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207874 04/10/2012
CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA Pp��g 0 CHECK AMOUNT: $950.29 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 207874 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 85- 017996 950.29 REPAIR PARTS Page 1 o 1 STATEMENT OF ACCOUNT WITH o INAPAI ACCOUNT N0. TERMS DATE TYPE TNV_ AMOUNT DUE EXPLANATioN 08517996 GOV`I'.45 DAYS NET 03/02 I 824660 T: 41.83: CLOSING DATE PAST DUE DATE SEQUENCE NO. 0 .0 5 91 03/31/12 05/15/12 18585337 03/02 I 824702 T: 17.84✓ 00 /00 .00 4591 PREVIOUS BALANCE PAYMENT RECEIVED DISCOUNT EARNED 03/02 ZI 824740 T: 85.50 00 /00 .00 4591 582.01 582.01- .00 03/05 I 652328 T: 212.44 NEW CHARGES CREDITS FINANCE CHARGE NEW BALANCE 00/00 O O 4591 03/05 I 824856 T: 54.9 950.29 .00 950.29 9 03/05 I 824895 T: 107.83 TOTAL PAST DUE CURRENT FUTURE 03/06'1 I 652936 T: 10.13V AGED 00/00 .00 E42 ACCOUNT .00 .00 950.29 03/07 M 825181 T: 114.74 STATUS PAST DUE 10 DAYS PAST DUE. 40 DAYS PAST DUE 70 OR MORE 0 0 O 4591 03/07 I 825183 T: 12.99 .00 .00 .00 00 /00 .00 4591 03/07 I 825252 T: 153.40 USTOMER: 03/08 M 825310 T: 14.24 03/08 M 825329 T: 35.40 CITY OF CARMEL -FIRE DEPT 00 /00 .00 EONNEVILLE 2 CIVIC SQUARE 00 /00 •I 826639 00 5: 330.08 CARMEL IN 46032 -2584 03/21 I 826752 T: 3.79' 00 /00 ,I 826985 •00 507 10.49' 00 00 •I 826986 00 507 14.99V f you have QUESTIONS CALL (877) 558 -9287 Press 1 for invoice copies. 03/26 I 827245 T: 16 .49 visit our website for invoice copies at nanaaccount.com 00 .0 orklift zero Bal.. Zero Pal. 03/29 I 827761 T: 41.88 J No Payment is required. Your Acct Shows a Zero Balance As of the Statemeni: Closing Date. '.Clank you For Your Business and Payments. Ple I= uG you cds -T�-s e•n LEASE REMIT 16: L GENUINE PAR'VS COMPANY INDIANAPOLIS, IN 5959 COLLECTIONS CENTER DRIVE; CHICAGO IL 60693 Important: To insure proper credit please return right side o f statement with your payment. 1f Eor some reason all items a re not paid, please enter a check mark and explanation wide each item NOT PAID. TOTAL DUE .00 SHOW AMOUNT PAID Please Remit this Statement with Payment and Retain a copy for your Records *TYPE CODES RI INVOICE RB CHARGE BACK RM CREDIT MEMO RU UNAPPLIED PAYMENT RF FINANCE CHARGE X# MISCELLANEOUS ACCOUNTING ENTRY WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D H AND EQUIFAX aC�apaD Control No. _7 2 0 4 CA1 NAPA 1441 G (MIUMM) AVE STE 10 Y OCR Y REMITWPWIND J H P MY BY ER BY 59 A. C ,-I CARME, IN 415032- W JE W 1000060178246601 59 Y 6x ILL GOODS Rq&RNED MU ST BE 7ACOVPANIED BY THIS INVOICE ACCT NO. SOLD TO DATA pZ@Nj MA I STORE NO. EMP SIR 85-017996 CITY OF CARMEL-FIRE DEP 03/02/20121824660 6601 1 ISO-, 2 CIVIC GUUARI.::, 1 of 1. TIME PURCHASE ORDER NO. I ATTENTION INVOICE TYPE CARMEL, IN 46032-25S4 na-11 SQ'I LEM QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1.00 VS50088R F- .4.3 VALUE CUR GPMET 30.58 16.1900 16.19 1.00 MS90131. 17 r c vm i F rou aw 48.44 25.6400 25.64 1999 GMT Truck Yukon 5.7 1 35M CID V8 11MIL 1 8 3 fmst.-o 0.?01 7.0000 TAX Cd 0 0 0 TOTAL 1. Control No. 7299453 RAW 'C'ARPIEL NAP'A 1441 a GURIORD AVE ':)'1[ 140 Y C.) c R R E 1111' G C 111 D REF BY VER BY 5 COL. ji DR. CAMEL, IN 40-32 c �,;O Q L L &l`�, 1000060178247021 BY ALL GOODS R a; &OMPANIED BY THIS INVOICE ACCT NO. SOLD TO DA E STORE NO. EMP SR 85 I (9 11 3F, CTTY I r! 6:!., I .0F CAF'Z1Y1'E: DEP f I I TIME PURCHASE ORDER NO. ATTENTION 2 c I v f c I-i A f 1 .1 f I CARVIIEL, IN 46CC32-2F INVOICE TYPE Cv f QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL '-'Z;bDE 1. 0 7 E 5 1`,B9 f3 K PTEX ULTRA MCI( 500 3 5 I C) •3 49 8 K, WICK DIAL TIECT Ia. (2 1 4' 1.0. 4' SUB A 0 TOTAL C( TAX TOTAL 8 -)T 1 7. St Control No. 7299495 0® 0:11-RIYIEL, I'd PT) r I 1 IN 7 1441 S GUIUND AVE ST 140 Y C R y R lyl I REF BY VER BY 5959 COUzECTION D R. GAME, IN 4032 1000 2E:' LL. t 060178247405 y w--x A LL GOODS ETURNED MUST BEPCCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DA E 0 CQ0 STORE NO. EMP SIR ,-1 01 -7,: 19 C- r 1 "I CAF I A 4 �46 d)(, 0*17 I -FT RE: DEP civic S G! u A 1 F 1. of 'I. TIME PURCHASE ORDER NO. ATTENTION C A R114 r 1, IN 46032-2584 13:25 A 'I- 1 1INVONCI TY 'VANTITY MAIL CODE Q PART NUMBER LINE DESCRIPTION PRICr NET T I C) C) 899 1 NBH CURVED VADIATOR 29, G', 17. 2600 1.7. 26 1. 0 i 1. 1. 0 ICE 5 NBI-i 9RL DIP COOL H 1- 3 8. 1 T 1999 GINX I Yukon 5.7 C. 350 CID V8 i 0 45 —i G. ()9E, 6 NBIA Belt Serpentin 64. 2i- 37. `77 3 '7-7 I. 00 38001. 1'qBH Drivebelt idler 38.:i E' 2. 3 4 C) 2. 3 4, SUB TOTAL 85. 5') C ()()?j TAX 0 E TOTAL 85.5T Control No. 7 RAW 614370 K�o NAPA ALJT0 PART-'-*:� RMI-9 IN BRIG BOX W RECEIMY OCR y REMIT PAYME 1 REF BY VER BY 595'--1 COLLECTION CT DR 317-733-2180, IN 46077 1 Q CHICAG21L 1-1 RECEIVED 1000060136523284 BY X" ALL GOODS R[EtURNE A#MPANIED BY THIS. ACCT NO. SOLD TO DATE STORE N6 R .95- 0179` 6 C-ITY DF• CP -F'IRE DEP 03/03/2 65232.8 6-01"-'ITI CIVIC G(;RJARr'1' I of 1 TIME PURCHASE OR DER NO. ATTENT ON: r tARMEL., 258A. 09-. 55 -591 INVOIC PE 'a (o le 3) Charge S QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 44 i -S t0 ME) 0 DISTRIBUTOR 2. 5. 3A. 21. 4 SUB e 4 41 M 1 7 TOTAL 4 TOTA TAX QaapaD Control No. 7299615 CC41RME NAPPI 1441 S GUILF910 AVE STF 140 Y C "I C R' R E'.M I T G F 111 D REF BY VER BY 5959 COLLECTION CTR. DR. CWL_,IN 46032-Ir CU&Q9 L 1000060178248565 y Wl__ ALL GOODS RliftTRNED_MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE STORE NO. EMP SR 8A 5 1799E, OF- C AF1 E L F I R E:. D F Zi, 1 1,7, TIME PURCHASE ORDER NO. ATTENTION civic SQUARE I of I 1 1 -RMEL, IN 46-Cy�*: D CA I NVOICE T_�PE QUANTITY PART* NUM-B.ER- LINE DESCRIPTION PRICE NET T 1999 G PSI U" "f'. =(ukfjm "J. 7 1. '3 5 C I D V 8 1 {:1 C S s im 1 12" p. 9 IYPE Craiihhaft SUB mist. c 0c) '54 TOTAL J TAX TOTAL Control No. 7299657 UAW '��e CAIRME1. NAP 1441 S GUILiFORD AVE STE 10 Y OCR Y RE: MIT&PIC-IND REF BY__ VER BY 5959 COLLECTION CTR.DR. Cffla, IN 46032-IM CUD L l-; "I" 1000060178248958 c BY ALL GOODS ItT By BY THIS INVOICE TURNED MU ACCT NO. SOLD TO DATE co E STORE NO. EMP SR 85-017996 CTTY OF CARMEL-FIRE DEIP TIME PURCHASE ORDER NO. ATTENTION 2 CIVIC GUUAR('-.: I of I CARMEL, IN 46032-25S4' SO WVOC PE _6UANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL '-'CODE 1999 WE Tfu ck Yuko n 5.7 U 350 CID V8 1.00 HS7733PT-lG FPQ Cylinder Hnd 1 135�98 71.9900 71.99 2.00 E372856 FPG' 414der Head Ba 35. 35 17.9200 35.84 SUB TOTAL :1 7. 2. JAM. 0. 00 1 7. 0000 0. TOTAL 1. 07. BI, Control No. 7615031 RAW o® NAPA AUTO PARTS RETURNS IN ORIG BOX W RECEIPT' OCR Y REMIT PAYMENT TO REF BY VER BY 5959 CO' I rrCTION CTR DER 317-733-2180, IN 49)77 1000060136529368 -1 F Ca m 6� ITE r ALL GOODS REJURNED MUST ACC 94PANTED BY THS INVOICE %%�M STORE NO. EMP SR M I ACCT NO. SOLD TO DATE mmgm 85-017996 CITY OF CARMEL-FIRE DE 03/06/201* -.52936 013 F, 36 2 CIVIC SQUARE I of 1, TIME PURIWASE ORDER NO. ATTENTION CARMEL, IN 46032-2504 17: 0", 42/ 1 VOIC TY 06) charge S <l le QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 2.00 H-175 NBH RJE LINE [ON 1.62 1.3200 2.64 2.00 505-1204 B 1- KH CLW 1.19 0.5700 1.14 2.00 505-12OF-F BK. NOSE CLW 1.19 0.5500 1. 10 1.00 90542ck NTH FITTINGS 3.02 1.7500 1.75 1.00 90 54'7 NTH FITTINGS 3.00 1.7500 1.75 1.00 90546 NTH FITTINGS 3.00 1.7500 1.75 I mys'g: 0. 1: ;W SUB 10.1 0 1 7. 0 0 0 0 A io. TOTAL Control No. 7293969 RAW 0® C (I R M E L. I'A (I P A 1441 S GUILFGPD AVE ST 140 Y OCR y R I 'T' e G P C T. 1 4 D REF BY VER BY 59 COLLE- C'T'R. DFZ. cwra, IN 491 1000060178251818 BY LL GOODS RETI.IANED MUST BE AC OMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE00 STORE N6. EMP SR c 7 e. 5 0 i 79 C I"Y El i= C A F1 M E:*'L F 1 R F DE: r r s r u r TIME PURCHASE ORDER NO. ATTENTION 2- c 1 v I c 1-3* Q u (i lr� E 1 c, f CARMI IIIJI 4E thVOICE TYPE ri i f QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET WMAU ODE -1, 0 E S 7 E2 8 5 6 FPIG HEAD BI1T SET 35. 85 1 'D L* O 0 1.7. R Th i item. was purchased oyi invoice 8'24695 1 sill iii F= GR AF T SE S 54. 54 99 CR C S 1. 2 B I Fh i item was pur 0y) jr,, iCe f.3 /485G C VALVE 0- c* 8 16. 1 i)(K) I- I V I S50( )88R F= FIC CVR GASKET 1.6. 19 c R Thi� J-Fem IwAz d on inl; a C 2 pLtv e I i; 8 I 1 2 TO TAL 0 SUB misc. 1 1 1 TAX I TOTAL C C) n -t J 11 Ij e (I Control No. 12 9 .�'9 7 0 CARIMEL.. NAPPi 1441 S GUILFORD AVE STE 140 OCR y RE 1 T [,,I J. REF BY VER BY 5:, COLLEC]"101\1 C (ARX-L, IN 4602' -1;922 q�4 L3 0 L L 9_ 1000060178251818 By ALL GOODS RI/iURNED MUST BE/ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE STORE NO. EMP SR LA 5 179 `3 6 C ITY OF' 03/()7 2f* 12 8; 51.81 1. IS a 'C C !V C TIME PURCHASE ORDER NO. ATTENTION .IR CAP111E:-_L, IN SQLJ(�E f 21 4&_'_), INV ICE TYPE 0 1 I t r- d j t QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE I I ()o ms 1 3 i FP!-j KANIFULD MET 48. 44 2'5. C2'5. 64 CR This i.t m was pktrchased or invoice it SUB TOTAL 1 4. 7 TAIL 114. 7 0 TAX 0 CR I 1 000 T Control No. 7299972 1441 5 BUILFORD'AYE STE 140 Y OCR Y RE'M I *F ODIC; 1 1qD RLT 11 VER BV 5'959 C0LL-E"`"r*101' CI DR. CARk-L, fIN W32--n Ctjjrj-:. j 0 1 L. 1000060178251836 y IV 69, M- ALL GOODS TIJR E ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE STORE NO. EMP SR 85-(_)179 r-'1'1 LIF DEP 0,25 1 (")17 1.(,: 2 CIVI(" E3(!LJPfRC TIME PURCHASE ORDER NO. ATTENTION CCiRWIE'L, TN 46-0 A.-Iq i INVOICE PE 07) I F'*.h.-- r Q cz !7;a QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1000 1. I._.1-1C LUCAS OIL STEL. 16. '24 1. 2. 'x `_100 1. 2 2 ID F SUB 1 2. 9 r 9 0 TOTAL TAX 0 TOTAL Control No. 7300042 1441 S WILFORD AYE STE 140 Y 0C F y REM TT 1, PAD L59C* LU- C 1 1 O N ""R. ,%-T BY VER BY C If CAR.ME�_Itj 4UJ32-2T2'2 1000060178252522 BY A LL GOODS RE/URNED MUST ACCOMPANIED BY THIS INVOICE ACCT NO.. SOLD TO DATE00 STORE NO. EMP SR _65— 0 17996 CT•Y OF C A F L. F I R E D EP Q Z; 17 T PURCHASE ORDER NO. ATTENTION 2 -CIVIC Q L) A R r. I %)f I CARMEL, I N 46- )32 2584 �'mq ct I NVOICE PE Ci"7 WANTITY h I IN LINE DESCRIPTION PRICE NET TOTA CODE nn 2 0 P 0 1: i B C., 1. 00 A D r 5 74 .A D 0 grake Pad; Fro 1. 5j 46 gy 2. 59 2. 00 41.88 4.1. 1 J 1'i Brake Rotor Only r:.) 4 4 8 6_y;( 61.. 2 is R 6.1.53 F IL_ Air fiber (Gold 181, _7 8 5. 1690() 9700 1 00 7(")4- 1 903 BK oil.oraip Plug T5 5. 9' SUB 0 0 L TOTA TOTAL 4( 7. TAX �j 1.._ 3. 4. Control No. 7 3 0 0 0 8 CARMEL NAPA 101 S. GIJIU'ORD AVE STE 140 Y 0(]R y REM :I...` GPIC I IN REF BY VER BY 5959 C 0 L L E CC T 10 CAM& IN 46032 Q 6 9 1 54- 1000060178253102 BY ALL GOODS REIbRNED MUST BE AC64POIED BY THIS INVOICE ACCT NO. SOLD TO PATE• 9� STORE NO. EMP SR SS O1'%`- CITY OF CARMEL-FIRE DEP FA0- -1 f CIRO 1 15 2 CIVIC SQUARE I of 1. TIME PYRCHASE ORDER NO. ATTENTION Alro C IT .nal CARMEL, IN 46032-25W OWINGS INVOICE TYPE WMKI: memg QUANTITY I PART NUMBER LINE DESCRIPTION PRICE NET _fbfAE CODE 2002 Poltiac Bonneville 2.00 4886631 NB Brake Rotor Only 49. 4 3 2 3. 5 10 0 zi'7. 02. W -2.00 4886641 NB BRPKE PKJTOR Ok 64.48 3o.6300 61.26 CR R This item was purchase(.1 O inrce 8352•2 03/07/2012 Aly C) -14.241 Wool 0-001 7- 0000 A (W 0.001 TOTAL 14.2+ C Control No. 7 3 0 12" 8 CARMEL NAPA 1441 S MILFORD AVE GTE. 140 Y OCR Y REMITgGPIC- IND REF BY_ VER BY 5959 COLLECTION CTR-DR. CAM IN 4032-M2 cc L. SQ69 1000060178253291 A A LL GOODS URNED MUST 9E ACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO 40E M96@M M STORE NO. EMP SR 85-017996 CITY OF CARMEL-FIRE DEP 02532::) 0 1 7 361 2 civic SQUARE I of I TIME PURCHASE ORDER NO. ATTENTION CARMEL, !N 46032-2584 IS 60NN•"V'F I I F' 08) 1 INVOICE TVA I CIr ed I t Memo QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE -1.00 AD-7874 ADO DISC PAD 135.46 ',2.5900 72.59 CR This item was purchased am inhaice SJ5252 03/07/2002 1.00 25-06092G, NBH KNORR BET 63.82 37.1900 37. 19 7 3 5.4 (0) e (0) (0) 0 01 0 F 00 1 TOTAL 35. Q CR bsc�UIIBL 0 0 TAX 0 Control No 7324836 RAW CARMEL NnPA 1441 S GUILFORD AVE STF 140 Y '.:.00R y REM 1 T GF' I ND '1 CTR. DR. REF BY VER BY 5959 C OLL" CAREL, T RJ 4602-2 CHICAGP- L. RECEIVED 1000060178266394 By ALL GOODS REPRNED MUST BqACCOMPANIED BY THIS INVOICE ACCT NO. SOLD TO DATE CO 0 STORE NO. EMP SR 1 1 85-017996 OF- CARME DE Gi 1826639 6017 16 36 2 CIVIC SQUARE 1 0f .1. TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46(= 32-2584 .13 4, L 459 1 is (e INVOICE T YPE C h I e QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1997 'Ch(yi-oipt Tri-ick K'C 3/4. 1 4WD PiL-k 5.7 L -*3,5() CID V8 1. 0(a P .3p ,887 CIRB Fuel Injector 57G. 330. 0@o0 3 3; 0 S.! R SUB :3 0 0 _0 TOTA MISC. TOTAL Iff L 1 4 1 TAX I I Control No,7324961 RAW CAIRMEL- NAPIA 1441 S GUILFORD AVE cTE 140 Y OCR Y REM I T GPC I ND REF BY VER BY 5959 COLLEC'TIOl\l C T P .DR. CARma, IN 46032--29K CHICAGOL, RECEIVED 1000060.178267525 BY ALL GOODS RE RNED MUST BE OMPANIED BY THIS INVOICE y6 ACCT. NO. SOLD TO DATE o cQo STORE NO. EMP SIR 85 017996 C11 Of::* f- AFtilylEL--+'lRE DEF-1 826* 752 ($6017 :s6 2 CIVIC SOUARE I a f I TIME PURCHASE ORDER NO. ATTENTION CARMEL, 11 46032-2584 1.(.)-44 4t45 '21) INVOICE TYPE o l Charile Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1 T-_)4 F:'l L NaGOU OIL FIL 12. .44 3.7 x')00 T3 R SUB J OTAL MIS. C) C) TOTAL 7'j) TAX 0 Control No. 732 52 1 RAW '��e CARMEL NAPA 1441 6 WILFORD AVE SIT. 140 Y OCR y REM I J* GPC I ND REF BY_ YER BY 1 5959 COLLECTION CTR.DR. CAEK1, M 461)K-29&' CHIPPISO 1000060178269854 2 Y ALL GOODS RETURNED MUST B MPANIED BY THIS INVOICE ACCT NO. SOLD TO DOE g&r,4��M STORE NO. EMP SR I mmy 85-017996 CITY OF CARMEL-FIRE DEP 031236m 826 §60 7 1136 2 CIVIC SQUARE I c I TIME PURCHASE ORDER NO. ATTENTION CARMEL, IN 46032-2564 08:1.8 507 123) 1 TY PE I Charpe Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1.00 40721 FASH WPER LITE 15. (:',g 10.4900 10.49 on way to pick up 1 9 1 0. 0 0 7. 0 0 0 ;/-x TOTAL 1 4 TOTAL 0. 4 I I I A D Control No. 7 3 9 5 a�apaD C��RMEL NAP.,r:) 'iIY o® 1441 5 61JILFIORD AVE STE 140 Y OCIR Y REM I I b GPI C. 11' D R 7A E F R Rt_ VER BB Y 59 COL_l_E: L;'T:[Cll\! G1 R. S }C Ut II N 4F�X C l[[. 10 00 06 0 1 78 269863 B E EIV D L X r L1,� L. ALL GOODS RETURNED UST E ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO 1` t DATE o STORE NO. EMP SR 85-01 7` 96 CI OF DEP 03/ 1 ,3£: 2 L, i v I C QUA RE.. 1 17 f 1 TIME PURCHASE ORDER NO. ATTENTION CARREL, IN 4G(?'*J 2 84 08.:t9 -50*7 23 7 INVOICE TYPE Ch ar g e sa QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE t 4c t /c r for R BL 21. 5i i 14. `1900 14. 9'3 On w t o pic up. TOTAL RISC. L TAX TOTAL Control No. 7325499 I APAI CA RMEL NAPA 1441 S GUUDRD AVE STE 140 Y OCR Y REMI GPC_.IND REF BY VER BY 5959 COLL .CT ON CT DR. CAPhtEI, IM 46032-2922 ��Q�V�V� 1 �����5� C ©E E�eA(3 LL. r' V V ALL GOODS URNED MUST BE AC MPANIED BY THIS INVO E ACCT. NO. SOLD TO DATE 0 STORE NO. EMP SR 8 "5 C) 17 9 9 6 CI'T'Y OF CARMEL -FIRE DEFT ()3/6/L'—_'(_)122' j827545 ()6017 1 36 u6 CIVIC SQUA 1 O f 1 TIME PURCHASE ORDER NO. ATTENTION CARME L, IN 460322584 f t INVOICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 1 ciC 7 1 V AL ULTY R D ffYD FLU 20. G I i. E. 490(") 1.6. 49 iffi TOTAL MISC. 1 Z T X TOTAL r Control NO.. 7326059 4 AP# afl CARME:i_ NAPA 1441 S GUILFORD AVE STE 140 Y OCR Y REM I l GPC- I NIA REF BY VER BY `959 COL.LFCTION CTR. I)R. CaFPL, IN 46OR F42 10000 ^a t L.HICAX;O L. _�E`� BY j (0 L PECEIVED S, ALL GOODS URNEO MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO, SOLD TO DATE STORE NO. I EMP SR 8 5 —G 1799 C I T Y OF CA RMEL —FIRE. LIEF c '2' S /'2'01 E 1 Ei�:77E,1 (1) 6 0 17 �E CiJ rw I V I r °�L�UN RE 1 O F 1 TIME PURCHASE ORDER N0, ATTENTION CARMEL., IN 4f,03E -2584 1 4 F;7 INVO[CE TYPE Charm- Ic- QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE j. c, iil:1 1i1CC FIL MPAGOLD OIL FIL 11. 0150 4900 41.88 L sue TOTAL 1 S M15C. u. (Do 7. 0 0 0 0 TAX f) (W) TOTAL 4 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)) II $950.29 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 N ALLOWED 20 Napa IN SUM OF 5959 Collections Center Drive Chicago, IL 60693 $950.29 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department 5 01 n ql�— PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 42- 370.00 I $950.29 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 APR -9 2012 V 1 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund