209089 05/22/2012 VENDOR: 00352688 Pa e 1 of 1
CITY OF CARMEL, INDIANA g
ss'. ONE CIVIC SQUARE CARQUEST NOBLESVILLE
.r• CARMEL, INDIANA 46032 PO BOX 503589 CHECK AMOUNT: $102.78
ST LOUIS MO 63150 -3589 CHECK NUMBER: 209089
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2738177596 102.78 OTHER EXPENSES
CARQUEST T0 PARTS STORES
PO BOX 503589 CARC?UEST
ST LOUIS MO 63150 -3589 PREV TOTAL DUE 5.18
UNITED STATES PAYMENTS 0.00
(800) 726 -3449 AUTO PARTS TOTAL PAST DUE -5.18
CQSUPPORT @CARQUEST.COM STATEMENT
FINANCE CHG 0.00
CURRENT INV'S PAID 0.00
CURRENT INV'S DUE 102.78 0®
o®
AMOUNT DUE 97.60 ar
G20CGF00307310- 127500872 S2
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CITY OF CARMEL WASTE WATER
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
CUSTOMER NO INTERNAL CUST STATEMENT DATE PAGE
'N D ."63029 .1 6'578S 30- Apr 12 9 cf
INVOICE DATE INVOICE NUMBER INVOICE REFERENCE PO NUMBER DUE DATE INVOICE AMOUNT AMOUNT PAID AMOUNT DUE
07- FEB -12 2738 -IC- 172420 WASH172419 31- MAR -12 -2.76 -2.76
07- FEB -12 2738 -ID- 172419 TEST 31- MAR -12 2.76 2.76
14- FEB -12 2738 -IC- 172943 WASH TEST 31- MAR -12 -2.76 -2.76
14- FEB -12 2738 -ID- 172942 TEST 31- MAR -12 2.76 2.76
06- MAR -12 2738 -IC- 174476 TRUCK 65 30- APR -12 136.80 136.80
06- MAR -12 2738 -ID- 174445 TRUCK 65 30- APR -12 136.80 136.80
07- MAR -12 2738 -IC- 174538 IN STORE 30- APR -12 -5.18 -5.18
13- APR -12 2738 -ID- 177596 S13074 31- MAY -12 102.78 102.78
TOTAL 97.60
A FINANCE CHARGE OF 1.50 PERCENT PER MONTH (18.00 PERCENT PER YEAR)
MAY BE ADDED TO ACCOUNTS THAT ARE PAST DUE (0.50 MINIMUM)
If payment in full for the past due amount is not received by the 15th of the month following the date of this statement, then your
account may be placed on C.O.D (Cash on Delivery) without further notice.
When paying your balance in full with the coupon provided, please do not send in any remittance advice or detail.
For account requests or updates please email CQsupport@carquest.com or fax 919 301 -4169.
20CGF_003 E07310- 1000001 0011001
Great people, great products, great prices!
C62 VEST CQ OF IND -BASH RD IN 9146 PAGE 1 OF 5
8357 BASH STREET REF# 291750
INDIANAPOLIS, IN 46250
317 849 -6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
Iillllllllllllilllilllllllllllilllllllllllllllllllllllllllllllll 6 PO BOX 53589
ST LOUIS, MO 63150 -3589
21201204130273800001775960000291750550
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
,CITY OF CARMEL WASTE WATER HCITY OF CARMEL WASTE WATER
X9609 HAZEL DELL PARKWAY ''9609 HAZEL DELL PARKWAY
T INDIANAPOLIS, IN 46280 T INDIANAPOLIS, IN 46280
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CUSTOMER SALES TEAMMATE
INVOICE NO. NO DATE COST. P.O. NO. ID ID FORM OF PYMT.
2738 177596 1 463020 04/13/12 513074 I RR1290 CHARGE
MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT I TAX
NOTE: JEFF COOPER 456 PLEASE DELIVER TO
U 1 CFI 85243 1 1 14.90 2.46 0.00 2.46 q1N
HI -POP OIL FILTER -HD
RE: 85243 2M- INV- CARQUEST S QST RE 2031
0
W 2 CFI 85243 1 1 14.90 2.46 0.00 2.46 IN
HI -POP OIL FILTER -HD
RE: 85243 2M- INV- CARQUEST N KEYSTOEE AVE 535
WARRANTY DISCLAIMER: The manufacturer's warranty, H any, constitutes the only warranty with respect to the sale of an goods. SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED
OR IMPLIED, INQUDING 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 PREY. DEPOSIT
RECEIVED PAY THIS
11:04 AM BY x CUSTOMER COPY AMOUNT CONTINUED
Great people, great products, great pricesP"
Q92 VEST C Q OF IND -BASH RD IN 9146 PAGE 2 OF 5
8357 BASH STREET D 21NT 291750
IN DIANAPOLIS, IN 46250
317- 849 -6300 y AUTO PARTS REMIT TO: CARQUEST AUTO PARTS APR 1 6 PO BOX 53589
ST LOUIS, MO 63150 -3589
21201204130273800001775960000291750550 By ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE EE.
(CITY OF CARMEL WASTE WATER HCITY OF CARMEL WASTE WATER
X9609 HAZEL DELL PARKWAY P9609 HAZEL DELL PARKWAY
T INDIANAPOLIS, IN 46280 T INDIANAPOLIS, IN 46280
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CUSTOMER SALES TEAMMATE
INVOICE NO. NO. DATE COST. P.O. NO. ID ID FORM OF PYMT.
2738 177596 1 463020 04/13/ 12 S13074 PR1290 CHARGE
MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX
3 CFI 88490 1 1 59.32 9.97 0.00 9.97 /N
FILT ER-HI D
RE: 88490 2 -I Q ST S POST 2031
4 CFI 88490 1 1 59.32 9.97 0.00 9.97 /N
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HI -POP FUEL FILTER -HD
WARRANTY DISCLAIMER: The manufacturer c s warranty, if any, mstitrtes 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 Seiler.
SHIP VIA DELV. TIME DELV. ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT
RECEIVED PAY THIS
11: AM BY
CUSTOMER COPY AMOUNT CONTINUED
Great people, great products, great prices!
2 CQ OF IND -BASH RD IN 9146 PAGE 3 OF 5
L" 8357 BASH STREET REFS$ 291750
INDIANAPOLIS, IN 46250
317- 849 -6300
AUTO PARTS ll REMIT TO: CARQUEST AUTO PARTS
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ST LOUIS, MO 63150 -3589
212Oi2O4l3O273800001775960000291750550
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
5 CITY OF CARMEL WASTE WATER HCITY OF CARMEL WASTE WATER
9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY
T INDIANAPOLIS, IN 46280 T INDIANAPOLIS, IN 46280
0 0
CUSTOMER SALES TEAMMATE
INVOICE NO. NO. DATE COST. P.O. NO. ID ID FORM OF PYMT.
2738 177596 463020 04/13/12 513074 RR1290 CHARGE
MFG. PART NUMBER ERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT I TAX
6 RFI R85394 Q, 2 2 4.79 2.14 0.00 4.28 N
OIL FILTER- R ED Hi
7 CFI 87330 1 1 106.29 18.69 0.00 18.69 14IN
AIR FILTER -HD
8 CFI 87330 1 1 106.29 18.69 0.00 18.69 q N
o AIR FILTER -HD
W RE: 87330 2M- INV- CARQUEST S POST R 2031
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9 RFI R85381 1 2 2 5.69 2.59 0.00 5.18 N
OIL FILTER -RED
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
A THIS
11 :04 [-M BY RECEIVED x CUSTOMER COPY SAY AMO UNT D CONTINUED AMO UNT
Great people, great products, great prices!
V���� CQ OF IND -BASH RD IN 9146 PAGE 4 OF 5
2 8357 BASH STREET REF# 291750
INDIANAPOLIS, IN 46250
317- 849 -6300
AUTO PAWS REMIT TO: CARQUEST AUTO PARTS El
PO BOX 563589 ST LOUIS, MO 63150 -3589
21201204130273800001775960000291750550 12 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DEAST GUARA TEE.
BCITY OF CARMEL WASTE WATER
[SHC ITY OF CARMEL WA
X9609 HAZEL DELL PARKWAY 609 HAZEL DELL P
T INDIANAPOLIS, IN 46280 NDIAN APOLIS, IN 46280
0
CUSTOMER SALES TEAMMATE
INVOICE NO. NO DATE COST. P.O. NO. ID ID FORM OF PYMT.
2738 177596 463020 04/13/12 S13074 RR1290 CHARGE
MFG. PART NUMBER ERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX
0 CFI 85970 1 1 54.61 8.37 0.00 8.37 IN
HI -POP OIL FILTER -HD
1 CFI 85970 7 1 54.61 8.37 0.00 8.37 IN
HI -POP OIL FILTER -HD
RE: 85970 2M- INV- CARQUEST S POT RI 2031 i
8
W 2 CFI 85796 1 1 21.91 3.85 0.00 3.85 N
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WARRANTY DISCLAIMER: The manufacturefs warranty, if any, constitutes the only warranty with al
ith respect to the se 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
11:04 AM BY x CUSTOMER COPY D CONTINUED
AMOUNT
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C96 RQUEST CQ OF IND -BASH RD IN 9146 PAGE S OF S
Lr 8357 BASH STREET REF# 291750
INDIANAPOLIS, IN 46250
317 849 -6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
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ST LOUIS, MO 63150 -3589
21201204130273800001775960000291750550
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 WASTE WATER OF CARMEL WASTE WATER
X9609 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY
T INDIANAPOLIS, IN 46280 NDIANAPOLIS, IN 46280
CUSTOMER SALES TEAMMATE
INVOICE NO. NO DATE COST. P.O. NO. ID ID FORM OF PYMT.
2738 177596 463020 04/13/12 513074 RR1290 CHARGE
MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX
RE: 85796 2M- INV- CARQUEST S POST Rr 2031
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WARRANTY DISCLAIMER: The manufacturers warranty, if any, constitutes the only warranty with respect to the sale of an 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 D
11:04 AM BY x CUSTOMER COPY AMOUNT 102 .78
Great people, great products, great pricesis"
URQUEST
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AUTO PARTS APR 1 2012
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
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CUSTOMER SALES TEAMMATE
INVOICE NO. NO. DATE CUST. P.O. NO. ID ID FORM OF PYMT.
MFG. PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT. AMOUNT TAX
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WARRANTY DISCIAIMER: The manufacturer's warranty, if any, rn Riutes 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 I FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT
RECEIVED PAY THIS BY AMOUNT
VOUCHER 117343 WARRANT ALLOWED
00352688 IN SUM OF
CARQUEST AUTO PARTS
PO BOX503589
ST LOUIS, MO 63150
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2738177596 01- 7502 -06 $102.78
Voucher Total $102.78
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
00352688
CARQUEST AUTO PARTS Purchase Order No.
PO BOX503589 Terms
ST LOUIS, MO 63150 Due Date 5/16/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/16/2012 2738177596 $102.78
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
Date Officer