO.-TRK 11 DA*f*l---. 1.0/01.10 C'ARMEL SEWER INVOIC,E-. 339274 9609 HAZI::*L DELL POFMWAY 0 1: N Dl A N A P Ll S IN 46280 CIO. 17 0 C*'. SLSMAN: TP f Ij U fj IT 1:-:. m 0 L IN E x UTY PRICE NET 1111OU14 Uuw 718 7 villyl INT DOOR HAN EA 1 26.56 15.87 15.87 N o J Picked By: www.circlecityautoparts.com Checked By: THANKS! SUBTOTAL 15.87 SALES TA X 0.00 TOTAL.. 15. 8 "THE CUSTOMER SERVICE PEOPLE" CHARGL.". INVOIC,E N 1E *r t wr i-i 04 T9 T7T INVOICES NOT PAID BY THE 10TH OF THE MONTH ARE SUBJECT TO A SERVICE CHARGE AND COLLECTION COSTS. 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 353686 CIRCLE CITY AUTO PARTS INC Purchase Order No. h1 9700 LAKESHORE DRIVE EAST Terms INDIANAPOLIS, IN 46280 Due Date 10/5/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/5/2009 339274 $15.87 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 096500 WARRANT ALLOWED 353686 IN SUM OF CIRCLE CITY AUTO PARTS INC 9700 LAKESHORE DRIVE EAST INDIANAPOLIS, IN 46280 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 339274 01- 7500 -02 $15.87 Voucher Total $15.87 Cost distribution ledger classification if claim paid under vehicle highway fund