179670 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANAPp��
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $1,119.48
CHICAGO IL 60693 CHECK NUMBER: 179670
CHECK DATE: 11124/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 08517995 1,119.48 REPAIR PARTS
Fax Server 11/16/2009 12: 03:55 PM PAGE 2 Fax Server
AZIM `.°W N°. 5281793
4 anW� :ARMEL_ NnPn
III 9LICk DRI'.IE Y OCR Y RENIT:6DC -IPID
REF BY_ VER BY 5959 CMACTIDN CTR.DR.
CAPMEL 4603 -2922 1000060177430770 C 1XL. 60693
1111111111 11M 1111111111 IN 1111 ALL GOODS RETURNED MU51 6E ACCOMPANIED SY THIS INVOICE
D TO DATE 92 0= STORE 140. EMP SR
85 -1T39S CITY OF CRRMEL- STREET DEP in /12/09 743077 06417 19 11l
34 00 W 131 ST TIME PURCHASE ORDER NO. ATTENTION
(1 C)) F T F.r)7 (ti,f "l (7 WV°cerPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1998 Chevrolet Truck K150o 1/2 Ton ZWO Piclu 5,
1.00 25- 060966 NBH SERPENTIt 69.060 40.190 40.
1, Cr0 25 -06096o NBH SERPENTI 69. 300 40. 390 4o.39
1.00 43315 TFW NEW WATEF 94.500 1710.190 60. 19'„
TOTAAL 140.77 Mlsc.� Q 00 7. SOU TAX U. U0 torAt 140.77
[1] INVOICE 743077
l
y [QPADEV0007 SSCHNEID 320874 11/16/2009 12:03:071
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))
11/16/09 $1,119.48
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
VOUCHER NO. WARRANT N O.
GPC -IND ALLOWED 20
R r IN SUM OF
5959 Collection Center rive
Chicago, IL 60693
$1,119.48
ON ACCOUNT OF APPROPRIATION FOR
-40 Carmel Street Department
a3�
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE
2201 42- 370.00 $1,119.48 1 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
M a /Tuesda�, l jj ov r 17, 2009
Street Commissi ngr
StmAt r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Control No. 3 iii 5 0 Tj
o®
C'PI IR M E I.- 1',l Pi F n
ill MEDICAL DRIVE Y OCR Y REMIT:GPC-IND
REF BY IVER BY 59&%X&LW'fI0N GTR. DR.
CARMEL 460.3 grAGO I 6069
111611 1 1 1 soil !3RI 7j ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
jQ0006017f.2 7908
mmll 11111 mll 1 1 �1110�DTO DATE00 STORE NO. EMP SR
11§11 11H 101 11111 loll WN
TIME PURCHASE ORDER NO. ATTENTION
83-17'-D�35 CITY OF C'ARME1---ST1-1E:-:'ET DEP
3400 W 11 ST
INVOICE TYPE
QU ANTjTy--,- _T N VMIEQ LW DESCRIPTION PRhjt"' NET CODE
1.00 311.8 FIL NC)FIC-1GOL-1) e:: 95o 6" 9 0 6. C 9 R
1. ()0 7t'-- 4. ":3 FIL NA1.4-1GOL-1) 3 1. 1 C. 8. 4 9 i 8. 49 R
1. 00 6-,5 G 9 FIL. NAPrIGOL.D 53. 880 1 ZI.. 190 14. 1-9 FR
1. 00 G- 5C 2' F IL IWIPAGOL.D ':3; 2'. C-00 E., 8 8 24. 88 R
SUB --r'
TOTAL misc. TAX TOTAL
Control No. 5286782
III MEDICAL DRIVE Y 0 C P, Y PEMIT.-GRAND
REF BY VER BY 5T53 COLLECTION CTR.DR.
CARNEL7 -292 L�L 93
1111110177420905 CHKJL
,y x qpJ
ALL GOODS RETIJ NE
�(�LIST BE ACCOMPANIED BY THIS INVOICE
AMV.I%!l 9191 IIVII U 51111 IUIII 81 1 WD TO DATE STORE NO. EMP SR
85-1.7 CITY OF CARtf1E*L 5 "1" F� i .:7 ET DES' '1 )/01 0 7 ("1 C4 L- 7 .3
C) I it 0
4 10 W I I r s r TIME PURC ORDER NO. ATTENTION
INVOICE T YPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
0 Q 4 1 ER 1 1 3 I:1 0 hi E 1. I.5. 9 C 1 4 75,
TOTAL
SUB I L 5. 6 ID
misc. 000 TAX C) c c)
OTAL I T1. AX 1 1
T
0 Control No. 7 9
O1CA`G?Pr11 _L 1 n
112 MEDICAL DRIVE 4` [ii:' 1' REMIT:G!'G -IND
REF BY VER BY 5959 COLLECTION GTR. DR,
CARMEL—bt38 =2cr P CHA 6193 n
i 1000060177430789 BY
ALL GOODS RETURNED MUST BE.A000MPANIED BY THIS INVOICE
t
81911111 D TO DATE o STORF4, O, EN1P SR
85 -"1 '9')5'' CI7'`Y OF` :C(1Rr4EL._ -rR ET DEP
TIME PURCHASE ORDER NO ATTENTION
VV ICE TYPE
QUANTITY PA T NUM 1.;1177r,
BE LINE' DESCRI Y O PF(I .1 NET v 0 L CODE
HAV DEX_.GOOL 13 2,f-0 11.e 49(p
Sub MI. 0. l e )t_ c� y TAX.
TOTAL �1:i SC
r :TOTAL �,8 o 9 4
Control No. 5287615
Ci~)RMEZL NOP1
III MEDICAL DRIVE y OCR Y PEMIT:GPC-IND
REF BY VER BY 5959 COLLECTIal CTR.DR.
CAP,V '032-2922 CHWAMDIL�- 6 w
BY ,f "7 �z e
1000060177429041 ALL GOODS RETURNED MUST B ACCOMPANIED BY THIS INVOICE
D TO DATE 0 STORE NO. EMP SR
4
F35--17 CITY OF CNIRMUL S bEP TimE,, "I PUR0 tfFkbER Nb' kTTENTION
3400 W 131ST ST 3- INVOICE PE
GA t y
r F-FrCVT)�j Z7, 1-11
CODE
RTh0 MBE -tAt-" DESCF(0fidW-: PF411- NET
.1 0 7 7 C) 3A 6 5 IF, K, STY1 US L.E 95 19. 990 .19. 919
rlbove 1tem on Sale
SUB T TOTAL
TOTA misc. 7. 000 AX
Control No.
5287583
'��Cn- RME NAP('i
III M.EDICPL DRIVE y 0 c F� Y PEMIT:GPC-IND
REF BY VER BY 5959 COLLECTION CTR.D
CAP NEL 60693
By Y/
10000601'77428738 ALL GOODS RETURN/K* BE ACCOMPANIED BY THIS INVOICE
AbUM111 01811 HUM ID111 WHO 1111$H[D TO DAT 0 GQ 0 STORE NO. EMP SIR
85-1 CITY OF U*)R;,1E--'L.--s I Cl Z CQ I I I.:, 1Q Q -1 7
3 7 TIME PURCHASE ORDER NO. ATTENTIO
1, 0 0 W 13 1 T S T W
INVOICETYP
tj I
LfN E DESCRI 04" Wdr. NET Yd CODE
1.( 7 3 i 49 U K 01' 1 F1 L.T*E 8 C 1 6 7. I. 2C 7. 12
SUB TOTAL
TOTAL 7., 12 misc
1 1
0.00 7 0 0 0 TAX 7. 12
M 0 r Control No.
52885
li
1 I] i4Ef1TCC�L PRTIII: Of'.'; 'A �c�1iT ;GPC —IND
3
P EE B`r IiEF BY 5;59 COLLECTION T ION CTK, ER.
CAP14EL 46032 -2922 CH °tk 6()691 2
1141 10000601 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
D TO DATE M0 STORE NO. EMP SR
85-17995 1995 CI Y OF CnE7MEL.."" REET DEi- PUA6HWSE btbER NW( 1 t At.TtNTION td
3400 W 7 INVOICE TYPE
WJTW- N BE1 E DESCRAiMlb pgjdE-..! NET j_.t I ;:a Ha ...L= CODE
2. 7565 BAT BATTERY 127.910 69.690 139.38 F
SUB A MISC. TOTAL
TOTAL
77 f1cliA
0 Control No. 528785Bl
UND
NAPA
III MEDICRL DRIVE Y OCR Y REMIT:GPC-IND
REF BY VER BY 5959 COLLECTION ETR.DR.
D14.. 0693
CARrIEL 46032 CHfg
11111 t III 111111111111 IN 1000060177431421 ALL P G RE MUST BE ACCOMPANIED BY THIS INVOICE
�101104fijjj 111glill 101111 �D TO DATE I EMP SR
OM QQ@ Ma STORE NO. I
B3 CITY OF CARMEL-STREET DEP jelip—
3400 W 131ST ST -11.1 PUW'HA ERN1 AfT1?NTIO1,1-
W -2 1 1 19 INVOICE N PE
NET CODE
MUM DESCR101qb'q p L,rll�- MALE
1998 Chevrolet Truck K1500 1/2 Ton WD Picku 5.
4.00 5152 FPG WATER PUM 1.320 1.090 4.3E
SUB TOTAL
OTAL 4. 36
T '-).oO T. 000 a EFT-n 00 4. 3IS
allUWpULD c_ Control N" 5287864
I-
III MEDICAL DRIVE Y oc R REMIT Gt':
REF BY VER BY 5959 COLLECTION CTR.DR. x
CARMEL 46032-2922 60693
10000601P17431485 BY x
INI 111111 1 11 mill im 11111 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INV OICE
WHO 11111 IlYll 91HU11011OLD TO DATE 0 cQo STORE NO. EMP SIR
RE 5 1 7 7 -9 5 C T f Y O CA FR M E I- s; r P-Z E L- f D E Fl i Ci i 7z rig
3 TIME PURCHASE ORDER NO. ATTENTION
34-00 W 1.1.11ST' S'T
W, INVOICE TYPE
l-Ir-g-T:p7 TKI 4 A.... l -1 rn p �i A Fl P p
6 7 f i
QUANTITY PANT NUMBER L (f& DESCRlPtFdN" P Fril (C E NET P TOTAL CODE_
199, Chevrolet T'ruck i Ton ZiWD Pliclut 5.
1 0 C 3 8 1 7 a. Li- 4 7 7 45. 7'7
0 3 6i )C) I NBFi '[DI-ER P 4C 4 9
SUB
misc. TAX
TOTAL 72. '76- 7.00 72.76
Control No.
NAP* CARME1 8821605
III W.01cri DRIVE y OCR y REM I T. GPC-- I ND
WY BY BY 5'J59 COLLECTimi CTR. ID P.
(7
m VER pk 460M E C Fi 1 6 93
r
RECEIVE
1000060177446200 BY x (;I
ALL ETURNED MUST 9E ACCOMPAN[E[)'8YfH_I,9 INVOICE
1 IMOPAQVIII U 1113 61113 11111 UVIJ 101 �OLD TO DATE STORE NO. EMP SIR
85(')*179cJ5 CITY OF7 CARMEL.-STREET D (J)6017 80 1 J. c)
3400 W 131ST ST I of 1. TIME PURCHASE ORDER NO. I ATTENTION
WESTFIELD, 11 460748267 W- 2-14:24 1 27- Ci n ji:a I
2 5') IDelive r, I 'INVOICE PE I (,harrie Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
10. 00 1148W--22 OW SINTER WIPER &A 11.88 6. 6 o 1
TAX T
SUB 15-4 016 MISC. 0 _71. 000 0-00 T
TOTIL
Control No. -73
Oft 5 2
DICARMEL •IAPA
1 MEDICAL. DRIVE OC R Y REMMGM-IND
REF BY VEP BY 5959 COLLECTION CTP.DR. f i
CARMEL 46032-292
CHgPWDIW
2 6CI693
1 11 1 1000060177426687 ALL GOODS RETURNED MUST BE ACCOMPANI D BY THIS INVOICE
�D TO DATE STORE NO. EMP SR
�S 75 .1 9 9'_ C, I 'r y 0 E C ARMEL-G DF-) PUAO t)F(E)ER Nb, b (..11. Abrtgrlml. t..)
0 0
W 131ST ST
4 L_ INV O ICE TYPE
QbA 1NTP0*-': I I E.LART WABEAt 14 C-L DESCR14T-fW3-'."' PFWELIVER NET CHAfMCL SALE CODE
1. 0 7 -,91. M/ DIGITL T• 1( 830 7 4. 3 9
Above Item on Sale
SUB
TOTAL
'74 1:411 IMISC'O TOTAL
-1 1 7'
Control No.
allUWll WD r. 5288524
III MEDICAL DRPIC JD C. I PENIT:01)CI-IND
REF BY VER BY 5959 COLL ECTION. CT DR.
CAME 46032-2 2 ChicArIaDT
BY
000 OES 0 1 %743 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
D TO DATE STORE NO. EMP SR
1 1 7 S TY 0 F r�, i*? i E i "r R U E F, TftAt PUR(fkkSg OR ER NO' I Af
I T ELATION -L
J95 C L 1 7 f
INVOICE T YPE
PAflT 'MBE V' Lfl4t'*.,DESCR07rib4 PqldO-' 1 1 N NET CODE
-4!5. 5 i2l,
L A I B A TFEER Y
7c
B AT '1., 0 R E D E P C •0o
T TE' R V 9 1
BA F B A G3., 5
SUB
TOTAL 1 2 9 F, misc. x TOTAL L
K/\ Control No. 52187344,15
UM� I
7 IRMEL NW)
III MEDICAL DRIVE Y DCR Y REMIT:GrC-IND
PH U PER BY 5959 COLLECTITI CTR.DR. I
CARINIEL 4032-2 R 07
1111111 lull 11111 111111111111111 J.�lj ill 10000601'77426400 ALL GOODS RETURNED jpVT f PCCOMPANIED BY THIS INVOICE
AW.R1011 910JU jille 11111 g loll W�D TO DATE mmax OM STORE NO. EMP SR
)85-17995 CITY OF CARMEL-STREET DEP 1 n r�) h CC A o
f lan 1 7 ig L cl
li 1 ATTENTION
3400 W 131ST Sl' TIms PURCHASE ORDER NO.
1149
IMOCE TY
AAM", i w 0/1 PORT %BE OW DESMOMW PR NET CODE
QQUANTITY 7 r. T
1.60 2648, FI&NAPASOLD 64. 120 17. 8 7 17. B rz
1.00 3533 1 r' I: 14-)PAGOLIA 50.700 13. 390 13. 39
1.00 35._,,:.. FIL"NAPAGOLD 50.360 13.290 13. i---.! 9 R,
1.00 16 1 F IT .7
I f! -lYl)R 157. 040 41.890 41.89 R
1.00 1243 FIE [ifTSA i 4.i 2O 390 3.79 R
TOTAL [I CI P T I D nQf**) Q7
AQW01 1-) 97 R
19. 20 0. 0',: 7. 000 0 28 0 oc) 1 TOTAL 20
Control No.
52C8141
R 11 E I
ill MEDICAL DRP T y 0 C,'Fl Y RErTr:6PC-IND
REF BY VER BY 5959 COLLECTION CTR 11R
C A R M, E 4 FA) 3 L 29 c
2 9 2 CHd MJLL. 6069
1000060177434204 BY x
ALL GOODS RETURNED M J J;T ff ACCOMPANIED BY THIS INVOICE
AWPIMU. U 1011 11 11101919 11311 UNJIMLID TO DATE V*6j� M STORE NO. I EMP SR
05-1.7995 CITY OF CARtf1EL---S--TK:.E DEf- '1 1 5 10 17 17 4 73 6
3-if)0 W 131ST ST TIME PURCHASE NO. ATTENTION
21
W:STETELD. IN 46074- 112E,7 INVOICIATYPE_, I MIL Nil
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
0 2 C, 6 0 9 6G NIWA SEFRP es cj c.) a c) 1 04). 1 1 9 0 4 0. 1.9
.i.
G 6 5— i 4.. 9 ('L I P C-, 7 4. 8
T OTA L —35. 30 misc. 00 1 I. 000 Q( �j 0. 0() 1 TOTAL �j 35.
Control No. V A p r,
O R
(IR L HAP()
III MEDICAL DRIVE y 0 C r� Y REMITOdul'-PID
REF BY VER BY
595.-' COLLErTIDI CTR.DR.
CARMEL 460.3L -2922 c' L�W&C14. 60693
Ipp, I.C100060177422477
ALL GOODS RETURNED MUST BE AC WANED BY THIS INVOICE
J11111WIDTO` DATED CQ0 STORE NO. EMP SR
1 79 9 v C I TY OF DE 1. 7
1. PA014A�4 JRf)ER N 9� AT#aNTION1- 11
t W 1.31ST ST
"ANVOICE TY PE
QdAN-Iif�-tj •1 1- 1 L L PART hWBdF4E*1 DESCRIPTION PRICE NET L"H�rtbT.XL CODE
E,0 P, 27—LED C'0 I( S490 Q. 99() 17. '98
TOTAL
(Y.
SUB 0(m) TAX
17. 911 0 7 TOTAL Y .1 7. -9 A
Control No. 5288536
All NEDICAL IRK REMIT.IGIC-IR
REF BY !'ER BY 5959 COLLECTI
CAtMEL -7 03'
100000 ALL GOODS RE AR+D1, MlJSY BE ACCOMPANIED BY THIS INVOICE
j
111111MLD TO A DATE M%V��M M STORE NO. EMP SR
/V
'TitAF PUR(5RAtd dRbER NO' AWENTION'
E) FP
A. I INVOICE TYPE
i... E T1 1-4 r-
�PNTNW PART AMBE 'tAt"I DESCRJ" NET I-I tofg L -:7 CODE
4 1
7 R
SAS of OVE AL 732"T 1 99()
SUB
TOTAL misc. 0, QQ�T'Z, TAcX TOTAL -34,
Control No.
52873'46
FZ;IEL 'NIAPIC.)
tit MEDICAL DRIVE Y OCIR Y RFMIT:LTC-IND
REF BY VER BY 5959 COLLECTION CTR DR. f�r
CARMEL 4603
BY x
100006017742641 ALL GOODS RETURNED q1L �fqEACCOMPANIED BY THIS INVOICE
4=1011 1111U 11110 lifil U1111 11010LD TO DATE STORE NO, EMP SR
C' 0f"' F'f-)R!Y1Et..--S_FREE1* 1 1") 7 f t r4
TIME PURCHASE ORDER NO. ATTENTION
.3 F 67
INVOICE TYPE
1. 1 4. r p I g I Q T i t) YA r I T I I r. I. P4 I r, p f V P% j I
QUANTITY NUMBER "L:1Nff DESCRIPTION PRICE NET TO AL CODE
0 F*TL.. HYI)FR Ej 2 3 6
Cj r:4 7
97 R
SUB TOTAL 22. 9-7
TOTAL 22. 97 jmlsc-�j 0. 7. o00 TAX "t 1