213014 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA Pp��g
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $1,021.30
CHICAGO IL 60693 CHECK NUMBER: 213014
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 85-017983 1, 021 . 30 REPAIR PARTS
Genuine Auto Parts September 24, 2012
5959 Collections Center Drive
Chicago, IL 60693
Acct: 08517983 - City of Carmel Police Department
Invoices paid:
Date Invoice # Debit Credit
09/07/12 847259 $20.58
09/12/12 847819 $159.83
09/14/12 848108 $185.12
09/14/12 848216 $28.72
09/17/12 848403 $362.36
09/18/12 848561 $114.52
09/18/12 848637 $8.49
09/19/12 848749 $59.16
09/20/12 848876 $82.52
BALANCE $1,021.30 $0.00
TOTAL AMOUNT PAID $1,021.30
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))
09/21/12 repair parts $1,021.30
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Genuine Auto Parts
IN SUM OF $
5959 Collection Center Drive
Chicago, IL 60693
$1,021.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
ors /7'783
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-370.00 $1,021.30 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 except
Friday, September 21, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund