214597 11/20/2012 \�f CITY OF CARMEL, INDIANA VENDOR: 353686 Page 1 of 1
ONE CIVIC SQUARE CIRCLE CITY AUTO PARTS INC CHECK AMOUNT: $149.40
?a CARMEL,INDIANA 46032 9700 LAKESHORE DRIVE EAST
oa io INDIANAPOLIS IN 46280 CHECK NUMBER: 214597
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 525535 61 . 34 OTHER EXPENSES
651 5023990 525552 65 .41 OTHER EXPENSES
651 5023990 526040 22 . 65 OTHER EXPENSES
AlLL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
CIRCLE CITY AUTO Pf)FRI'S Pit
I-
7,01V )f,, -10RE OR EAS
AUTO PARTS INC.
IA lNPIAMAP-101-IS IN 4e-,;:--'B0 1A
317-815-19010 A u to Plus
IB I
PO.-TRUCK; DATE.
D 526Q
h A�V,T---LI'-D''F E r--,iR E;:"P,'W'A Y vi INVOICE: 140
I ND I ANPPOL.,I G IN 462812,
CO. DOC. S L.,-3 M A N im-05
b k i I T C N # L I NE QTY PRICE NET AMOUNT T
F, 01\4 X il
u-
8to
2C _0 I EDB F!TT I NG EA 5 9-. 24 4. 53 22. 6 5 t•-I
O
5412
Picked By: www.circlecityautopartS.COM Checked By:
PAP SUBTOTAL
4NK YOU 22. �5
SALES TAX 11). 001
TOT�-'IL $22.,65
xlHt CUSTOMER SERVICE PEOphr CHARGE INVOICE
NF,.T IOTH
RECEIVED BY ,5.0 t.
N
INVOICES NOT PAID BY THE 10TH OF THE MONTH ARE SUBJECT TO A SERVICE CHARGE AND COLLECTION COSTS.
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
+ CIRCLE CITY AUTO -PPIPTS +
Fo AUTO PARTS INC. 9700 LAFMSHORE DR EAsT
1A INDIANAPOLIS IN 46280 1A
"31- -
A u to Plus
lu". lovs,j;-'a 2it T-1-5-17 i :ill PO-.TRK 43 DATE- lo/la-,/12
CARMEL- U]"ILITILS SL-WE INVOICE: 525535-
9609 HAZEL J--)ELL f-DPIRKWAY 0
INDIANAPOLIS IN 46260
DOC' SLSMAN: KW-05
1 T�,.M # L I 11E DESCRIPTION x aTy PRICE NET AMOUNT T
o BH3821417 RAY EA 1 37. 56 3 12). 67 30. 67 N
30. 67 1\1
BH382419 RAY EA 1 37. 56 3 Q). C,77
2002 CHEVROLET- TRUCK SILVERADO 25CIOMD PU
nn
l IGINAL
OCT 15 2012
4D
y � 33 ��
By 7—
01.7 So 0 zoo,
Picked By: www.circlecityautoparts.com Checked By:
SUBTOTAL _61. 3 t
i6l ki Vr to SALES TAX 0. 00
TOTAL. $61. 34 •
4)
0 "THE CUSTOMER SERVICE PEOPLr CHARGE INVOICE
NET 10TH
RE E- I W.".D BY
INVOICES NOT PAID BY THE 10TH OF THE MONTH ARE SUBJECT TO A SERVICE CHARGE AND COLLECTION COSTS.
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
CIRCLE CITY AUTO PARTS
9700 LAKI"SHORF DR EAST
AUTO PARTS INC. , -101
1A INDIANAl' -I'- IN 46280 1A
w17-« ��.�-st � � A u to Plus
1B
PO: . DATE. 10110,112
CARtlll-..I- UTILITIES SEWER INVOICEt 5;.25552'
9609- HAZEL DEI.J_ PARKWAY
It-,IDIANAPOLIS IN 46260
CO. DOC. SLSMAN: KW-1215
y ITEM L I NE DESCRIPTION x QTY p p I C IF- NET AMOUNT "I'
BL-460 AGS STEEL LINE EA 6 �. 87, 6. 61 52. 88 N
123400 EDB FITTING EA 7 3a1 6 1. 79 12..53' N
OCT 15,2012 MI-INAL
��, B RW 513317 ,} �t
Picked By: www.circlecityautoparts.com Checked By-,0J.7500. OZ
SUBTOTAL 6;1-5. 4 1
SALES I'l-)X 0. CIO
'THE. CUSTOMER ER ICE PEOPLE' CHARGE INVOICE
NET I OTH
R E C E I V(ID BY yo
INVOICES NOT PAID BY THE 10TH OF THE MONTH ARE SUBJECT TO A SERVICE CHARGE AND COLLECTION JCOSTS.
VOUCHER # 126074 WARRANT # ALLOWED
353686 IN SUM OF $
CIRCLE CITY AUTO PARTS INC
9700 LAKESHORE DRIVE EAST
INDIANAPOLIS, IN 46280
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
525552 01-7500-02 $65.41
S-9 60�O 01 "-7500-03L
6 -9553S
i
Voucher Total
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 CARREL
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
353686
CIRCLE CITY AUTO PARTS INC Purchase Order No.
9700 LAKESHORE DRIVE EAST Terms
INDIANAPOLIS, IN 46280 Due Date 11/8/2012
Invoice .Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/8/2012 525552 $65.41
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