206366 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352498 Page 1 of 1
ONE CIVIC SQUARE NAPA OF WESTFIELD CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 PO BOX 245
WESTFIELD IN 46074 CHECK NUMBER: 206366
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 436602 30.00 REPAIR PARTS
100006273
__111I
NAPA AUTO PARTS Time: 14:06 Invoice Number 4366021
I NAPA f 700 EAST MAIN STREET I (VIII Ilill VIII VIII VIII VIII IIII IIII
ce P.O. BOX 245 Date: 02 /06/2012
WESTFIELD, IN 46074
(317) 896 -5615 Page: 1/1
e ED
7995 Employee: 25 RANDOLPH, ED
CITY OF CARMEL- STREET DEPT Sales Rep: 41 Z41, HOUSE
3400 W 131ST STREET Accounting Day: 6
WESTFIELD, IN 46074 I
N
z_ PartNumb_ er Line+ DesCripton >Quantity $`rice et Total.
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ROTOR LAB :LATHE 2.00: 0.00; 15.00001 30.00
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Delivery: Subtotal 30.00
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO
Terms: No svc due 10th
KEEA COPY INV f jC s Z'Oal
s..,���� s•... e� Charge Sale,. 30.00
Custom ignature
L GOODS RETURNED MUST ACCOMPANIED BY THIS INVOICE
CUSTOMER COPY
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))
02/06/12 463302 $30.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
NAPA Auto Parts
P. O. Box 245 IN SUM OF
700 E. Main St.
Westfield, IN 46074
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 463302 42- 370.00 $30.00 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
�i Wednesday,+Febr6ary 08, 2012
Street Commissioned
Cost distribution ledger classification if
claim paid motor vehicle highway fund