180078 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA P_CHECK AMOUNT: $58.49
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 180078
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE N UMBER AM OUNT DESCRIPTI
1207 4350000 746632 58.49 EQUIPMENT REPAIRS M
Control No.
882
1 KOO
CARMEL. 'NAPA
1 PEDIR DIN"Ic y OCR Y RI—M I T.- Grc— I NO
RE BY VEF BY T1959 '�COLLECT I ON CT R. D R
GAR, IN 46012 M. CHOIG090 ILL.
BY
1000060177466321 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
1111111110 11jil Jill OLD TO DATE STORE NO. EMP SR
5 8 8 CITY, OF CARIIEUBROOKSO'l L z A 7 3 1913")
BROOKSHIRE PARKWAY I c; f 1. TIME PURCHASE OR ATTENTION
CARMEL, IN 460333314 ff- 3-10 �NVOICEIIE
D�e I i�vet' Ch a r e
C ANTITY a I c�
PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. 0 0 6 o 2 6 6 LAAI''BATTERy 82. 5"! 58. 4 9 58.1
)000
1. oo 60 BAT Core Deposit 1, 10. 0C) 1)
I. lo() 6026, B IiT Core Deposit 1 0. 00 1. 0. o 0 0 1.0. 1) C R D
0 Prescf ibe ?by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 1995)
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
&6& 99 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
20
Clerk- Treasurer
VOUCHER NO.---,,,—WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
✓�C' 20 c
S' nature
Ti e
Cost distribution ledger classification if
claim paid motor vehicle highway fund