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211742 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 ' ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA PCK AMOUNT: $43.60 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 211742 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 08502867 43 . 60 411362 �Innr� ti. Control No 7430706 a�l1Wl�Gd� NAPA AUTO PARTS C�/ ✓(% G � �. �® 9501 Corporation Dr. Suite B.4' 0 Y 18 RE_,MIT�//-T.O : 'PC—IND \� REF BY_VER BY SALES VER 5�9 C b L L T wq�l HOY 849-1159, IN 46256 C fi I .A I 100006010 113 RECEIV lfl�ll!�19�1II�IIlII�I IIlI�1!l1911�!!�!I ODS R URNED MUS BE A OMPANIED BY THIS INVOICE ACCT. NO. SOLD TO DATE I MgN@M M0 I STORE NO. EMP SR 85--002867 CARMEL WASTEWATER 07 /18/2012 411.362 06010 3110 760 3RD AVE S W 1 of 1 TIME PURCHASE ORDER NO. ATTENTION CARMEL , IN 46032-2072 - 99-18:51 6 : 57 tiuck 135 18 ) e ever I INVOICE I Charge Sale QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE Above Item on Sale �VN1Jlao _ SUB A TOTAL 43 . 66 MISC. g TAX TOTAL Account No TERMS 08502867 2% 10th, Net 20th Closing Date Due Date Sequence No 07/31/12 08/20/12 19023045 —_ Previous Balance Payments(s)Received 73.15 73.47- New Charges/Credits Finance Charge New Balance 43.60 .00 43.28 =_ Total Past Due Current Future Aged 32- 43.60 .00 Account Past Due Past Due Past Due 10 Days 40 Days 70 or More Days Status .00 .00 .32- Page 1 of 2 MDG2011 00040008 1 AB 0374 ° 111IIIIIIIIIII,IIr rll,1h-III, I- IIIIIII11111111 lu,11111 = CARMEL WASTEWATER — r „ 760 3RD AVE SW CARMEL IN 46032-2072 If you have QUESTIONS CALL:(877)558-9287 Press 1 for invoice copies. Visit our website for invoice copies at www.MAPAaccount.com You may deduct early Payment Discount of: .87 Therefore if Paid By: 08110112 LYour Payment Should Be: 42.41 — Your NAPA account is on the web! www.NAPAaccouiit.com Click on CUSTOMER LOGIN and ACCOUNT ACTIVATION Enter the 8-digit sequence number from your current monthly statement and enter your email address. A password will be emailed back to you. You will have access to: • Copies of statements and invoices • Receive your monthly statement via E-mail • Up to date account balance • Last payment and date received • E-Mail your customer representative A Finance Charge of 1.50 Percent= 18.00%Annual Rate,will be charged Monthly on any unpaid Balance /WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY \ SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D&B AND EQUIFAX 040008 1 1 047927 P Customer Copy - Retain for your Records Acct No. 108502867 1 Page 2 of 2 Customer I CARMEL WASTEWATER Statement of Account with 41AM AULPARTS Date Type ✓ Inv. No. Amount Due Explanation 11114 RM 382857 .32- 07/18 RI 411362 43.60 truck 135 TOTAL DUE $43.28 TYPE CODES RI Invoice RB Charge Back RM Credit Memo RU Unapplied Payment RF Finance Charge X# Miscellaneous Accounting Entry ai v c m E T L 3 2 O U N E r m a E N D l0 C O 5 O d n m m m m a `m Y N t0 d a 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-GENUINE PARTS CO - INDIANAPOLIS Purchase Order No. 5969 COLLECTIONS CENTER DRIVE Terms , CHICAGO, IL 60693 Due Date 8/8/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/8/2012 411362 $43.60 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 VOUCHER # 125494 WARRANT # ALLOWED 355214 IN SUM OF $ NAPA=GE INDIAN) 5969 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 411362 01-7502-06 $43.60 Voucher Total $43.60 Cost distribution ledger classification if claim paid under vehicle highway fund