213460 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
01 �` ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P_CHECK AMOUNT: $289.62
s`S; CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 213460
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 289. 62 REPAIR PARTS
FP lof 1 STATEMENT OF ACCOUNT WITH
4N1
ACCOUNT NO. TERMS v.
08517996 GOVT.45 DAYS NET 09/10 RI 847527 T: 9.49
CLOSING DATE PAST DUE DATE SEQUENCE NO. 00/00 . . .00 5 91
09/13 I 847800 T: 6.29
09/30/12 11/14/12 19234604 09/13 I 847923 T: 4 .94V
PREVIOUS BALANCE PAYMENT RECEIVED DISCOUNT EARNED 09/14 I 848134 T: 10.70X
00/00 .00 hulbs
65.01 65.01- .00 09/14 I 848186 T: 39.92/
NEW CHARGES & CREDITS FINANCE CHARGE NEW BALANCE 09/17 I 848456 T: 4.9 0✓
289.62 .00 289.62 00/00 .00 hop
09/18 I 848564 T: 12.39✓
TOTAL PAST DUE CURRENT FUTURE 00/00 .0 O Eurango
AGED 09/18 I 848568 T: 52.76✓
ACCOUNT .00 .00 289.62 00/00 .00 Eurango
STATUS PAST DUE 10 DAYS PAST DUE 40 DAYS PAST DUE 70 OR MORE 09 20 I 687904 T: 122 .94/
.00 .00 .00 00%00 .I 848866 .00 oat 25.29t/
USTOMER:
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 website for invoice copies at www.napaaccount.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 serve yett aga-.
LEASE REMIT TO:
GENUINE PARTS COMPANY - INDIANAPOLIS, IN
5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693
Important: To insure proper credit please return right side
f statement with your payment. If for some reason all items
re not paid, please enter a check mark and explanation
eside each item NOT PAID.
TOTAL DUE $ .00
SHOW AMOUNT PAID $
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
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))
$289.62
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
Napa:
IN SUM OF $
5959 Collections Center Drive
Chicago, IL 60693
$289.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I I 42-370.00 I $289.62 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
OCT
L
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund