HomeMy WebLinkAbout211244 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00352688 Page 1 of 1
ONE CIVIC SQUARE CARQUEST
CARMEL, INDIANA 46032 PO BOX 503589 CHECK AMOUNT: $201.93
'�. ST LOUIS MO 63150-3589
CHECK NUMBER: 211244
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 2738183324 201 . 93 OTHER MAINT SUPPLIES
Great people, great products, great prices!sm
CR®T CQ OF IND-BASH RD IN # 9146 PAGE 1 OF 1
®� IAN BASH STREET REF# 299843
INDIANAPOLIS, IN 46250
317-849-6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
11111111111H IIIIII111111111111111111IIIIII1R 111111N PO BOX 563589
ST LOUIS, MO 53150-3589
21201207030273800001833240000299843491 `
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE,COAST,:'FO COAST GUARANTEE.
BCITY OF CARMEL PARKS DEPARTMENT SCITY OF CARMEL PARKS DEPARTMENT '"'Q'
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3400 W 131ST ST 13400 W 131ST ST 7
TWESTFIELD, IN 46074 TWESTFIELD, IN 46074
0 0
INVOICE NO. CUSNOOMER DATE CUST. P.O. NO. SID S TAMDATF FOfM OF PYMT.
[+ x a
2738-183324 460069 07/03/12 M000777 [Rd,11421C Al2GE
_ MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NE CO' E I EXT. ;MOUNT I TAX
1 LUB 550019916 1 1 BC 123.59 64.39 0$00 6*4.89 �IN
ROTELLA T 15W40 CJ4 SPECIAL ORDER �
(BO) I V
2 LUB 550019916 2 2 123.59 64.39 0.00 128_.78 IN
ROTELLA T 15W40 CJ4 . g
3 RFI R85358 3 3 7.69 2.92 nO.0�0 a 81.76
IN
o OIL FILTER- RED
xx
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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. DEPOSIi-d
0 .00 0 .00
RECEIVED PAY THIS
01:20 PM BY X CUSTOMER COPY AMOUNT ® 201.93
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00352688 Carquest Auto Parts Terms
P.O. Box 503589
St. Louis, MO 63150-3589
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO# Amount
$ 201.93
7/3/12 2738183324 Kubota oil &filters
Total $ 201.93
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
120_
Clerk-Treasurer
Voucher No. Warrant No.
00352688 Carquest Auto Parts Allowed 20
P.O. Box 503589
St. Louis, MO 63150-3589
In Sum of$
$ 201.93
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 2738183324 4238900 $ 201.93 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
26-Jul 2012
�X�lYY1 Y72P�i
Signature
$ 201.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund