179671 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY- INDIANA 0 �F1ECK AMOUNT: $273.71
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 179671
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 3.99 494117
1120 4237000 08517996 6.96 742224
1120 4237000 08517996 12.20 742500
1120 4237000 08517996 17.98 742752
1120 4237000 08517996 74.85 742796
1120 4237000 08517996 -5.24 742801
1120 4237000 08517996 96.45 743241
1120 4237000 08517996 -53.88 743415
1120 4237000 08517996 51.16 743448
1120 4237000 08517996 35.95 743767
1120 4237000 08517996 8.69 743848
1120 4237000 08517996 24.60 744385
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill td 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))
743448 $51.16
492117 $3.99
744385 $24.60
743848 $8.69
743767 $35.95
743241 $96.45
742796 $74.85
742752 $17.98
742500 $12.20
742224 $6.96
742801 ($5.24)
743415 ($53.88)
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and l have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Napa
IN SUM OF
5959 Collections Center Drive
Chicago, IL 60693
$273.71
ON ACCOUNT OF APPROPRIATION FOR
Carmo il�re Depaartment
Au� q
PO# Dept. INVOICE NO. ACCT /T -E- AMOUNT Board Members
1120 743448 42- 370.00 $51.16 1 hereby certify that the attached invoice(s), or
1120 492117 42- 370.00 $3.99
bills) is (are) true and correct and that the
1120 744385 42- 370.00 $24.60
materials or services itemized thereon for
1120 743848 42- 370.00 $8.69
1120 743767 42- 370.00 $35.95 which charge is made were ordered and
1120 743241 42- 370.00 $96.45 received except
1120 742796 42- 370.00 $74.85
1120 742752 42- 370.00 $17.98 NOV 2 3 2009
1120 742500 42- 370.00 $12.20
1120 742224 42- 370.00 $6.96 i?
1120 742801 42- 370.00 ($5.24) ,r
1120 743415 42- 370.00 ($53.88)
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
o
ON rlRIIEL,.
Control No. 528'8136
III MEDICAL DRI.E flIaR REMIT:GFC -IND
REF BY BY 5959 COLLECTION CTR.DR.
CAPN1 46 -29L CHICAGO ILL. 60693
f 1000060177404151
RECEIVED v
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
A N edLD TO DATE 0 Cho STORE NO. EMP SR
13 5 -1. 7996- CITY OF Cf ME?_' I! E DEPT' I() I. `a 9 1 74341.5 10 Gcj1 T 13 G I(�
G I V i c SO TIME PURCHASE ORDER NO. ATTENTION
13) CARME!. I! \4 4 G703iR l.... JE(',:i INVOICE TYPE Cr RE.I)11** !`'!EEO
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
I
I a
SUB 01 TOTAL MISC. d TAX TOTAL 53.
0
Control No. 5 2 7 5 1
Cif)R.11EL 11APF
Iii MID01 EVIVE 'I,/ OC R Y RENIT.GPCIND
REF AY__ VER. BY 59'59 COLLECTION CTR.DP.
CCIRVEL AG032-29K' CIDzy1w. W693
gill 111i IN 10000601 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
DTO DATE STORE NO. EMP SR
111111IM[
85-17996 CITY OF CARMEL-FIRE DEPT 1 U AWb PUM0H&Yb0 A74-12-INITIONIQ
2 civic so 1
14 t 39 INVOICE TYPE I
�(01TWITROqMEL., AXOT m66002-2t.) 1 2 "'LINE DESCRIPTION WE NET l E&hk MEDY10 CODE
1. 00- 256 L IT F L-A S -I E'R 10i. too 74.850 74.85CRT3fR
TOTAL 1.00 256 LIT FLASHER 101.100 74.850 74.85 13
TAX CREDIT FOR INVS-74E796
SUB A misc. 7 TAX TOTAL
I
f
Z".>
C.,1111.1 N.. 5 219 6 19 17
lei
i1i MEDICAL DRIVE y c "I P, Y REMIT:GPC-IND
REF
CARMTf— VER BY 5959 COLLECTIMI CTR7, 2 2
EL 4-501--ZTE' �r,,ffAJI.L. WO
1000060177422244 CH By x lie
1111111111111111111111 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE J
&M.Iffl 01919 11319 lull flulf I'll MILD TO DATE STORE NO, I EMP SR
F 02 1/ 0
13 7-- 1 79 6- C I TY 0 F? P1 E L. F IRE DEP I 4221-,
2 CHIC SI-D TIME PURCHASE ORDER NO. ATTENTION
INVOICE TYPE
1\1 4 6 03 soi F
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
f* R
9 11-00
G, 9E
c, MISC 0.6c) TAX C' 7. 4.5
TSOUTI L T 7,000 TOTAL
P
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6��
0 Control No.
52
III MEDICAL DRIVE CJCF� Y R,EMITaGPC -TPtD
REF BY_ 4ER BY 5959 COLLECTO CT R.
CARMEL 460132 -2922 CNBC�y�'ajT wG93
IMill 1 H i l 1111 1000060177425009 ALL GOODS RETURN D MUST BE ACCOMPANIED BY THIS INVOICE
Jill 1190111111 Bill! Jill D TO DATE STORE NO. EMP SR
G CITY (IF" f'1"ARi11EL_.__! IRE. U�::.F,'T I 2. 5- r
TIME PURCHASE ORDER NO. ATTENTION
INVOICE TYPE
QUANTITY P4 I T NUM 1 LINE DESCRIPTION PRICE NET L CODE
14 t yr 1i_ t �y�' G NW 4;�� HOLD L 5. 54.0 :s. c 0 1 L" T
r7 SUB TOTAL 1. 2. MISC.� 0. ("H! j„ (,1t1f_1 TAX t "t �rJ TOTAL i J" U5
Z Control No. 5 2- S., 7 4 %5 3
'�:�*PARMEL- P-1(11
III MEDICAL DRIVE y fDCR Y REMIT:Gi
REF BY VER BY 5959 COLLECTION CTR.DR),�
CARKEL i6032-2922 WffmqL. 60693
BY
1000060177427524 ALL GOODS RETURNED M ST A�11,aKAPAIQJFIF) RY THIS INVOICE
D TO DATE MT,4@M M STORE NO. _EMP I SR
C. I 'T'Y OF CA FZ11EL.-F I RE D E Pl- -7 1. IrT 4 7 r 1
T C SQ T PURR 'SL bftER Nb.'•! ATYIENTION'
INVOICE TY PE
y fl- PA A
QOANTIT TN it LINE DESCRIPTION PRICE NET t-v t&A L. CODE
2 0". [:,0 9I. BK 27.--L.ED C*"G i 990 8.990 17. '98 T3
SUB
TOTAL 1 7. &1� misc. 00 1 7. 0 C) 0 TAX TOTAL
rol -P
28
"�--7P-)RME"L- q 1
Nf-)PA
III MEDICAL DRIVE y Y PEMIT:GPC-IND
REF BY VER BY 5959 COLLECTION CTR.ffl-
CARNEL 46032-21-2 CH�M D ILL. 60653
loo 0060177427962 BY
ALL GOODS RETURNED, 44UST E ACCO IE P THIS INVOICE
AUMINF3. IfUll 1101119111 lH119 9111MLD TO DATE (STORE NO. EMP SR
83-1 Cl"rY CIF CPl -+lRE DEP 10 7 7 9 6 66017 180 11 Q
Li C I v I c l0 TIME PURCHASE ORDER NO. ATTENTION
t. i /L
INVOICE PE
7 f L�j M 1 1 T 'ti 4 F. P.4. 1 4. 1 J n I 'r I v I:? r Sol r-
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET T T CODE
L.)'.T FL-CIGHER 1 -1)1.. 10 0 4. 8 5 T30R
7 TA F 2 4 1 TOTAL
SUB 74. 85 misc.0 0 0 7-000
TOTAL
°�.s�,
0 Control No.
5 ',p t
28, 95
QaapG°aQ: r�F:�t1�_� rararn 1
0 31 MEDICAL DRIVE y 0 Cl: REMIT:6PC -IND
REF AY UER BY 5959 CQLLECTIDN CTR.DR.
CAPPIEL 4E032- 2922 10000601 7743241 CHR L 51)59 l
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
AC 96LD TO DATE o STORE NO. EMP SR
rya -17996 CITY OF:' CFIF�ME- A- °F`IRE;' DE:I-'T 1.t /1�IfU`� l�l�,�'� +i.' ?t�C ?17 .19 1t:; I•
2 c i v i c Ju TIME PURCHASE ORDER NO. ATTENTION
f 1 V i C nFZIAE1—_ I I1 46 ',:IC. —258/1 INVOICE TYPE 'I'•I l� L:7E:. �7 t�I_F
QUANTITY PART NUMBER' LINE DESCRIPTION PRICE NET TOTAL CODE
n. t F 1. 8 3 LiHO H :.K .l I I i 1 0 1 1 L- 1 3 t_? 11h. .}z)
SUB tJ t. t1i
'TOTAL MISC. TAX TOTAL
J
1 1
t
tii
Control No- 5288496
illi MEDICAL DRIVE REN M rp; I t-10
REFF BY IIER BY 5959 COILECTIM I R.
CAREL 46032-29 CH 1 (WO I' L
1000060P74137675 B R
96EIVt[)
IN ALL GOODS R 5RNED MUST BE ACCOMPA tkD BY THIS INVOICE
A 1111911 'I'll 19111 gill' TO DA 1 0o STORE NO. I EMP SR
f.) F, I 1 1: I_..... R EE
I I KJAEF CT Z G 7 t 7 lis) 11.
E c v 1C. SC! TIME PURCHASE ORDER NO. ATTENTION
1
T TYPE
11-A
F)F1 U F I NVOICE r .I
QUANTITY PART NUMBER LINE I DESCRIPTION PRICE NET TOTAL CODE
:1. 2-', 2 1.
b Yi SF "I PRO 3. 5 1, 1 9.. t
I j 6 13* 3 E C 1-4 W I Tf."F4 7 98 R
00(-, 7 C�
SUB A i 3 ,5. -33j�� 0 00 7. 000 00 TOTAL 3,5. `95
TOTAL TAX L
r
0 Control No. 52885.77
i1 IND
III MEDIMIL DRIFT PrOTH
PEF BY VER BY 5959 COLLECT
GN CTR. DR
CARMEL WM Z-
-7 [H�F D ILL. 93,
.22
1-000060177438488 BY x 1.
ALL GOODS RETURNED M ST BE ACCOMPANIED BY THIS INVOICE
AIt9 I D TO DATE STORE NO. I EMP ]:SIR
r—']*T'Y GF C
P 1 7
-_3 9- i'�
c I V r 1 1 1 1
TIME PURCHASE ORDER NO. ATTENTION
S
1 A) INVOICETYPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
T 9
3 F% f'.011kUr""M 13
1p
0. OC) TOTAL 6 G I FJ
SUB 1 0 TAX
TOT" 4 I M'SC OC)
Control No. Q Q 2 1 3 5 6
III MEDICAL DRP'E OC, R Y F'EIYI I T. la! 1C I NI)
REF B Y VER BY 5959 C -EC7 TO: ,..1 DF*,.
C AR E 4603E CLE EI ED GI _L F /M_)Ci
I I 1 1000000177443855 B �-f f~-
ALL GOODS R URN ED MUST BE ACCOMPANIED BY THIS INVOICE
URNOUll 9101111111 Bill IIJUPSOLD TO DATE mmm lK1Nbo STORE NO. EMP SR
85 -04 7996- CITY OF CARIYIE_L• -1 IRE DES+ 10/27 /i'(--)(-) c 3 744385 6601.7 1 1 10
C .I ti I C s 1 6 1 TIME PURCHASE ORDER NO. ATTENTION
C;AI MEIN', IV
.46,o 2- 14:47 1 t
INVOICE TYPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1.00 ECH tW I TCH i. G.. t )c) 7. 9800 7.98
I.lw 1-14656 Y S LMF+ HALOGEN LAW 9.. SI8 a. 9670 `aa '97
dL�` 2'. LF�_) 1 e 7 +S lo.
Few fi�i �49�r: ST g r�I�IT RN 1161.E S T PIG
A
hl lie,
SUB J
TOTAL i_ Eit_) MISC. 7� ()Sji_) TAX E TOTAL "4 60
a:
Control No. 96 45083
RAW NAPA AUTO PARTS
RETURK IN BRIG BOX N RECEIPTV OCR Y. REMIT PAYMENT TO
REF BY VER BY 5959 COLL._ TION CTR DR
317- 733-180 IN 45077 1 CI d I ('AGCJ
100006013 8 d 21 1 7 0.: i BY CEIVED
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE 0 g STORE NO. I EMP SR
L35 °017996 CITY OF CARMEL--F:tRE DEP C) /26-/2( -C)9 4921.17 :)6013 1 24 10
CIVIC S 1 of 1 TIME PURCHASE ORDER NO. I ATTENTION
CARMEL, IN 460327543 08:38
INVOICE TYPE Ch a r O B S a l e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. C)C) 765-1541 DP: NN NYO JRCK OI 4.99 3.9900 99
3.9
SUB Sd �D MISC. I U(_)C.) t
TOTAL TAX TOTAL L
t 0 Control No. 52881639
I
o ao� nra;Y�� tvrlrn �tL M 5'/ EL 1
III MEDICAL DRIVE y Oc, Y REMIT :GF'C -IND
REF BY VER BY 5959 COLLECTION CTR. DR.
CAPME•L 46032 -2 CH4g' ILL. 60693
`lU.T•p.
1 0000 601 77 434 4 8 2 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE 111111 Mil 1 11 1 1 11 1 1111 1111111 IN
F
0 AId ..m 1 D TO DATE STORE NO. I EMP SR i
mCE;5._.17996 .Cl. I Y CAF t�'('iE'MEL.- -EIRE. DE:P'i t�:) /;.F',i�i'! 74-34 Fl i) )1
m 2 C T ip -T C' 131.7 TIME PURCHASE ORDER NO. ATTENTION
m
C_)
INVOICE TYPE
u) (f d. f' R �I f Ef) ?'='-°-T` f' la c I X
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
A I_ c_' c: l i f I E? T L. Cl: I. I ti: 79!" 5 t u 161 i, =3
N
o I.
0 TOTAL 51. I. 6 MISC.0 i,), !_)C) C.),. TAX L/ t TOTAL 51.1
0.
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0- le
i I 4D
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