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HomeMy WebLinkAbout210004 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P _CHECK AMOUNT: $1,228.76 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 210004 CHECK DATE: 6/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 53112 1,228.76 OTHER EXPENSES Page 1 of STATEMENT OF ACCOUNT WITH A ry ACCOUNT NO. TERMS 08518039 GOVT.45 DAYS NET 06/24 RI 799595 E T: 546.54 CLOSING DATE PAST DUE DATE SEQUENCE NO. 00/00 0 O EATTERY DEB I 05/31/12 PAY NOW 18806450 03/22 I 826866 279.99 05/02 I 831258 T: 78.98 PREVIOUS BALANCE PAYMENT RECEIVED DISCOUNT EARNED 00/00 .00 C6 E150 1,276.94 450.41- 00 05/03 I 831448 T: 284.05 00 /00 .00 t rent NEW CHARGES CREDITS FINANCE CHARGE NEW BALANCE 05/03 I 831502 T: 2 4. 0 0 1,228.76 .00 2,055.29 00 /00 .00 filters 05/07 I 831881 T: 154.41v/ TOTAL PAST DUE CURRENT FUTURE 00/00 .O O C6 2 5 0 0 hd AGED 05/09 I 832088 T: 245.06 ACCOUNT 279.99 .00 1,775.30 00 /00 .00 1 RENT STATUS PAST DUE 10 DAYS PAST DUE 40 DAYS PAST DUE 70 OR MORE 05/09 I 8 3 2171 ET: 120.22 05/11 RI 832365 T: 61.53 279.99 .00 .00 05/11 M 832388 T: 36.00 USTOMER: 05/15 I 832771 T: 205.73 00 /00 .00 t rk 103 CITY OF CARMEL -WATER 05/15 M 832786 T: 98.85- 0/00 .00 rk 103 0 3450 W 131ST ST 05/17 I 832963 T: 18.97 CARMEL IN 46074 -8267 05/22 I 833513 T: 45.21 00 /00 .00 efect 05/22 ZM 833640 T: 45.21- 05/25 I 834081 T: 153.09 05/29 I 834293 T: 6.36 05/30 ZI 834448 T: '5.23 00 /00 00 rk -103 If you have QUESTIONS CALL (877) 558 -9287 Press 1 for invoice copies. 05/30 I 834449 T: 5.98 Visit our website for invoice copies at www.napmarnount.com 00 /00 .00 Ehop Notice: Your Total Account Balance is Past Due Please Pay Total Immediately LEASE REMIT TO: GENUINE PARTS COMPANY INDIANAPOLIS, IN 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 Important: To insure proper credit please return right side f statement with your payment. If for some reason all items re not paid, please enter a check mark and explanation eside each item NOT PAID. TOTAL DUE 279.99 SHOW AMOUNT PAID 2 1 p 7 t 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 y DY SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D B AND EQUIFAX Control No. MEL NAPA, 1441 S GUILFORD APE STE 140 Y OCR x, t, r I i r 10, ,,I R. r t REF lIY UER BY sg1yp,/i/q {j j t7( tf�j CI..I CE 7 1000 'f t.,i E L... r f'� '.1 ������4d &!i f A61 B�NEU v �fi� ���c r ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE RFIN 0 0 STORE NO EMP ACCT. NO. SOLD TO V f. 7 7 f.'t: 1.7 &5­018039 C I Y OF CARMEL WATF R SE ORDER NO ATTENTION 4E-- 7 f TY PE NET TOTAL CO! QUANTITY PART NUMB ER' LINE DESCRIPTION PRICE 'i (�i `'J3 ^ll 3.F 'i`I_Rr_'k ;f;25( I =,r' Tun �f�1) tl�i 2. flf,x 440 1C('+ N7) Brike DrL I(c� �1 :t f_) 4 .t� 21.f.3'.. -.f_}e Mi Ur' im)$9I r,lindeP 3 1. r,. '`Pa y L!I-' "xa? Snc�: Ite 1 �'(_3, t 3CS Y8. 85 c p 5 1I' 4$Yc Ir i} +it i f.). i_1;,, 0000 SUB -ti '7 f','1C3fj fpla }f:) TOTAL ti;E{..i� r TOTAL v I.3::.,. l` �Y TAX spy P� Control No. A 1 5 8 F t g Fd id 14;1 5 l IIL' OI4f AtF 140 OCR `d FEN 17 GP[r i ND' 95'3 C-0 _:i CI :r ON CT'R. DR. REF UV PER BY AI`L CEIVED Il14(,Q R c3'� �0000�0 3� 3 C�1'[L`.fa{;C) TL.L. it ,':iu BY X ALL GOODS RETURNED MU IT B CCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE 0 W, STORE NO. EMP SF 8 c I `d ri4.: CA RIIIE :L...I�F=TE :R f i /i t3ly 83278G fl TIME PURCHASE ORDER NO. ATTENTION C €aRNEL, f lEi �tk '4 �,I:-f� INVOID ETVPE i Y`E d i l�` ft1�i 1``r) QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE 00 1}i� a.' i. f? lJI' ,.44F' iF�l`d ^I "Y l.irf: f:38 7Q. f1 yf; ?f} :'9. C G purchased �t in 'oiCe C3�f: �%I_.. r t,_, f •I LJV Core D® Depos n i:. 0. 000C) }f :3 a t )f C:•R D 1. I_Ir -i5:.R 1 SUB I AIRS. t 3p �)f_ l '_)3f_ }f.3 TA l f 3f_t TOTAL %s M :r :3& R. X ;TOTAL Control No. 4 i'53b54 I 1APP A F AR �L� F�F�� ti I LFORD% R O I i STE 14Q Y OCR r RCM 1. �I 114 D UER I J' 5cj COL..LF_C 1 f�l F.. DR. (?K /o C1''fC' ISO :i:k_E�.`, k IH 46th 1000000178336407 B -YCE X ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE 0 0 STORE NO. EMP SF c i i 0 f 6'`31.'7 1.5 31 ,c. t `t ;.t TIME t I f ._.I f C_t..: PURCHASE ORD f 1 c +ELF t f„ 1, "',f'3`' 'i �'eF L:F `ll-' 'tt I I=:F`• ER N0. ATTENTION 3.4.°_'tt_) W 1.:x;1. _F•1 .T 1 of 1. A ry{yttvv��11��� IN 4S (4 I c INVOICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL COD[ 1 00 4 4 •1as6 E 1',ID 4•;- sRRAGml`! Y SE, i 0 5. 21. 0 0 45. 1. CR c e d Ott in 'Di ice 61 -2771 }`i:`'' /;_,_�'f.. }1c: I I=1 2. e i '!:5 !�d IO _i f` Cf't, L c� cim a_ ..a.c. .u..x.4i tl� itt) CSI)f3f3 2*_ f.), (_}S, 1 TOTAL L•+ Control No. leb3'415 RAW CARIvIE-L NPP-JA xl- 1 i cl GUIL!rupf� 911W y RE I 1 REF BY VER 9V ct; 5 C L'!1- LE CT 1 0 N R. D R. ma. 41 4amrs-i: C:Ut'i W, I.', �E 1000060178335131 BY x ALL GOODS RETORKED MUST Bi ACCOMPANIED BY THIS INVOICE E T ACCT NO. SOLD TO DATE STORE NO. I Mp Si 17 -4 i 00:39 c I Of 34 bJ, J 251 31 TIME PURCHASEE ORDER NO. AT7ENTi6N I of I CARMEL, IN yp. INVOICE P 2: 2 t, QU I ANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL", C�ODF rruck K2500 Tar, 4WID Pickup 1. 0 4 4 0 1. '1*3 G 6 ND Rrilke bywo Rei GE, 10 4 21.00 /15.21 7. 0000 J TOTAL mfs�. TAX Control No. RAW 72541JUD �e f-;A!-,'IY;L-L NAiP!- 1441 S MUM A;11*�' 411E i0l y U R y RE11 1 GPC... 1 tl'D 59' CILILLECIVION CTR. DR. o3 CA C E. 6':4 3 j Tp� 4fiaW BY RECEIVED 10000601 9 35 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT NO. SOLDTO DATE STORE NO. EMP J p I I.J -0 180.39 c I OF CAF:Iiilf"El -WA FE c 5/2s C j 3450 W 131'ST E r 1, a f 1. TIME PURCHASE ORDER NO. ATTENTION CAVVEL., 11\1 46074-826*7 v- 3- 10: D9 5G-% INVOICE PE I D a? I i V' chs S-ale QUANTITY PART NUMBER' LINE DESCRIPTION PRICE NET TOTAL COD[ F-lickup 1�3'96 0 1*ruck K250tll 'Tort 4WD 2" UP Brake 5�v HaF& I I &j. -360� 6-1. 7� r TOTAL 3 G, 0 C) -)000 TAX Control No. t 11 6 INAP0 (p �QD CARMEL NAPA 1441 SMILFIGRE AVE STE NO Y OCR y REM 1 T GPC I WD 3 5 U BY VER 5S, 9 COLA-ECT ION CTR. DR. 0,j RECEIVED 10000601705028 YC 1411f -W,,7e-1 !64 ALL GOODS RETURNED MUST 9E AUOMPANIED BY TH1 INVOICE ACCT NO SOLDTO DA: Mom STOFI�#O. I EMP I jS 85�--01 Elf)-39 OF' 183 C 1 1::� 3450 W 131 ST E'T I of j TIME PURCHASE ORDER NO. _ATTENTION CARME'L� 1.`4 460 u- 2 14,-44 Filtprs INVOICE PE 03) IDeliver I 1 —1 C h -z-� r g e' Sat I g QUANTFIFY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL' COD W 12. C 213*7211P SF 1 011 FILTER PIM 5 25 E'� 0 1) 2 4 a SUB 4 00 la;�� -d� I 1')- 0.") 7- ffX)C) E�l 0. (710 1 TnTAI- 11 2! 4. Control No. 7 2 Q APO f tRmL L. I r I e rvi iTtl"'i', Ir f a4 r l Utr Ott a `:'4 t Rff v 1 oY i+..}.R. MEL, IN 4012 LD' r� j j F t r CH ?C-: r t E_. I .i lr.`3" t_ 1 000 0 6017 EJ 2 J1 RECEIVED 'f ALL GOODS RETURNED MUSi 614-ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE 0 11J STORE NO. EMP S E t')'E Ra, F.�t. C.' ..I...,if r ���IE"' i'tE�. €�f-f l C i::. t. u.:E M i I"• f� r l•� t _'k 1 O TIME PURCHASE ORDER NO. ATTENTION L< iil`il t E L, i E' X60 4 �L. r I 216 E. `.`J i.,, INVOICE TYPE t 1 1) e I Wr` E10 i;i 7c QUANTITY PART NUMBER LINE T DES CRIPPTI PRICE NET TOTAL CODI 0 i 65 ti L� f d w F L l ii K OIL 12C t 2 SUB 1 ,1. t }t t r' i }t:) C TOTAL CSC I.f TAX TOTAL u a —_T� _T v— x DonirOl No 5 i4fii a tillaLFlfl AK 4' F_!�'-•i "�'LE`i l E` tG...; Nr.) EWE. .fir 4Gi6M k9t I ACE VED�I__•t.{ 1 IS BY ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE 0 0 STORE NO. EMP SF 5'.. L 1'f``� D_ F' C'rHl; L" (�I a`E'E:!i t;`,.`/ °:3.``. {'t CJr",t f 1 :E. F. ;f C1-,r�.t��T i :•T• F TIME PURCHASE ORDER NO. ATTENTION �(*+E p .E. Ea, ti•C f cL51: ,f 1"� <<>i i `l,::t "t" I,' 't'' G, ,l. INVOICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE r I_ A*l :mttEYRf c:0RGFin i 1:3 k:3 1.: 2 C.J 0 j7E 09 (i: f L`. %P T tLre Np;ft Is. t_'0 l Ei, Ii Jt_1() 36. 0 1 Vi SUB ly f ty� 4 TOTAL e.::.`43. N21S�. 7, C.Ji i f •_)i•,)C_)o TAX C t )t,1 TOTAL t ;:;.45. 0 aD Control No. 7 2 5 2 12 3 a�p i%yl EE,C ti 3 r�r_ t t `p 1 4 �i •i'ola !!Y 0. IY:' Y, 0C y R Pil 1. •E �o F :E. NLyf r •y ry DR. R t ft Di 5 C0LLE CT10N G �t }p� PPPjjj f f�f R� e`� L<• E t d L:'R .I. L_ t.� a t` _3 1 0000601 f 83l Zi 5d BY CEIVED x tr� c��.1�tw4_9, It ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE 9 99 STORE NO. EMP S 1:'si. 9 i," .I Z i t..' i_- r,4`;C�it.L "��L.� C: C k r" 4' r{ C i f) 15 3 4 5 W 1 fix; s. S T ;EiT 1. •t' 1 TIME PURCHASE ORDER NO. ATTENTION i 1 INVOICETYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET' TOTAL COD RAT t 0!`8E(Su: t. I t3 a C:. 0000 C: R L: Th ).'t iii )yetis !wRp_l: "R:;E'1- csc�d' n 1?i' oif- -t t �+,•C3)�:� TOTAL ..o ff i 3i•j MISC:q C_1, t_JC f C1ftt_)t_) TAX (1. I e(') TOTAL ::�f.: it CR I �7 Control No. 0 8-6 CARMEL NAPA 1441 1 GUILIM-RT AVE RTE 140 Y 0r R y t, i: if, I T o tri i MI. D 'i RU BY VER BY ?5 COLLECTION "Cl DR. CWTL 7 1 7 P 46021-20 1L.L. 61,_ RECEIVED By x ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS AVOICE 4 I ACCT NO. SOLD TO DATE STORE NO. EMP S A 8 5 0 -1, Ef 1 83144& (1:6017 1 i, 5 C I 9 TY OF CPR IVIEL -NIATER c Z� 1 3450' W 131ST ST Of I TIME PURCHASE ORDER NO. �=A ENTION c AR 0 E I N 460 r pn f INVOICE TYPE -h ar ge f A 03) QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODI 2003" (.h(?vro1e .I :r SilY6radIC 3 1 lon P i. c tip 1 00 SR B RG k1lb AsIv &as 4211.63 E 252 9_ our Wheel Drive Hub Bearing 12.00 MiNUS ww1 0034 u ML 3. i 9 2. 590o 2 "1 Z4. 0 7 0 c) c 0 0 C TAX o. tx TOTAL \j 1777- Control No 7 25455 RAW �G CARMEL W1 P A 4 441 S SufffaRD AVE y ST DC:!, 't Wfly VER BY 5959 CO'LLEC•"IdIN CTR.DR� CRMR, 10 46032---ro2l li-L. 606 U,4 E"BV"E`41' IUMbUlt ALL GOODS RETURN MUST BE 1000MPAN IED BY THIS INVOICE ACCT NO. SOLD TO DATE STORE NO. I EMP S 8 5 Q 1 8 C) 9, C11"Y OF' CARI'FiEL--WATER 05/02/2 1931258 6601 1 1 11; 345 TIME PURCHASE ORDER NO. ATTENTION 0 11 3 CARMEL, IN 46(1,7 ST ST 4­9267 U 1 33-13of '.0 1. s `1'7 r f 1 INVOICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODI i Fotd Truck •150 1/2 "or, Econoline Van 2.00 1(.")4172 MIRC U-11 Joint Low 61. 58 3S. 490o 78.92.1 TAX TOTAL SUB '78 11 T� TOTAL 0 0 Control No. RAW CARMEL N 1 7 7 1441 u GUILIFOP,11 RVE ST 140 Y OCR y RE .!l E 1 a G!- "j0. -.1 ND jj�k REEF 5V VER BY 595':-) CTP. DR. cm, n" Itr 4GO32- 2 CH T t RE 1000060178318819 By CEIVED x 76 ALL GOODS FfETURk6 UST BE ACCOMPANIED BY THIS INVOICE 0 o STORE NO. EMP I S ACCT: NO. SOLD TO DATE jc.w 345-,) 14 131ST ST 1 of ry TIME PURCHASE ORDER NO. ATTENTION 4- 95-M-61 13 Fli I-); 2F )oh, CARMEL., 11 e rg I NVOICE PE D I j ve r I I Chaxne ScIe QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL COD TQ1:'.' -pi 5 4. 4 1. 0. 0 0 Frei,} 9' .2N.-4 1 P62 HttL qiE� Frrjnt 154. 4 Four Whiec-1 DriYe Hub B;2,ar J n g SUB tj 1 4. 1 1 1 0. 010 I 1. 0f 1 -mTm Control No. f) CPPMC_L 1441i G AVE 11 77 y ucv� A T 1 I P. k- REF BY VER �,Y j L: C_ 'AF CH' C RECEIVED '0 2 BY X 7 Y_ t ALL GOODS REf MUST BE ACCOIv4PANIED BY THIS INVOICE ACCT NO. SOLD TO DATE ga im i STORE NO. I EMP S Of- "IE' L W9 li J. 6 8 5 1 B c" —H F t Y% I 1 4 1E, c 1. I I 455 W 1 IS T 'I-; I i TIME PURCHASE ORDER NO. ATTENTION 3 1. 1 C R A F I y I F_ L t y 1'l4 I NVOICE PE -h I c p QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL COD, 2 V"Oqd Tir­uck F"c"'50 Supe r Dut y 1c.— ID J c k IT t 0. 1 1t I. Ocy M UP gu4ie Pid ki C.- 00 IS i 5_3 SUB ch" Y. KIC D TOTAL r OTAL TAX X 7 Control No. MAN MiMEL NAPA SD I S B1ILF0 AVE STIE !4() V OC C R y P.Elyi I T! GV-`C I K'D i IN CT R. DR. Fff UDR By 5959 COLLECT 10 GO ILL. 60694 100006018340811 BY 3 3? 1 C A LZ COM, 19 4K' _Zrc RECEIVED 7 x ALL GOODS 4,�ETORNpIm VOICE qmPANIE&g AC SOLD TO ACCT. NO DATE Immom E STORE NO. I EMP I S C 5/2 5 2 0 1 2 1834081 JX)17 1 1 G, 1 80 39 CITY OF- CARMEL---WATE.*R s 3 4 5 o w of .1 TIME PURCHASE ORDER NO. ATTENTION r-ArZIMEL, 111 46( B267 tr 2-140 13°43 •5 Deliver I INVOICE T YPE Cha Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODI i("vrulet K25(ifl 3/ Ton 4WD P i c ku p :1. 00 DL6088SB 1 HeadfiSht Diner 222. 78 15 .1 09 153. 0 C)000 1, TOTAL T� 53. (.)T1 TAX OT Control No. 2 5 27 6 11AP0 CARMEL PJAPA GUILF01M RYE S',T 10 Gcp y REM '11'. G P C -1 1 'T" CIN CT R. D P_ Va K COLLEC. AC MEL, 1M 4601 -?22 ILL. 6- f30178329638 BY ALL GOODS RETURNED MUST BE BY THIS INVOICE ACCT NO. SOLD TO DATE STORE NO. I EMP S 8 5 0" 9 CiTy 5/ 1 7,- 01 1 8 L2"D 6:: G 0 1 1 151 345(). W 131ST ..3'T* I o f 3. TIME PURCHASE ORDER L0 ATTENTION INVOICE TYPE QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL COD 5.1 C) j NBF- SFT F11JUE) 9E 3- 36. 70 Ia. 'D1700 Ji. 6 S 7 N D AS SOUN A1 POI, �t3 1 BL ..Control No. 7 2 Rg 1 5 x fib ;443 5ILUit�E k t Is} 1' CIGi c' r- i>rE'ii'. RED Ply 5'959 COLLEC C DR. #IEE I��! 4EiU -cam t�+ i J C i-E E' ILL. �t)E` �i BYCEIVED X�\ J d ALL GOODS RETURNED MUST BE ALtOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE 0 STORE NO. I EMP S g t :)i8t:)A;- L. `r' ter' Gr F IEEE L''tlA�" F: t''�t /a y�� t:y ice; Fj�: 4 B ftE,t:�l, .f t_) W 1 •.s w :J c, f J. _TIME PURCHASE ORDER NO. ATTENTION Cf;Et�tEL 4�! ?74 X87 t)1?:14• r.k.;....f,t -i-. a. ;t 1 r INVOICE TYPE 0 Chat N QUANTITY BART NUMBER LINE DESCRIPTIO PRICE NET TOTAL COD 191 -io::) Ch vr of et i ^t "tek. K250(1 3 on 4tb I P i ck kiri 1.00 '641 ....2 3 Bp" Afeel Belt Res 4 14". i_ii "r IS BED Ebeel Bala Nut 3 t:)7 0Q (Y3 SUB 5 is a• MISC. t_) Qt) ^r l ?i it;)t7 TAX t f Dt') TOTAL s OTAL Control No �pa� 724486 Q t 3443 S GUILFOR1 Av 5TE 3Y-- 'Y .tC is `r RE11 IT G1 -IN REF ll1°. SEE' BI' 5`35`; CC1!_.Lf =E E 1ON L I C'„ UR. M Ito a 2 °Z'3ci C H I CAGO ALL F-1 a�: 9 r 10000601 83 4 98 BY CEIVED ALL GOODS RETURNED MUST BIrACCOMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE 0 o F STORE NO. 'EMP S 85• •t_) a 803' C YIN OF CA f-WiEL "I, AT ER (5/3(. i i:L O l a 1834449 t 8t) i 7 -ai)' 14 3 •.J w =•T i .r TIME PURCHASE ORDER NO. ATTENTION CRE EEL, ILN 460J -'t --8267 0"9 it hop INVOICE TYPE Ch arpe G` QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL COD i,r 1 s EtE�+�E EE] 2001 7. 24 E =f `J i =r) 5.98 Above .1t em oR S t.- 4 SUB 5. T. tC r "iCit: ?C.� t_ J° '1 OTAL TOTAL VOUCHER 121162 WARRANT ALLOWED 355214 IN SUM OF INDIANAPOLIS, II 5959 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 35(0 3 l 53112 01- 6500 -04 I Cb-TYO 53112 01- 6500 -05 Voucher Total $1,228.76 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 355214 NAPA AUTO PARTS- INDIANAPOLIS, IN Purchase Order No. 5959 COLLECTIONS CENTER DRIVE Terms CHICAGO, IL 60693 Due Date 6/12/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/12/2012 53112 $1,228.76 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 Date Officer