HomeMy WebLinkAbout212589 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
0 • ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P-CHECK AMOUNT: $15.84
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 212589
CHECK DATE: 9112/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4232000 85-000449 15 . 84 TIRES & TUBES
Control No
730939
0® CARMEL NAPA " /1
1441 5 WILFORD AVE STE 140 Y OCR Y REM I T e r_,FIC- _.-
REF BY VER BY _ 5959 COL-L !"R. DR. _
CARP4EL, IN 46032-2k2 CH D(`
1Q0046017 471466 RECEIV D BY X
ALL GOODS RETURNED M T BE ACCOMPANIED BY THIS INVOICE
ACCT.NO. SOLD TO DATE o ca Mo I STORE NO. EMP SR
85-000449 Cl l"Y OF C::ARMEL.--COMMLIN I T 03/06/2012 ,9 4'7146 001-7 `? 1c)
1 CIVIC so 1 }5 f 1 TIME PURCHASE ORDER NO. ATTENTIONi,,,
CARMEL IN 46032---2584 1
(^�6� INVOICE TYPE Char-ge' •`��.";r
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL ;CODE
?i_ I(_ I b;.," 6 K TIRE 15. 84 15. 84 00 15. 84
OTAL 5. 84 MI SC. 4 - L J(,?OO TAX% L, TOTAL
VOUCHER NO. WARRANT NO.
ALLOWED 20
C
_�am HTAPA
/ IN SUM OF $
1441 S. Guilford Avenue, Ste. 140
Carmel, IN 46032-2922
$15.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#I Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 847146 I 42-320.00 I $15.84 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
Monday, September 10, 2012
' I
Director
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))
09/06/12 847146 Tire Repair $15.84
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
20
Clerk-Treasurer