168919 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 353686 Page 1 of 1
ONE CIVIC SQUARE CIRCLE CITY AUTO PARTS INC CHECK AMOUNT: $162.84
CARMEL, INDIANA 46032 9700 LAKESHORE DRIVE EAST
INDIANAPOLIS IN 46280 CHECK NUMBER: 168919
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 319928 162.84 OTHER EXPENSES
i
ALL'COODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
LW
AUTO PARTS INC. AUTO PARTS iNC.
a- 1,21 (-1 C)I...:C;'i IN 41,280 ,A
...81.5 1.' ao
1f ti{11_ L 7 PO JEFF' C001 ER DATE.- l�)2/05/09 e
C:ARyE:L.. LJTIL i 1�:1 r 6 SE Wf. ;'R :31`:1 "1iw 8
'1 �t�J.:7 HAZEL :l._ L)I:L_I._ 1'tam4i,)t -lY o
:L'N -'tIAAI {jL_.1_`S I Al6
{;Ci XiCiC;. BL..BM4 RI- 1
I...:I :h-1EK )�I-,:sC:!-i:l:l��'1 ":C {1i51; ?C CITY i'iiIC i:: NET. i�iYl{IUhI i T
+C.,(, "l;i wix AT F TE R E::A 1 170. 19 63. 20 63.20 nl
fit "r r 0 I ti to 730 1:i i•; I C CL EA f.-_ t� I .q r? ':3 t, 1.. 9 88 ICI
WWe.'.01 ON SQ LVE:.N I E f- 1 1. r..'. 1. Y'9 ;:'..:5 l: 8 nl
i]'5 346 (,R L�1�:....:Ci::f:it EA 1'r_'. 2.81. 1:. `7`: A. f3tS nl w
:=3 o F•' L. b) (3, Ei E: t1 S E;: OWN
h! E: r t c' c' 1.14 C: 1 C%! c'. f:. C�! El hi
o d
o' LL r y U
Picked By: wwwxirclecityau$®par s.com Checked By:
`f P1F� .T ir: i 1:: .it I I ,III I I I I I I I, I I I I I I I I I I yi ...1 61 2 .84
TOTAL. Cis+
"THE CUSTOMER_ SERVICE PEOPLE"
,�1 hl4 'I' 1{)TH
INVOICES NOT PAID BY THE 10TH OF THE MONTH ARE SUBJECT TO A SERVICE CHARGE AND COLLECTION COSTS.
i
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.
9700 LAKESHORE DRIVE EAST Terms
INDIANAPOLIS, IN 46280 Due Date 2/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/10/2009 319928 $162.84
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
IJ2 -/11
Date Officer
VOUCHER 095057 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
319928 01- 7502 -06 $162.84
Voucher Total $162.84
Cost distribution ledger classification if
claim paid under vehicle highway fund