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213873 10/23/2012 a-- CITY OF CARMEL, INDIANA VENDOR: 00352688 Page 1 of 1 `. ONE CIVIC SQUARE CARQUEST € CHECK AMOUNT: $681.07 �.�.o CARMEL, INDIANA 46032 PO BOX 404875 ATLANTA GA 30384-0875 CHECK NUMBER: 213873 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236400 2601-99067 119 . 84 PAINT 2201 4236400 2601-99402 70 . 79 PAINT 651 5023990 2738-190074 45 . 88 OTHER EXPENSES 651 5023990 2738-190545 325 .40 OTHER EXPENSES 651 5023990 2738-190573 68 . 60 OTHER EXPENSES 651 5023990 2738-190591 50 . 56 OTHER EXPENSES Great people, great products, great prices!'" CaRQUEST CQ OF NOBLESVILLE IN # 9186 PAGE 1 OF 1 164 N 10TH ST REF# 150695 �� NOBLESVILLE, IN 46060 317-773-4274 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS 111111111111111111111111IIIIIIIIIIIIIIIIIIIIIIIII 1111111 PO BOX 404875 ATLANTA, GA 30384-4875 21201209180260100000994020000150695585 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. BCITY OF CARMEL STREET DEPARTMENT �ITY OF CARMEL STREET DEPARTMENT X3400 W 131ST ST P3400 W 131ST ST TWESTFIELD, IN 46074 -IESTFIELD, IN 46074 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO. DATE CUST. P.O. NO. ID ID FORM OF PYMT. 2601-99402 860097 09/18/12 M1876 CHARGE MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT.AMOUNT TAX 1 DPC KH-8 1 1 85.26 70.79 0.00 70.79 JIN CHROMABASE COLOR 0 0 a X - C O U WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV.TIME DELV.ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREY. DEPOSIT 0 .00 0 . 00 03 :03 PM RECEIVED v y JLY1 CUSTOMER COPY AMOUNT A ® 70.79 Z'�Z Great people, great products, great prices!" CQ OF NOBLESVILLE IN # 9186 PAGE 1 OF 1 COMM 1 164 N 10TH ST REF# 150251 NOBLESVILLE, IN 46060 317-773-4274 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS IIIIIIIIII I IIIIII IIIIIIIII I IIIIIIIII�IIIII III PO BOX 404875 ATLANTA, GA 30384-4875 21201209060260100000990670000150251771 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. BCITY OF CARMEL STREET DEPARTMENT PITY OF CARMEL STREET DEPARTMENT X3400 W 131ST ST P400 W 131ST ST TWESTFIELD, IN 46074 WESTFIELD, IN 46074 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. DATE CUST. P.O. NO. ID ID FORM OF PYMT. NO 2601-99067 860097 09/06/12 M1876 CHARGE MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT.AMOUNT TAX 1 DPC KH-4 1 1 144.34 119.84 0.00 119.84 /N CHROMABASE COLOR 0 a w w 0 V WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV.TIME DELV.ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT 0 .00 0 .00 PAY THIS 10 :58 AM RECEIVED _ c;' c r 4tz,�CUSTOMER COPY MOUNT 119.84 VOUCHER NO. WARRANT NO. ALLOWED 20 Carquest Auto Parts Stores IN SUM OF $ P. O. Box 404875 Atlanta, GA 30384-4875 $190.63 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 2601-99067 42-364.00 $119.84 1 hereby certify that the attached invoice(s), or 2201 2601-99402 42-364.00 $70.79 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 �J Thursday, October 18, 2012 Street Commissioner e : ttul �s cner 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 2601-99067 $119.84 09/18/12 2601-99402 $70.79 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 ®® S Great people, great products, great prices! poi#513 prices!" CAR VEST n /� CQ OF IND-BASH RD IN # 9146 1 ofO'• ` - 5 - INDIANAPOLIS, STREET D O 0048 317-849-6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS OCT 15 2012 IfIIIII�IIIIIIIIIIIII�lllllllll�llllllllllllllll� ll�l�ll PO BOX 404875 ATLANTA, GA 30384-4875 By 21201210120273800001905730000310048353 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. B CITY OF CARMEL WASTE WATER HCITY OF CARMEL WASTE WATER ORIGINAL � 9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY T INDIANAPOLIS, IN 46280 TINDIANAPOLIS, IN 46280 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE /--'CU ST. P.O. NO. ID ID FORM OF PYMT. 2738-190573 463020 10/12/12 TRK 43 IAH1685 CHARGE MFG.PART NUMBER ORDERED SHI PED LIST P E NET NET CORE EXT.AMOUNT TAX * NOTE: JC 456 FOREMAN THIS TICKET CONTAINS PARTS FOR A: 2002 CY.EW TRUCK SILVERADO 2500 PU V8 364 6 OL 1 RSK 81925 2 2 32.99 17.15 0.00 34.30 N/N GUARDIAN SHOCK W 2 RSK 81921 2 2 32.99 17.15 0.00 34.30 N/N CY GUARDIAN SHOCK WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV.TIME DELV.ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT 0 .00 0 .00 RECEIVED PAY THIS ol. 01:36 PM BY X CUSTOMER COPY AMOUNT 68.60 Great people, great products,great prices!" caRuEST Po# 5i33 1.S CQ OF IND-BASH RD IN # 9146 PAGE 1 OF 1 /� 8357 BASH STREET n�7 310072 o1.75aQ- D7, INDIANAPOLIS, IN 46250 Tu u�mn� 317-849-6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS OCT 15 2012 VIII II�IIIIIIIIIIII IIII�IIIIIIIII�IIIIIIIIIIIIIIIIII I�I�III PO BOX 404875 ATLANTA, GA 30384-4875 21201210120273800001905910000310072073 By ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. e CITY OF CARMEL WASTE WATER HCITY OF CARMEL WASTE WATER � 9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY ORIGINAL T INDIANAPOLIS, IN 46280 TINDIANAPOLIS, IN 46280 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE CUST. P. . NO. ID ID FORM OF PYMT. 2738-190591 463020 10/12/12 TRK 43 RR1290 CHARGE MFG.PART NUMBER ORDERED SHIPPE LIST PRICX NET NET CORE EXT.AMOUNT TAX * NOTE: PLEASE SEND HARWARE KIT ALSO THIS TICKET CONTAINS PARTS FOR A: 2002 CHEVY TRUCK SILVERADO 2500 PU V8 364 6 OL FRI BS771 1 1 60.99 29.25 0.00 29.25 N/N BRAKE SHOE PARKING W THIS TICKET CONTAINS PARTS FOR A: 2002 CHEVROLET SILVERADO 2500 6. 0L 36 CID V GAS 2 BRK H7004 1 1 50.39 21.31 0.00 21.31 N/N BRAKE HARDWARE KIT WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF if OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DEL V.TIME DELV.ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREY. DEPOSIT 0 .00 0 .00 RECEIVED PAY THIS 04 :07 PM BY x CUSTOMER COPY AMOUNT ® 50.56 �w�{''�� Great people, great products, great prices!" COQUE® 1�'C T PV'*'rs'3�'� CQ OF IND-BASH RD IN # 9146 PAGE 1 OF 3 ST 8357 BASH STREET 0006 ®�® I. Z INDIANAPOLIS, IN 46250 0 317-849-6300 D �C lUi AUTO PARTS REMIT TO: CARQUEST AUTO PARTS T PO BOX 404875 OCT 1 5 2012 IIIIIIillillllllll Ililllllllllll9llllllllllll VIIIIillllll ATLANTA, GA 30384-4875 21201210120273800001905450000310006606 B ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAIL B CITY OF CARMEL WASTE WATER BCITY OF CARMEL WASTE WATER L 9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY ORIGINAL L INDIANAPOLIS, IN 46280 PINDIANAPOLIS, IN 46280 T T O O CUSTOMER SALES TEAMMATE INVOICE NO. DATE COST. P.O. NO. ID ID FORM OF PYMT. NO 2738-190545 463020 10/12/12 TRUCK 43 AH1685 CHARGE MFG.PART NUMBER ORDERED SH PED LIST PRI NET NET CORE EXT.AMOUNT TAX * NOTE: JC 456 FOREMAN THIS TICKET CONTAINS PARTS FOR A: 2002 CHEVY TRUCK SILVERADO 250C PU V8 364 6 OL 1 BDR PER55056 2 2 178.99 89.04 0.00 178.08 NIN o BRAKE ROTOR X * RE: PER55056 2M-INV-INDIANA OLIS DG 8 w a U 2 BDR 55057 2 2 73.99 37.04 0.00 74.08 N BRAKE ROTOR WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV.TIME DELV.ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT RECEIVED PAY THIS 09:49 AM BY X CUSTOMER COPY AMOUNT ® CONTINUED Great people, great products, great prices!" C ® CQ OF IND-BASH RD IN # 9146 PAGE 2 OF 3 8357 BASH STREET REF# 310006 ® INDIANAPOLIS, IN 46250 317-849-6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS IIIIIIIIIIIIIIIIIIIIIIIIII�IIII�lI�IIIIII�IIIIIIIIIIIIIIIIIIIIII PO BOX 404875 ATLANTA, GA 30384-4875 21201210120273800001905450000310006606 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. CITY OF CARMEL WASTE WATER HCITY OF CARMEL WASTE WATER L 9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY L P INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280 T T 0 r s 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE CUST. P.-O. ID ID FORM OF PYMT. 2738-190545 463020 10/12/12 TRUCK 43 AH1685 CHARGE MFG.PART NUMBER ORDERED SHIPP LIST PRIG NET NET CORE EXT.AMOUNT I TAX 3 BOS -710105 2 2 .17 3 .58 0.00 7.16 N OIL SEAL 4 BOS 2081 2 2 6.72 2.96 0.00 5.92 N/N OIL SEAL 5 RDP RMD784 1 1 42.49 18.47 0.00 18.47 N N o EIMPLI-ED, PAD METALLIC X MD785 1 1 42.49 18.47 0.00 18.47 N N w a PAD METALLIC 5655 2 2 11.19 4.72 0.00 9.44 N/N E HARDWARE KIT CLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED CLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FI TNESS FOR A PARTICULAR PU OSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller. A DELV.TIME DELV.ID FREIGHT I TAX;lJBLLNAMT. I SALES TAX TOTAL CORE PREV. DEPOSIT 09:49 AM RECEIVED X \ 'r� CUSTOMER COPY PAY THIS CONTINUED BY (,�.' AMOUNT Great people, great products, great prices!5M 'CARQUEST P0513319 CQ OF IND-BASH RD IN # 9146 PAGE 3 OF 3 f�'�oO•0� STREET 006 INDIANAPOLIS, IN o o1C 317-849-6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS OCT 15 2012 tIIIIIIIfItiII�IIIIIiIIIII�IItItll�l�ll l��IlIIIIIlIIIIIIIIlIIIII PO BOX 404875 ATLANTA, GA 30384-4875 21201210120273800001905450000310006606 g la==j ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. B CITY OF CARMEL WASTE WATER HCITY OF CARMEL WASTE WATER n' � 9609 HAZEL DELL PARKWAY P 9609 HAZEL DELL PARKWAY ORIGIN L T INDIANAPOLIS, IN 46280 TINDIANAPOLIS, IN 46280 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE UST. P.O. O. ID ID FORM OF PYMT. 2738-190545 463020 10/12/12 TRUCK 43 1 iAH1685 CHARGE MFG.PART NUMBER ORDERED SHIPPE LIST PRIC NET NET CORE EXT.AMOUNT TAX 8 BRK H5654 2 2 .31 6.89 0.00 13.78 NIN BRAKE HARDWARE KIT 0 a x w O' U WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV.TIME DELV.ID FREIGHT TA LE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT 0 .00 0 .00 RECEIVED t —--- PAY THIS 09:49 AM BY X CUSTOMER COPY AMOUNT 325.40 eat people, great products, great prices!'" +�®T U CQ O IND-B S R o. PAGE 1 OF 2 ` ! OCT 09 2012 PDWRL� Ilf REF# 309346 ®� g317-8 - .300 ,�M AUTO PARTS B REMIT T�CPQCE , U Z/ O C& 4 4 i 1 I III�IIIIII ATLANTA, GA 30384-4875 4 21201210050273800001900740000309346040 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST T OAST GUARANTEE. BCITY OF CARMEL WASTE WATER HCITY OF CARMEL WASTE WATER L9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY L P TINDIANAPOLIS, IN 46280 TINDIANAPOLIS, IN 46280 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE COST. P.O. NO. ID ID FORM OF PYMT. 2738-190074 463020 10/05/12 STOCK REFILL RR1290 CHARGE MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT.AMOUNT I TAX * NOTE: DELIVER ITEMS TODAY IF YOU CPN 1 RFI R85522 4 4.19 2.30 0.00 9.20 /N OIL FILTER- RED THIS TICKET CONTAINS PARTS FOR . 0 2005 CHEVY TRUCK 'EQUINOX V6-201 4L OHV X 2 RFI R84620 2 2 7.59 3 .84 0.00 7.68 NIN w a' OIL FILTER- RED 3 RFI R85040 3 3 4.19 2.30 0.00 6.90 NIN OIL FILTER- RED WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV.TIME DELV.ID FREIGHT TAXABLE APT. SALES TAX I TOTAL CORE PREV. DEPOSIT RECEIVED PAY THIS 03 :00 PM BY CUSTOMER COPY AMOUNT CONTINUED Great people, great products, great prices!" CQ OF IND-BASH RD IN # 9146 PAGE 2 OF 2 8357 BASH STREET REF# 309346 INDIANAPOLIS, IN 46250 317-849-6300 AUTO PARTS REMIT TO: CARQUEST AUTO PARTS IIllliililllllllllllllli9lllllll�llllllllllllllll9l IIII PO BOX 404875 ATLANTA, GA 30384-4875 21201210050273800001900740000309346040 ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE. BCITY OF CARMEL WASTE WATER HCITY OF CARMEL WASTE WATER 9609 HAZEL DELL PARKWAY P9609 HAZEL DELL PARKWAY TINDIANAPOLIS, IN 46280 TINDIANAPOLIS, IN 46280 0 0 CUSTOMER SALES TEAMMATE INVOICE NO. NO DATE CUST. P.O. NO. ID ID FORM OF PYMT. 2738-190074 463020 10/05/12 STOCK REFILL RR1290 CHARGE MFG.PART NUMBER OPXIERED SHIPPED LIST PRICE NET NET CORE EXT.AMOUNT TAX 4 RFI R85394 2 2 4.19 2.30 0.00 4.60 /N OIL FILTER- RED THIS TICKET CONTAINS PARTS FOR . 2003 FORD TRUCK F35O SUPER DUTY P U V -363 . OL DSL 5 RFI R84312 1 1 22.79 13.29 0.00 13.29 NIN o OIL FILTER-RED x 6 CFI 85459 1 1 23.39 4.21 0.00 4.21 /N OIL FILTER - HD WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY E%PRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller. SHIP VIA DELV.TIME DELV.ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE I PREV. DEPOSIT 0.00 0.00 03:00 PM RECEIVED PAY THIS D 45.88 BY { CUSTOMER COPY AMOUNT VOUCHER # 125938 WARRANT # ALLOWED 00352688 IN SUM OF $ CARQUEST AUTO PARTS PO BOX503589 ST LOUIS, MO 63150 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2738-190545 01-7500-02 , $325.40 J738-170074 (qi--75oo-off 'q5m -9738--M05'73 W-75eo--oa 60--0 0173S -19,05-11 Oi-75oo-oa 50-5G q 0. � t Voucher Total 1$32fl' Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00352688 CARQUEST AUTO PARTS Purchase Order No. PO BOX503589 Terms ST LOUIS, MO 63150 Due Date 10/17/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/17/201; 2738-190545 $325.40 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 Date Officer