212593 09/12/2012 "*F CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPp��g
0 CHECK AMOUNT: $65.01
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 212593
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 85-017996 65 . 01 REPAIR PARTS
Control No.
7418 9
I 8
NK 3
CAR MEL NAPA
14416 GUILFORD AVE STE 140 Y 0 C.,R ly, REM1T.-CPC--IND
REF BY—VER BY 5959 COLL-C-1-JON jj�'. DR.
JE
CAM, IN 46032-22<rK CH I VED RE
1000060178429744 By
ALL GOODS RE/l-URNED MUST BE ACCOMPANIED BY THIS INVOICE
j
ACCT.NO. SOLD TO DATE00 STORE NO. EMP SIR
85...017''96 CITY Of:' CARMEL f-*1fRE' DEP 08/o3/'-'.012 84* -- '74 4's
c- 0 1
2 CIVIC SQUARE 1 a f 1. TIME I PURCHASE ORDER NO. ATTENTION
CAR MEL, IN 460,32-2584 10.9C7 Ltinths J-ason
l) 1 INVOICE TYPE f-Ir-Im ri i -F. 1Y1 e m 0
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
-1- 00 H4651 TV LIYIP' TWJVIEW SEALED B 20. 98 18, 11.Q Q 18. 11 CR
This item waas purChased on invoice # 7 '6180 03/24''1 2 o I()
2. oo F146561:AL LIMP ORITE LITE LAP 17- 98 9. 1700 18. 34
---1. 00 H4656TV L1yJP TRUVIEW SEALED 8 29. 98 15. 2 15. 29 CR
This it was- purchased 01 in' oice # 5:',885 ► 0-17/ 2/2o 12
TAX
SUB t'-j. 0 6 'Wst- - ..) I TOTAL 1.5. 0� CR
. I (). C)() 1 *7� o C)C)n % -T 0. C)(-
TOTAL
a�9apaD Control No. 73442997
0® C.f4RIYIEI-. NAP(�
1441 S GUILFORD AVE 617 140 Y OCR y REM TT-.GPC -I 114D
REF BY VER BY 5--1"959 COLLECTION C'T,':'. DR.
CAVE71N 4Y)32--M-2 CHICAGO PI-L 6
I.,
RECEIVED
11.000060178439779 By A 7Q:
ALL GOOD916ETURNED MUST BYACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. EMP SR
85-01799E, OF Cr)RIIEL--F'IRE* DEP 439-77 0 -017 5 136
2 CIVIC SQLJPiRE I of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46,032-2,584 8.08 Bk+
INVOICE TYPE
I
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL 'cobit -
1. C-jo 655--1959 BK LCER KNOR 67. 02 44. 1c'00 4 4. 12
please deliver to Station 1.
SUB 4-4. 12 A-4. I
TOTAL 0 7 0 % TOTAL
— I I TAX
Control No.
7343L- 93
CARMEL.. ijApn
1441 S GUILFORD AVE SW 140 Y OCR REIYI IT:GPC---I ND
REF BY VER BY 5959- C`01-LECT 1'. CTR. DR.
C
CARREL, IN 4032-F92,12, 1000060178442328 (11 H 1.C vi(01-0:ii.j-. 06-3
By
RECEIVED
ALL GOODS RETtNED MUST BE ACCOMPANIED BY 1 [ ,VOICE
ACCT NO. SOLD TO - DATE I M,96@MM I STORE(_NOS.I)EMP I SR
857 1'7 9 9 F, CITY OF DEP 0B/14/2(--)12 j8 44E.',32---- C�6017 1 25 1::,G
CIVIC SIDUARE 1 0 f I TIME PURCHASE ORDER NO. ATTENTION
CAR 1EL, I N 46()3-2--2-f"581+ 1.4-27 4541
14) INVOCE TYPE
Charge Sri I.e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
0 W
--'750 FIL NRMDLDAIP F1 73 G 6, 9 9 C, 6. 913 F
SUB TOTAL 9 13 0. -f Cl( 7
**) 7. (..)(:)(_)(J I �) % ) (-)(^) TOTAL 9
I I �1
RAW Control No. 7308467
CARMEL NAPA
1441 S GUILFORD AVE STE 140 Y D C R y R E 111'r-(3 P I N D
REF BY VER BY 59513 C'*0[.-LEf--:U Ohl C� R. DR.
/9
CARMIEL—IN 4032-29-22 C A),V,�EJGID IL ,,) E,(
2
100006017846',4nO4 By x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT.NO. SOLD TO DATE I M6@M M I STORE NO. EMP SR
85-(j 1 7799 E, CITY OF CARMEL.-FIRE DEP 08/30/2012 8463-30 C)LOI-7
2 CIVIC 3 Q LJ A R E" I of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN
INVOICE TYPE F-harqe (;,= Ifl
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL- CODE
2. 6- 2 3""Z,3 V AL. THRUTTLE LO➢Y CL 4. 6 1 3'. El 9()0 7. 38
TOTAL 7. 38 0. 00 0 0 % 5 c)
TAX 0. (- I TOTAL
Control No. 1308142
RAW
0® CARMEL NAPA
1441SWIM AVE ST1140 Y GCR Y REM i,*r-Gp(*"--I ND
PH BY VER BY 5959 COLLECTION CTR. DR.
CARVR N 46032-2422 1000060178460414 r-T,,,,Ar:,,-1 9`` "�R6?
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. EMP SR
85-017996 CITY 0;:" C-ARMEL-FIRE DEP 08/28/'E_012 b46041 0 017 1.4 131,
2 CIVIC SQUARE 1. of I TIME PURCHASE ORDER NO. I ATTENTION
CARMEL, IN 460,212-2584 N- 2-15:27 Z�� 4::::. INVOICE TYPE r-1upn
- �')p 7 v P,-- I e P'
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL 7 CODE
1. 00 9883 F I L MELD AIR Ff 35. 92 10. 7900 10. 79 E
SUB 10. 79 A-1
.�l 0. 00 WOO % (-)o
TOTAL TAX c'. TOTAL 1 0. '71
� �1 �]��
o�*w" � � � �u�� \ �
RAW
CARMEL NAPA
140SGUOIORD � �
� � <4O Y OCR Y RE 1T
REF DYN� HY __ 5959 COLLECTION CTR. DR.
__
1000060178459989 By jj
ALL GOODS REI"�6E—C�MU!�rB—EA'C'CO�iPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE I MT,4go�g STORE NO. I.:,IEMP. �1,;.;SR-
2 CTIIIC SQUARE I f I TIME PURCHASE ORDER NO. ATTENTION,.,
I —INVOICE TYPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL- cob E
FPage lof 1 STATEMENT OF ACCOUNT WITH —MAPR
ACCOUNT N0. TERMS �.
08517996 GOVT.45 DAYS NET 08/03 M 842974 T: 15.06-
CLOSING DATE PAST DUE DATE SEQUENCE NO. 00/00 . . . . . . . .00 1 igths
08/31/12 10/15/12 19125146 00/00 .1 843977 .00 T: 44.12
PREVIOUS BALANCE PAYMENT RECEIVED DISCOUNT EARNED 08/14 I 844232 T: 6.99
385.21 385.21- 00 00/00 .00 car 4541
08/28 I 845998 T: 10.79
NEW CHARGES & CREDITS FINANCE CHARGE NEW BALANCE 00/00 . . . . . .00 5 0 2
65.01 .00 65.01 00/00 .I 846041 .00 T: 10.79
TOTAL PAST DUE CURRENT FUTURE 08 30 I 846330 T: 7.38
AGED
ACCOUNT .00 .0 0 65-01
STATUS PAST DDS 10 DAYS PAST DUE 40 DAYS PAST DUE 70 OR MORE
.00 .00 .00
CUSTOMER:
CITY OF CARMEL-FIRE DEPT
2 CIVIC SQUARE
CARMEL IN 46032-2584
If you have QUESTIONS CALL (877) 558-9287 Press 1 for invoice copies.
visit our webeite for invoice copies at www.napaacccunt.com
** Zero Bal. ** ** Zero Bal. **
No Payment is required. Your Acct
Shows a Zero Balance As of the
Statement Closing Date. Thank you
For Your Business and Payments.
- Please Let us se3ave yeu fl, fl.
LEASE REMIT TO:
GENUINE PARTS COMPANY - INDIANAPOLIS, IN
5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693
Important: To insure proper credit please return right side
of statement with your payment. If for some reason all items
re not paid, please enter a check mark and explanation
wide each item NOT PAID.
TOTAL DUE $ .00
SHOW AMOUNT PAID $ S Q
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
BY SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D & B AND EQUIFAX
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
5959 Collections Center Drive
Chicago, IL 60693 0 S— o[
$65.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 42-370.00 I $65.01 I 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 exce�t
P AT <
Fire Chief
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))
$65.01
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
120
Clerk-Treasurer