210006 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA Pp��
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE Cl1ECK AMOUNT: $209.00
CHICAGO 60693
CHECK NUMBER: 210006
CHECK DATE: 6/2012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 08508081 209.00 OTHER MAINT SUPPLIES
Control No.
QaapaD 5749.'A.
CnRMEL NAPA
1441 S WILFORD AVE STE 10 Y OCR y RE ly! I T.- GPC I ND
RE BY VER BY 5c-*) 59 COLLECTIC )N CTR. DR.
CRDIE m 46032-2E C 3
1 1-
1000060178355742 L L G 0 0 D S R5AT& VA rfl E5 QY_3 4
34S INVOICE
ACCT NO. SOLD TO DA lV STORE NO:' 61VIP SR
85-008081 C I TY OF 7 C RMEL --BUILDING 06
I 'F?ME/ I 'zmPUfftQA9E-bRMR ATTEN J V_
CARMEL, IN 46( j q t VVOICE TY PE
'-VJANTITY PART NUMBER LINE DESCRIPTION PRICE NET TEL 9 DE
f BK TUBES ffiFB 80 2( 9. Oooc) 2 9. 0
Above 1i em on Sale
SUB TOTAL
0 TAX
TOTAL 209. 00 cx"6
V OUCHER NO. WARRANT NO.
ALLOWED 20
NAPA
GPC -IND IN SUM OF
5959 Collection Center Drive
Chicago, IL 60693
$209.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
c�'�J 9
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1205 035574 42 389.00 $209.00
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
Monday, June 18, 2012
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor 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 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))
06/07/12 035574 $209.00
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