206177 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352688 Page 1 of 1
ONE CIVIC SQUARE CARQUEST NOBLESVILLE
CHECK AMOUNT: $468.68
CARMEL, INDIANA 46032 PO BOX 503589
ST LOUIS MO 63150 -3589 CHECK NUMBER: 206177
ON
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 2601 -92610 245.00 OTHER MAINT SUPPLIES
1125 4238000 2738171206 223.68 SMALL TOOLS MINOR E
EST Great people, great products, great prices!"
dR A e CQ OF NOBLESVILLE IN 9186 PAGE 1 OF 1
164 N 10TH ST REF# 141346
NOBLESVILLE, IN 46060
317- 773 -4274
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
II�IlIIIIIIdIIIIIIIIII�IIIIIIIII�I IIIIIIIIII III Illllfl 6 PO BOX 53589
ST LO
A UIS, MO 63150 -3589
2. 1201201190260100000926100000141346532
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
,CCITY OF CARMEL STREET DEPARTMENT rITY OF CARMEL STREET DEPARTMENT
X3400 W 131ST ST P400 W 131ST ST
WESTFIELD, IN 46074 �4ESTFIELD, IN 46074
0 0
INVOICE NO. CUSTOOMER DATE CUST. P.O. NO. SID TEAMDMATE, FORM OF PYMT.
2601 -92610 860097 01/19/12 SCULPTURE SUPPLIES R1760 CHARGE
MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX
1 29208 1 1 442.99 245.00 0.00 245.00 IN
BATTERY PACK
I QUOTED BEFORE THEY WE TURN BD THEM TO A US COMM. PCCT.)
0
A a
X
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POR RANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED
MPL IED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT
0.00 0.00
RECEIVED PAY THIS
03:10 PM BY X CUSTOMER COPY AMOUNT 245.00
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))
01/19/12 2601 -92610 $245.00
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
VOUCH NO. WARRANT NO.
ALLOWED 20
Carquest Auto Parts Stores
IN SUM OF
P. O. Box 503589
St. Louis, MO 63150 -3589
$245.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 2601 -92610 42- 389.00 $245.00 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
•Wei nesdayl Vebre 2012
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Great people, great products, great prices!"
CQ OF
Ca GUEST IND -BASH RD IN 9146 PAGE 1 OF 2
8357 BASH STREET REF# 282372
INDIANAPOLIS, IN 46250
317 849 -6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
tI� I tl�lllll�llllI IIIIIIIIIIIIII��IIIIIII� Illt III PO BOX 53589
6
ST LOUIS, MO 63150 -3589
21201201200273800001712060000282372285
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
8CITY OF CARMEL PARKS DEPARTMENT �=Y OF CARMEL PARKS DEPARTMENT
L3400 W 131ST ST 3400 W 131ST ST
L P
WESTFIELD, IN 46074 WESTFIELD, IN 46074
O O
CUSTOMER SALES TEAMMATE
INVOICE NO. NO DATE COST. P.O. NO. ID ID FORM OF PYMT.
2738 171206 460069 01/20/12 M000647 IZR1290 CHARGE
MFG. PART NUMBER O ED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT I TAX
1 CWP 18 -51 4 4 13.07 5.59 0.00 22.36 IN
EXACT FIT WIPER BL
2 CWP 22 -51 4 4 16.35 6.99 0.00 27.96 NIN
EXACT FIT WIPER BL
3 CWP 28 -59 4 27.80 11.89 0.00 47.56 IN
o EXACT FIT WIPER BL
W4 CWP 20 -51 5 15 14.71 6.29 0.00 94.35 /N
o' EXACT FIT WIPER BL
5 CWP 20 -51 5 5 BO 14.71 6.29 0.00 31.45 NIN
EXACT FIT WIPER BL I SPECIA 4 ORDER (BO)
WARRANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED
OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT
RECEIVED PAY THIS
02:35 PM CUSTOMER COPY ONTINUED
BY X
AMOUNT
Great people, great products, great prices!
COMM OF IND -BASH RD IN 9146 PAGE 2 OF 2
8357 BASH STREET REF# 282372
WOO INDIANAPOLIS, IN 46250
317 849 -6300
AUTO PARTS REMIT TO: CARQUEST AUTO PAR'I'S �n
PO BOX 503589 0 p c`A 1!��
�IIIIIIII�IIII �IIIIIII�IIIIIIIIIII�I�IIIIIIIII�IIII�IIIII�II ST LOUIS, MO 63150 -3589 J 2 4 2
21201201200273800001712060000282372285
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
,CITY OF CARMEL PARKS DEPARTMENT �ITY OF CARMEL PARKS DEPA�MENT
3400 W 131ST ST 400 W 131ST ST
WESTFIELD, IN 46074 WESTFIELD, IN 46074
0 0
CUSTOMER SALES TEAMMATE
INVOICE NO. NO DATE CUST. P.O. NO. ID ID FORM OF PYMT.
2738 171206 460069 01/20/12 M000647 R1290 CHARGE
MFG. PART NUMBER ORDERED SHIPPED LIST PRICE i NET CORE, EXT. AMOUNT TAX
DELIVER TO 1427 E 116TH ST. DeSCripti(fl
P.O.B
e„
0.1-0 U V 3 -13c)00
Bud
1„ h Line Desa
Approval pate M/ _:z
WARRANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED
OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT
0.00 0.00
PAY THIS 223.68
�1ECEIVED CUSTOMER COPY AMOUNT
02 :35 PM BY
!11! 1 11 1 11111 RE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Carquest Auto Parts Terms
P.O. Box 503589
St. Louis, MO 63150 -3589
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1120112 2738171206 Wiper blades 223.68
Total 223.68
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.
Carquest Auto Parts Allowed 20
P.O. Box 503589
St. Louis, MO 63150 -3589
In Sum of
223.68
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 2738171206 4238000 223.68 1 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
9 -Feb 2012
Signature
223.68_ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Ili