205466 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P Q��
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $185.21
CHICAGO IL 60693
CHECK NUMBER: 205466
CHECK DATE: 1/17/2012
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 08502867 185.21 OTHER EXPENSES
Account No TERMS
08502867 2'%, 10th, Net 20th
Closing Date Due Date Sequence No
12/31/11 PAY NOW 18269778
Previous Balance Payments(s) Received
349.93 346.42
New Charges /Credits Finance Charge New Balance
185.21 .00 188.72
Total Past Due Current Future
Aged 3.51 185.21 .00
Account Past Due Past Due Past Due
10 Days 40 Days 70 or More Days
Status 3.51 .00 .00
Page 1 of 2
MDG2011 00039159 1 AB 0368
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CARMEL WASTEWATER
760 3RD AVE SW
CARMEL IN 46032 -2072
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If you have QUESTIONS CALL: (877) 558 -9287 Press 1 for invoice copies.
Visit our vvebsite for invoice copies at
www.NAPAaccount.com
You may deduct early
Payment Discount of: 3.70
Therefore if Paid By: 01110112
Your Payment Should Be: 185.02
Your NAPA accou nt is on the web!
www.NAPAaccount.coni
Click on CUSTOMER LOGIN and
ACCOUN "r ACTIVATION
Enter the 8 -digit sequence number from your current
monthly statement and enter your email address.
A password will be emailed back to you.
You will have access to:
Copies of statements and invoices
Receive your monthly statement via E -mail
Up to date account balance
Last payment and date received
E -Mail your customer representative
A Finance Charge of 1.50 Percent
18.00% Annual Rate, will be charged
M onthly on any unpaid B alance
WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY�',
SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D B AND EQUIFAX
039159 1 2 046511 P
Customer Copy Retain for your Records
Acct'No. 108502867 Page 2 of 2
Customer I CARMEL WASTEWATER
Statement of Account with 4o .A.UjR�iS
Date Type Inv. No. Amount Due Explanation
11/14 RM 382857 .32-
11/30 RF 22998658 3.83 Finance Charge
12/02 RI 384813 185.21 1 truck 137
TOTAL DUE $188.72
TYPE CODES
RI Invoice RB Charge Back
RM Credit Memo RU Unapplied Payment
RF Finance Charge X# Miscellaneous Accounting Entry
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0 Control No. 7561478
R AW Kos NAPA AUTO PARTS
9501 Corporation Dr. Suite 6.Y 0 C R Y REMIT T O: G P C— I N O
REF BY_,VER BY SALES VER 5959 C O L L E C T I O N S C T R. 0
INDY 849 -1159, IN 46256 C M E EIVA 0 6
1000060103848139 x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE I (�Y oM M I STORE NO. I EMP SR
5- 002867 CARMEL WASTEWATER 12/02/2011 84813 U 010 125 10
7 3RD A V E SW 1 o f 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46032 -2072 0:57 t uc:k 137 c
2 INVOICE S
Char e Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
00 2731 I!_ UR FILTER 133.95 73.4700 73.47
24.00 5 -1.23 10L WA QT 15W40 4.99 "3.9900 95.76 1
2.00 D 8 8 8 1 1 M M NDERCOAT -BLACK 9.24 7.9900
SUB A 1.8 5 21 is
TOTAL
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 of service rendered, by whom, .rates per day, number of units,
price per unit, etc.
Payee
355214
NAPA GENUINE PARTS CO INDIANAPOLIS Purchase Order No.
5969 COLLECTIONS CENTER DRIVE Terms
CHICAGO, IL 60693 Due Date 12/30/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201' 384813 $185.21
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
Date Officer
VOUCHER 116560 WARRANT ALLOWED
355214 IN SUM OF
NAPA GENUINE PARTS CO INDIAN)
5969 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
f
Board members
PO INV ACCT AMOUNT Audit Trail Code
6 2-8 L
384813 01- 7502 -06 $185.21
vR
Voucher Total $185.21
Cost distribution ledger classification if
claim paid under vehicle highway fund