205845 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY INDIANAPCK AMOUNT: $417.40
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
o CHICAGO IL 60693 CHECK NUMBER: 205845
CHECK DATE: 1131/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351000 08508081 153.88 810708
1205 4351000 08508081 263.52 810860
Control No. 7334'139
Ro CARMEL NAPA
1441 S GUILFORD AVE EST[ 140 Y 0 ]l R Y REMIT:GPC- IND
REF BY VER BY 5959 COLLECTION CTR.DR.
CRT E, IN 46032-- CH I Q A 5'0 L
L.
RECEIVED
1000060178107084 y 6
ALL GOOD ,5,<TWrqff BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DUE I VZ@w§ Ma I STORE NO. EMP SR
85•008081 CITY OF CARMEL-BUILDING tQ/10/;EQ11 B10708 Q017 361 1t
I so I of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 4SO32-2584 10:17
(09) IWOCE YPE X Char ne Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE�
6.00 10001 LL C LUCAS OIL STABL 16.24 9.9900 59.94
Aboie Item on Sale
4.00 47060 V"FL PLA'110 OIL FIL 22.11 12.4900 49.96
2007 Chevrolet Truck Silverad 250OHD 3/4'Ton Pic 6.0 366 CID V8 V
2.00 5079279 RNX QrW-b 29.40 21.9900 43.98
SUB A 15.3. 0 001 7. 0000 AI QQ TOTAL 15-3. 8p
TOTAL V TAx L/ I I
Fax Server 1/20/2012 10:26:34 AM PAGE 2/002 Fax Server
Comm No. 7334739
4 ®I CARMEL NAPA
1415 sulm AVE SH 140 Y OCR Y REMIT: GPC IND
REF BY VER BY 5959 COLLECTION CTR. DR.
am, IN 4 10000 0178107084 "E AX O LL.
ALL GOO T BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. EMP SR
85- 008081 CITY OF CARMEL BUILDIN 10/10/20111 610708 106017 3 10
1 c so 1 of 1 TItAE I PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46032 -2584 10:17
(09) DW0ICETYPE Char• a Sale
QUANTITY PART NUMBER LINE I DESCRIPTION PRICE NET TOTAL CODE
6.00 10001 LUC LUCKS OIL STABL 16. E:4 9. 9900 59.94
Above Item on Sale
4. OC 47060 PFL PLATIMM OIL F11 22.11 12. 4900 49.96
2007 C evrolet Truck Sil erado 2500HD 3/4 Tan Pic 6.0 L 366 CID V8 V
2.0( 5o79279 RNX Wiper Blade R 29.4C 21.9900 43.98
TOTAL 153. 8 al& 0. 01 7.0000 0. 0 TOTAL 153. 8
[1] INVOICE 810708
C0 ND 7334910
®m CARMEL NAPA
1441 S GUILFORD AVE ST 140 Y OCR Y REMIT GPC IND
RUBY VER BY 5` 59 COLLECTION CTR. DR.
cAILiW ar>o z 1000060178108608 B" I cA �69�
QECEIVfiD
ALL GOOD MUST BE ACCOMPANIED BY THIS INVOICE
ACOT NO. SOLD TO DATE e s STORE NO. EMP SR
85- 008081 CITY OF CARMEL BUILDIN 10/11 .7 1 3 1(
1 c S Q 1 Of 1 TIME I PURCHASE ORDER NO, ATTENTION
CARMEL, IN 4603P-2584 11:37
(101) 1 1111 RI +OCEtroE Charge Sale
QUANTITY PART NUMBER LINE D y E SS� C /y R II PT II O N PRICE NET TOTAL CODE
48.0. 75500 NO 104S I= G. 8 5. LCD• 5L.
SUB TQTAL Ml C. 1 1J1 TAX TOTAL c63.
j2) INVOICE 810860
n
a
I
N 3 0 2012
BY—
k QPkDEV0056 SSCHNEID 201282 01/20/2012 10:25:531
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))
10/10/11 810708 $153.88
10/11/11 810860 $263.52
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC -IND l-
IN SUM OF
5959 Collection Center Drive
Chicago, IL 60693
$417.40
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
08 S a 60!R
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1205 810708 43- 510.00 $153.88
Prior Year bill(s) is (are) true and correct and that the
1205 810860 43- 510.00 $263.52
materials or services itemized thereon for
which charge is made were ordered and
received except
Mon4ay, January 30, 012
Director, Xdminist
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund