207503 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00350372 Page 1 of 1
ONE CIVIC SQUARE INDY AUTO PARTS INC
0 CHECK AMOUNT: $43.00
CARMEL, INDIANA 46032 9700 LAKESHORE DRIVE EAST
INDIANAPOLIS IN 46280 CHECK NUMBER: 207503
CHECK DATE: 3/2612012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 437343 43.00 OTHER EXPENSES
ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE
AIM
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INDY AUTO PARTS, Inc. oe*qce�
9700 Lake Shore Dr. E.
Indianapolis, IN 46280 1�
(317) 843-1320 1-800-543-5621
SOLD TO: 00185 317-571-2634 PO:TRK 65 DATE: 0310*7112
CARMEL. UTILITIES INVOICE: 437343
WASTEWATER 0
760 3RD AVE: SW SUITE 110
CARMEL IN 46032 CO. DOC. SL-SMAN KT
I T E' 11 0 L I N E- DESCRIPTION X CITY PRICE- NET AMOUNT T
K80631 /Op LINK KITS EA 2 40.65 21.50 43.00 N
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It
cc
SUBTOTAL 43.00
SAL.ES TAX 0.00
TOTAL. $43.00
TERMS: NET 30 DAYS. AFTER 30 DAYS A SERVICE CHARGE OF 1 1h% PER MONTH
(ANNUAL PERCENTAGE RATE OF 18%) WILL BE ADDED TO THE UNPAID BALANCE.
0 'HARGE INVOICE
NET 30 RECEIVED By
0 0185 4373 4'j
4-_. _._._0 0178-
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00350372
INDY AUTO PARTS INC Purchase Order No.
9700 Lake Shore Drive East Terms
Indianapolis, IN 46280 Due Date 3/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2012 437343 $43.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
/�Q.dzti.�.,,__.- c..-•-
Date Officer
VOUCHER 116988 WARRANT ALLOWED
00350372 IN SUM OF
INDY AUTO PARTS INC
9700 Lake Shore Drive East
Indianapolis, IN 46280
Ca,rmmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
437343 01- 7502 -06 $43.00
Voucher Total $43.00
Cost distribution ledger classification if
claim paid under vehicle highway fund