177331 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 215000 Page 1 of 1
ONE CIVIC SQUARE NAPA AUTO PARTS INC CHECK AMOUNT: $63.06
CARMEL, INDIANA 46032 111 MEDICAL DRIVE
CARMEL IN 46032 CHECK NUMBER: 177331
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT PO NU I NVOICE NUMBER A MOUNT D ESCRIPTION
1207 4350000 739654 24.09 EQUIPMENT REPAIRS M
1207 4350000 739741 26.29 EQUIPMENT REPAIRS M
1207 4350000 739750 -24.09 EQUIPMENT REPAIRS M
1207 4350000 739769 26.29 EQUIPMENT REPAIRS M
1207 4350000 74.0085 4.99 EQUIPMENT REPAIRS M
1207 4350000 740091 5.49 EQUIPMENT REPAIRS M
Control No. 55 2 41 %5
GNP&
III MEDICAL DRIVE y OCR
MONE 844•-3973 FAX 84
RE
CARMEL 46032-2922 Xf
111111111988 1 lill Jill [111 1000060177397691 RE CEIV ED ALL GOODS h MUST BE ACCOMPANIED BY THIS INVOICE
APKING11 I Jill 111MIRD TO r DATE STORE NO, EMP SR
01-W CITY OF CARNME*L/BROORC
�Fj T RE
t7. JMt /t-f'J PU9C0AjW&1RbkRNd..),( 7 AtIaTION.1
M- 001: I'-IqFRKWPiY
L I INVOICE-PE
DESCRIPTION PRfi%- L.1 E NET CI-!f- SALE: CODE
1 0(".) •87 NBH H'I POWEFZ 3 5. 9 6 9C? ..-F,. 29,
SUB
TOTAL misc. cu 7 TAX TOTAL
2G.29
0 Control No. 5
3
MRMEL
111 MEDICAL DRIVE `t OCR y
.HONE 844 -3973 FAX 844 632 2
CARREL 4E032-
IOOOOGO177397502 BY CEIVEO X
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
A N SULD TO DATED CQ f0 STORE NO. EMP SR
0)1.8 CITY OF Cr RMEL_l E1RtOCiKSHIR E 173(9750 (")iF)017 L 1C)
121'.0 BRLlOKSH I RE P(-'•IRKWAY TIME PURCHASE ORDER NO. ATTENTION
1.
l C:�lR1Y1 i_, I 460-33
NVOICE y TYPE REJ :I T ME110
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
.1 o 001 Iti79- NW-1 HI POWER 31- i'0 0 2 4. 4 09C) 24. 09CR
TOTAL
—24. ��tJ MISc.� r 1 t�[) j, i )f_)Cl TAX f t� 00 TOTAL 24. 0r�CR
Control No. r,
108ft 52,347 15
CARMEL NAPA
III MMEDICIRL DRIVE Y OCR Y
PHONE 844-3973 FAX 844-6220
1ECEIVED
CARME 46032-2922 BY X I
1 11111 1 8 11 11;11 101111111 1 URI 1101 10000601 7400918- ALL GOODS TURNED MUST B OMPANIED BY THIS INVOICE
Ag#NjNfljj 11111 1111101111 11111 110HMD TO DATE STORE NO. EMP SR
1;9111111 101111 91011 UU1111 09111 101111191111911
l85-01898 CITY OF CARMEL 'BROOKSHIRE C.) 7tAE -=I ',Cj 1 7 RtII I
R PUR(4#�FMQER NQ:') f F TION
A
12'120 Bl:% PARKWAY
9 INVOICE TYPE
1 QLjANTITL,Y-)fJ 1EL, F�ARTNIJV[PaR,.,--00(if'_�INE DESCRIPTION PRML *1 E R NET
C H Offit CODE
1.00 1067 MAC MACS ION) 79 3 5. fi 5 4.':)
TOTAL misc. TAX TOTAL
C,
;Z. (01COA, 5. 49
Control No. `5 7 3 9
0WlmARMEL I
III MEDICAL DRIVE Y OCR Y
PHONE 844-3973 FAX 844-6220
CARMEL 46032 F RECEIVED
BY
AL
1000060177400856 LGOODS 1f E AC=111 BY THIS INVOICE
ANNIN01111U1181111U1181 10101 jjjj8MD TO DATE00 STORE NO. I EMP SR
85-0189-8 ci ry OF CARMEL/BROOK31-1 C) p -F, 7 10
Tigr I PIJF3CHA'8EMT%R NO: ATTMTION
12120 F-1,RDOK SP4 T RE PARKWAY
C: 1 3 i 7 INVOICE TY
N r1^ i MI r 41
L v I I t
TM
QIJANTItl rAM N "LINE DESCRIPTION PR E NET At CODE
0 784F, o NW ALL. I GATOR 7« 990 4.99
SUB 7.
TOTAL T TOTA 99
4., 99 I 00 1 TAX o. oo
0 Control No. 5
a �;apa v
D CARME!_ NIAPA
III MEDICAL DRIVE Y OCR Y
PHONE 844 -3973 FAX 644 -626
CARMEL RECEIVED
'd `a/
f �WMGV1 bid Tr RE X
1 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
A D TO DATE D C�0 STORE NO. EMP SR
3 1B CITY OF* CARMF.l-ifBR01)KE3Fi 9 /o; /09 7 ,974 1 06 0 17 80 I(
CFI ROOKS, 11 fl A RKkif4 TIME PURCHASE ORDER NO. ATTENTION
CARMEI.- IN 4.G(J_i;' 0 0 t3(-? L:E.I. -IVER I NVOIC E i -iARGE SALE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1.00 B89 NBI•i H1 POWER 3 G e 26n 290 2G! 2 9
OTAL 26. is 9 MISC.� 00 a (j( TAX L> c (_)c TOTAL �.:Es� �1
Control N o. 5 2) 8 2 9 2
'==f. NFIr)(
jjj M
r DRIVE y OCR y
P 844-3,973 FAX 0 .44-6220
CARMEL 46032-2922 RECEIVED
2BY x
1000060177396549 IS INVOICE
III M[D TO DATE STORE
SIR
f) 189 -8 CITY OF CAR11FL/BROOKSHIRE
Tt 41 PUA ARtN PION
t
1 MEJ- I MR VPeh ER IN'f
1 E" J.20 BROOKSHIRE PARKWA'Y'
i I INVOICE TYPE
I `QOA'Wk*' EL: PANT -LINE DESCRIPTION pR.VdEL. 1. k) t 14 NET urv-t[i6tfK'L' Z:-%FiL-I- CODE
B79 NBH HI POWER 32. loo 24.o 2,4. 09
SUB
TOTAL F TOTAL
TAX I
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
A e Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
'wog 2S9 2VI �l
COQ Do 9
Total 3.
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. ARRANT NO.
V/9 A I 'k '�O AY,
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
1,20 6201 -P
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
cso- crU bill(s) is (are) true and correct and that the
d p materials or services itemized thereon for
W which charge is made were ordered and
p 0 received except
S I
7
/y 20 6�
gnature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund