Loading...
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 a08ffi�, NAPA III MEDICAL DRIVE y OCR Y REMIT:CPC-IND REF BY VER BY 5959 COLLECTION CCTR.DR. CAR10. CHICAGO ILL. 606E lit III I� I I II I 0060177406841 ,ECEIVED BY x rf xA 91 �I I� +t �I I�� I �tl�l ALL GOODS RETI)AED MUST BE ACCOMPANIED BY THIS INVOICE B5�i CITY OF f a mA t al I K P S. 1212'0 EIROOKSHIRE PARKWAY (TpE PURCHASE ORDER NO. p jqqATTENTION (13) CARMEL, IlCl 46C1 D iLLI Q E R I f SQ1 F I INVOICE TY PE QbAWF('FY 755 1 P NUMBER E TPPTU- J. PR I -E8 o i TAt r� r) CODE I 9c) o.00 7 0 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