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208638 05/10/2012 a CITY OF CARMEL, INDIANA VENDOR: 00352688 Page 1 of 1 ONE CIVIC SQUARE CARQUEST NOBLESVILLE 4 0 CHECK AMOUNT: $351.87 CARMEL, INDIANA 46032 PO BOX 503589 ST LOUIS MO 63150 -3589 CHECK NUMBER: 208638 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 2738 178003 192.01 REPAIR PARTS 1125 4238900 2738178729 162.42 OTHER MAINT SUPPLIES 1125 4238900 2738178732 -2.56 OTHER MAINT SUPPLIES Great people, great products, great pricesls" ORQUEST CQ OF IND -BASH RD IN 9146 PAGE 1 OF 1 8357 BASH STREET REF# 293366 INDIANAPOLIS, IN 46250 317 849 -6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS IIIII I III (IIIIII I IIIIIIIII III IIIIIIII �II�I�I III PO BOX 53589 6 ST LOUIS, MO 63150 -3589 21201204300273800001787320000293366286 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. BCITY OF CARMEL PARKS DEPARTMENT HCITY OF CARMEL PARKS DEPARTMENT X3400 W 131ST ST '3400 W 131ST ST T WESTFIELD, IN 46074 T WESTFIELD, IN 46074 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE CUST. P.O. NO. ID ID FORM OF PYMT. 2738 178732 460069 04/30/12 M000713 [RR1290 CHARGE MFG. PART NUMBER OR ERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX 1 TAG 9 -31T 2 5.79 3.99 0.00 7.98 1 EITICKET I n OT 2 CPE 30192 2 2 R -7.80 -5.27 0.00 -10.54 ITIN 120T PLASTIC RUCKET RESELLABLE RETURN ORIG INV 278729 0 o. x w a U WARRANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT 0.00 0.00 RECEIVED PAY THIS 09:22 AM BY X CUSTOMER COPY AMOUNT _2,56 Great people, great products, great prices! T CQ OF IND -BASH RD IN 9146 PAGE 3 OF 4 !f 1 8357 BASH STREET REF# 293362 I INDIANAPOLIS, IN 46250 317- 849 -6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS IIIII III IIIIIII II9IIIIIII IIIIIIIIIIII OIIII VIII PO BOX 503589 ST LOUIS, MO 63150 -3589 21201204300273800001787290000293362494 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. BCITY OF CARMEL PARKS DEPARTMENT HCITY OF CARMEL PARKS DEPARTMENT X 3400 W 131ST ST 13400 W 131ST ST T WESTFIELD, IN 46074 T WESTFIELD, IN 46074 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. DATE CUST. P.O. NO. ID ID FORM OF PYMT. NO 2738 178729 460069 04/30/12 M000713 RR1290 CHARGE MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX RE: 10228 2M- INV- CARQUEST S POST RE 2031 8 ARM 10228 1 14.29 8.27 0.00 8.27 N ALL PROTECT.28OZ RE: 10228 2M- INV- CARQUEST N KEYSTONE AVE 535 0 W X 9 TAG 9 -3T 2 2 2.89 1.99 0.00 3.98 NIN CY BONE SPONGE 0 TAG 9 -3T 2 2 2.89 1.99 0.00 3.98 N BONE SPONGE WARRANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT RECEIVED PAY THIS 09:16 AM BY x CUSTOMER COPY AMOUNT CONTINUED Great people, great products, great prices! CQ OF IND -BASH RD IN 9146 PAGE 4 OF 4 C a�( 8357 BASH STREET REF# 293362 5 "o INDIANAPOLIS, IN 46250 317 849 -6300 RECET AUTO PARTS REMIT TO: CARQUEST AUTO PARTS AAA PO 03589 X BO 5 A�qV 0 �O'� j IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 111911111111II II191I1 ST LOUIS, MO 63150 -3589 IVIHI 21201204300273800001787290000293362494 BY: ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETA STZUARAAITEE. BCITY OF CARMEL PARKS DEPARTMENT HCITY OF CARMEL PARKS DEPARTMENT X3400 W 131ST ST 13400 W 131ST ST T WESTFIELD, IN 46074 T WESTFIELD, IN 46074 0 0 i CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE CUST. P.O. NO. ID ID FORM OF PYMT. 2738 178729 460069 04/30/12 M000713 RR1290 CHARGE MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX RE: 9 -3T 2M- INV- CARQUEST S POST RD 2031 Purchase 11 ARM 40320 Description 6 8. 9 9 5.51 0.00 33.06 N TIRE FOAM AEROSOL I of F G.L L g6 a u P urchaser Date 2t roval WARRANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with t o respec e sa of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. I SALES TAX TOTAL CORE PREV. DEPOSIT 0.00 1 0.00 RECEIVED PAY THIS 09:16 AM BY CUSTOMER COPY AMOUNT 162.42 Great people, great products, great prices! ORQUEST CQ OF IND -BASH RD IN 9146 PAGE 1 OF 4 M V 8357 BASH STREET REF# 293362 go INDIANAPOLIS, IN 46250 317 849 -6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS 111111111 I lelllllll 1I II 11I 1 PO BOX 5 11111111 ST LOUIS, MO 63150 -3589 21201204300273800001787290000293362494 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. BCITY OF CARMEL PARKS DEPARTMENT HCITY OF CARMEL PARKS DEPARTMENT X3400 W 131ST ST '3400 W 131ST ST T WESTFIELD, IN 46074 T WESTFIELD, IN 46074 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE CUST. P.O. NO. ID ID FORM OF PYMT. 2738 178729 460069 04/30/12 M000713 I I RR1290 CHARGE MFG. PART NUMBER OR ED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX 1 WWS 5079594 10 10 2.39 1.99 0.00 19.90 NIN BLUE CORAL -20 DEG 2 CCM 9520P 2 2 11.19 6.89 0.00 13.78 ITIN PURPLE POWER CAR WASH 3 CCM 9520P 3 3 11.19 6.89 0.00 20.67 /N PURPLE POWER CAR WASH W RE: 9520P 2M- INV- CARQUEST .S POST R 2031 a U 4 CCM 9520P 1 1 11.19 6.89 0.00 6.89 q1N PURPLE POWER AR WASH WARRANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT RECEIVED PAY THIS 09:16 AM BY X CUSTOMER COPY AMOUNT CONTINUED Great people, great products, great prices! C T CQ OF IND -BASH RD IN 9146 PAGE 2 OF 4 1 8357 BASH STREET REF# 293362 INDIANAPOLIS, IN 46250 317 849 -6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS IIIIIIIIIIIIIIIIIII OIIlillllllllllllll�Ill IIII 6 PO BOX 53589 ST LOUIS, MO 63150 -3589 21201204300273800001787290000293362494 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. BCITY OF CARMEL PARKS DEPARTMENT HCITY OF CARMEL PARKS DEPARTMENT X3400 W 131ST ST '3400 W 131ST ST T WESTFIELD, IN 46074 T WESTFIELD, IN 46074 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE CUST. P.O. NO. ID ID FORM OF PYMT. 2738 178729 460069 1 04/30/12 M000713 IRR1290 CHARGE MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX RE: 9520P 2M- INV CARQUEST N KEYSTONE AVE 535 5 CPE 30192 2 2 7.80 5.27 0.00 10.54 NIN 120T PLASTIC BUCKET RE: 30192 5M- LOCATE 0 X. 6 ARM 10228 .3 3 14.29 8.27 0.00 24.81 NIN UU ALL PROTECT.28OZ 7 ARM 10228 2 2 14.29 8.27 0.00 16.54 RIN ALL PROTECT.28OZ WARRANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT RECEIVED PAY THIS 09:16 AM By X CUSTOMER COPY AMOUNT CONTINUED ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 00352688 Carquest Auto Parts Terms P.O. Box 503589 St. Louis, MO 63150 -3589 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/30/12 2738178732 Credit for return (2.56) 4/30/12 2738178729 Car wash supplies 162.42 Total 159.86 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. 00352688 Carquest Auto Parts Allowed 20 P.O. Box 503589 St. Louis, MO 63150 -3589 In Sum of 159.86 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 2738178732 4238900 (2.56)_ 1 hereby certify that the attached invoice(s), or 1125 2738178729 4238900 162.42 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 3 -May 2012 Signature 159.86 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Great people, great products, great prices!sm `�QQ �ESI j1l �r CQ OF IND -BASH RD IN 4 9146 PAGE 1 OF 1 w oo 8357 BASH STREET REF# 292329 INDIANAPOLIS, IN 46250 317- 849 -6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS PO BOX 503589 11IT1111H 1111111 I III�I I 11111 ST LOUIS, MO 63150 -3589 21201204180273800001780030000292329732 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST ARE FOR DETAILS e OF THE COAST TO COAST GUARANTEE. ,CITY OF CARMEL STREET DEPARTMENT OF CARMEL•.STREET DEPARTMENT X3400 W 131ST ST "3400 W 131ST ST T WESTFIELD, IN 46074 T WESTFIELD, IN 46074 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. DATE CUST. P.O. NO. ID ID FORM OF PYMT. NO. 2738 178003 860097.:_ 04/18/12 TRUCK 1 IRR12 9 0 CHARGE MFG. PART NUMBER ORDERED SHIPPED ''::LIST PRICE NET NET CORE EXT. AMOUNT TAX 1 SLS 710105 2 2 25.99 11.46 0.00 22.92 IN OIL SEAL 2 TLS 648996 i, 1 1 %?78.99 59.84 0.00 59.84 KT BRG RACE SEAL KIT' 3 TLS 940369 1 1t, B�143.99 109.25 0.00 109.25 11N 19PC MSTR AXL PLR KT SPECIPL ORDER (BO) X 4 W CY U WARRANTY DISCLAIMER: The manufacturer's warranty, if any, constitutes the only warranty with respect to the sale of all goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT 0.00 0.00 RECEIVED PAY THIS 03:56 PM BY X CUSTOMER COPY F AMOUNT 192.01 f 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)) 04/18/12 2738 178003 $192.01 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 Carquest Auto Parts Stores IN SUM OF P. O. Box 503589 St. Louis, MO 63150 -3589 $192.01 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 I 2738 178003 I 42- 370.001 $192.01 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 1) 1 fi Wedn 'esday��A/I�y 02, 2012 Street Commissi E� Title Cost distribution ledger classification if claim paid motor vehicle highway fund