214397 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 365791 Page 1 of 1
0 ONE CIVIC SQUARE PEARSON WHOLESALE PARTS
CARMEL, INDIANA 46032 10650 N MICHIGAN ROAD CHECK AMOUNT: $188.32
9yTOM��=O ZIONSVILLE IN 46077 CHECK NUMBER: 214397
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 55759 288 . 32 REPAIR PARTS
2201 4237000 CM55759 -100 . 00 REPAIR PARTS
III II 11111111111111111111111111111111EI111111111
11 0 PEA R'SON 00 PEARSON
AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/items sold hereby are those made by
the manufacturer. The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all
10650 North Michigan Road • Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
a particular purpose, and PEARSON WHOLESALE PARTS,LLC, neither assumes nor authorizes any
Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE 12 NUMBER
S ACCOUNT NO. 6200 H PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTMEI
T 3400 W 131ST ST P
0 WESTFIELD, IN 46074-8267 0
SHIP VIA - SLSM. B/L NC. TERMS F.O.B.
ngn I SHIP 15ART NUMBER DESCRIPTION I IqT NFT AMOUNT
1 O ' 8'C3Z*2VO01*B KIT - B 76 . 63 61 . 30 61 . 30
1 0 9U2Z2V121D 313 104 . 70 62 . 82 62 . 82
CORE DEPOSIT 50 . 00 50 . 00 NO RETURNS
1. 0 9U2Z*2V120*D CALIPER 313 107 . 00 64:20 64 .20 WITHOUT THIS
CORE DEPOSIT 50 . 00 50 . 00 INVOICE.
NO RETURNS AFTER
10 DAYS.
A 15% HANDLING
CHARGE WILL BE
ADDED.
****** THANKS FR LL OF US ****** NO RETURNS ON
******* AT PEARS HOLESALE ******* ELECTRICAL OR
**** WE APPRECIA E YOUR BUSINESS **** SUBLET SPECIAL ORDER
FRET HT 0 . 00 PARTS
SALES,TAX 0 - 00
°°""°"'Z°°°° CUSTOMER COPY III 111111111111111111111 111111111111111111
OPEARSON 000 PEARSON
AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/items sold hereby are those made by
the manufacturer.The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all
10650 North Michigan Road • Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
a particular purpose,and PEARSON WHOLESALE PARTS,LLC, neither assumes nor authorizes any
Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
NUMBER
S ACCOUNT NO. 6200 H PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTMEI
D 3400 W 131ST ST P
T WESTFIELD, IN 46074-8267 T
SHIP VIA SLSM. B/L NO. TERMS F.0.6.
-1 -1 0 9U2Z2V121D CORE RE 313 104 . 70 50 . 00 -50. 00
-1 - 0 9U2Z*2V120*D '" CORE RE 313 107 . 00 50 . 00 -50 . 00
- NO RETURNS
WITHOUT THIS
INVOICE.
NO RETURNS AFTER
_. 10 DAYS.
A 15% HANDLING
CHARGE WILL BE
ADDED.
****** THANKS FROM ALL OF�`kUS ****** NO RETURNS ON
******* AT PEARSON WHOLESALE ******* PARTS — ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FREIGHT 0 . 00 PARTS
SALES TAX 0 - 00
ooW9h 1.ADP,Inc **CRED TM9TOMER I COPY
VOUCHER NO. WARRANT NO.
Pearson Wholesale Parts ALLOWED 20
IN SUM OF $
10650 N. Michigan Road
Zionsville, In 46077
$188.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 55759 42-370.00 j $288.32 1 hereby certify that the attached invoice(s), or
2201 CM55759 42-370.00 ($100.00) 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
Thursday, No 01, 2012
fF ii i�� ;y lz� f.�.r�.�6 li�✓�fi��
Street Commissioner
r y
Street CO" Title ^Cr
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))
10/19/12 55759 $288.32
10/22/12 CM55759 ($100.00)
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
20
Clerk-Treasurer