208696 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P CHECK AMOUNT: $10.62
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
roN `a CHICAGO IL 60693 CHECK NUMBER: 208696
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351000 085008081 10.62 AUTO REPAIR MAINTEN
m Control No.
RAW �x_�����J
CARMEL NAPA
1441SGUILFORD AVE STEi4OY OCR Y REMlT:GPC—IND
REF BY NER 8Y__ 5959 COLLECTION CTR DR.
RECEIVED
1000060178300560 BY X
ALL GOODdE CCOMPANIEDBY INVOICE
1 civic 0. 1 f 1. TIME PURCHASE ORDER NO. ATTENTION
C I INVOICE TYPE
20) 1 C11-ra pi
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
r MAY 7,2012
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))
04/20/12 830056 $10.62
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. WA N
ALLOWED 20
NAPA
GPC -IND IN SUM OF
5959 Collection Center Drive
Chicago, IL 60693
$10.62
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1205 830056 43- 510.00 $10.62
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
day, May 07, 20 12
Director, dministration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
a