208812 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00352498 Page 1 of 1
ONE CIVIC SQUARE NAPA OF WESTFIELD
CARMEL, INDIANA 46032 Po Box 245
CHECK AMOUNT: $80.00
WESTFIELD IN 46074
CHECK NUMBER: 208812
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 443949 80.00 REPAIR PARTS
100006273
NAPA AUTO PARTS Time: 10:46 Invoice Number 4439491
700 EAST MAIN STREET
E l AM P.O. BOX 245 Date: 04/27/2012 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII
WESTFIELD, IN 46074
(317) 896 -5615 Page: 1/1
7995 Employee: 25 RANDOLPH, ED,
CITY OF CARMEL- STREET DEPT Sales Rep: 41 Z41, HOUSE
3400 W 131ST STREET Accounting Day: 23
WESTFIELD, IN 46074
Fi •tea mss. air.
�S Part Number F L Descript� on QuantiyPrzce Nom N Net Total i
ROTOR ILAB ;LATHE 4.00 0.00 20.0000 80.00
f
j
Delivery: Subtotal 80.00
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO
Terms: No svc due 10th
KEE C I a O Q
02 "7 a
4
.vim
Charge Sale 80.00
Customer Signature
AL I ETURNED MUST BE ACCOMPANIED BY THIS INVOICE
CUSTOMER COPY
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))
04/27/12 443949 $80.00
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 Auto Parts
P. O. Box 245 IN SUM OF
700 E. Main St.
Westfield, IN 46074
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I 443949 I 42- 370.001 $80.00 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
b
Wed r)esday l May 02, 2012
4W
Street Commisgiol er
VLI G`GL VVtt 111 IIJJI 11 0
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund