HomeMy WebLinkAbout177664 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P CHECK AMOUNT: $11.99
;o CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 177664
CHECK DATE: 9/29/2009
D EPAR TME NT ACCOUNT PO NU MBER INVOICE NUMBE AMOUN DESCRIPTION
1207 4350000 740664 11.99 EQUIPMENT REPAIRS M
Control No. 528-5360
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REF BY VER BY 5959 COLLECTION CCTR.DR.
CAR10. CHICAGO ILL. 606E
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91 �I I� +t �I I�� I �tl�l ALL GOODS RETI)AED MUST BE ACCOMPANIED BY THIS INVOICE
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PURCHASE ORDER NO. p jqqATTENTION
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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.
t Payee
WDA Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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 NO.
4.�
J n 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
Y 20 O
Si nature
T Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund