HomeMy WebLinkAbout168562 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 361867 Page 1 of 1
ONE CIVIC SQUARE KEYSTONE AUTOMOTIVE INDUSTRIES gi
CARMEL, INDIANA 46032 3334 MESILLA COURT
CHECK AMOUNT: $112.50
INDIANAPOLIS IN 46226
�o' CHECK NUMBER: 168562
CHECK DATE: 2/412009
DEPARTMENT AC COUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 BB188658 112.50 REPAIR PARTS
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INDIANAPOLIS, IN 46226 DATE 01/16/09 08:35:26
Phone 317-895-0530 PAGE 1 OF 1
Fax 317-895-0852
BILL TO SHIP TO
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553858 CITY OFC4RN1GL FIRE DEPARTMENT
CITY 0FCARK0EL FIRE DEPARTMENT 2 CIVIC SQUARE
2 CIVIC SQUARE CARN1EL 48032
r CAR[NEL.|0 48032 317'571'2000
317'571'2600
ORDER NUMBER OR ER DATE SALES REP CUSTOMER P/O NUMBER P TERMS
For Questions, contact ANDREW CASALINO, 317-895-0530, INDIANAPOLIS
SHIP DATE WRTN BY CONTACT R/O NUMBER SHIP VIX
2OO2 CHEVROLET TAHOE(2OOO+)
GK82592113 1 1 0 75.00 56.25 EA 56.25
FOG LAMP;P+;LH;80'U2S|LVERADO
80~86TAH0E/3UQURBAN
GK82593113 1 1 O 76.08 56.25 EA 58.25
FOG LAW1P;P+;RH;89'O2S|LVERADO
00-06 TAHOE/SUBURBAN
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BUMPER INVENTORY IS BASED ON CORE AVAILABILITY, CORE RETURN IS NOW REQUIRED.
ACCOUNTS OVER 30 DAYS ARE SUBJECT TO 4 l 112Y6 FINANCE CHARGE ANNUAL RATE 18%
MERCHANDISE HANDLING MISC CHARGE TAX FREIGHT DEPOSIT DEPOSIT INVOICE TOTAL
TOTAL AMOUNT APPLIED
Received By:
Cash Purchases returned on the same day as delivered will be refunded by your local branch. All other refunds will he processed by
Keystone Automotive Industries' corporate office and sent via U.S. mail within seven (7) working days.
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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))
BB188658 Fog Lights VIN 5823 $112.50
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.
S
ALLOWED 20
Keystone Automotive Industries, Inc.
IN SUM OF
3334 Mesilla Court
Indianapolis, IN 46226
$112.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 BB188658 42- 370.00 $112.50 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
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a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund