HomeMy WebLinkAbout213013 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page _1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA PMCK AMOUNT: $35.60
®S� CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 213013
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 85-001898 32 . 11 848601
1207 4350000 85-001898 3 .49 848654
o Conftol No. 15536992
VAR
CARME.L. IJAN-1
1441 S GUILrom AVE STE 140 Y 0 R y REM Vr-GPC -- E N
I 1 4'*
REF BY VER BY J95'.-) C 01L.L.E. -r 10
CAM' ' IN 46032-2922 CF1T.Qf--)G-O V�l
RECEIVED
1000060178486012 BY .x
ALL GOODS RaURNED MUSFBE#A'C(5'0WAW4p�THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. EMP SIR
I/ (--- 1
8°i-- )018`38 C11" OF' U-'1R1y1EL./BROOKSH1 .3i 8-48601
I civic !30. J. 0 f 1 TIME PURCHASE ORDER NO. ATTENTION
CARMEL., IN NE- 3-13:30 L'2
16) 11D)e I i v P r INVOICE TYPE Cha.,-rje Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. (-I(, L 21
".) 2 4 4 4 F-I L. NAPA6W AIR F1 33. 1-4 1 S., I I a.
c, 0(.-) I o(--)2 I. 1 a -7.4
-.,JC' LIJA FUEL TREAT 98
F'refiltcr will be in later this afternccm.
SUB :3 2 a 11 3.7,
TOTAL Q C)I— �
() TAX TAL
Control No. 155 "")' 7054
RAW
'��s CAF"r-IFIL NAPn
1441 S GLIU00 AVE STE 140 Y OCR y REM 1-1•-.GFIC I 1\1D,
T
REF BY VER BY 59519 UT-0--D R
CARMCIL, IN 4F;01' r'92 HICAGO,/,'�LL 3"'!
RECEIVED K.,
1
1000060178486548 cBy x Y,7 ! p
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE --FMTS@MM I STORE NO. EMP SR
948F,54 (ji",017 I I
815--001.8`78 (.1'.T.T*'f f--)F CARMEL"RRO(WSHI
-1 Civic S 0. 1 a f I. TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN NE-- 3-1606 15- '-s- F`J I t e r
INVOICE TYPE
Me Vi v Or 1 0 1 Charicie Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. oC,,) 7-08,3048 SME PRE-FILTIR 49 3. 4900 3. 49
OC 3. 4'."j)
SUB 3. 4 9 0. %
TOTAL )() 7. ( TAX TOTAL
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))
09/18/12 848601 Repair Parts $32.11
09/18/12 848654 Repair Parts $3.49
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$35.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 848601 43-500.00 $32.11 1 hereby certify that the attached invoice(s), or
1207 848654 43-500.00 $3.49 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
Friday, September 21, 2012
YZ2 4 ' Z
Director, Bro A shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund