HomeMy WebLinkAbout215320 12/11/2012 a CITY OF CARMEL, INDIANA VENDOR: 355214 1 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP_CHECK AMOUNT: $122.17
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 215320
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 08501898 24 . 73 858151
1207 4350000 08501898 67 . 45 858270
1207 4350000 08501898 29 . 99 858286
100006017 Time: 10:51 Date: 12/06/2012 Page: 1/1
CARMEL NAPA
1441 S GUILFORD AVE STE 140 ,
O0 0.
Q REF BY VER BY Employee: 25 Mike
CARMEL, IN 46032-2922
O I Sales Rep: 10 PHIL
(317) 844-3973
Accounting Day: 6
1898 Promised Time: Our Truck NE- 3-11:51
CITY OF CARMEW BROOKSHIRE GOLF Attention: rI i
1 CIVIC SQ Tax Exemption:
m CARMEL, IN 46032-2584 PO#:
CO
Terms: NET 10 Ln
0
I U Y
; ..- Part Number..:.., r�,tL_�.rie.� •Description=z: _ uanG1_ty Price O �
_ "2000 Chevrolet Truck Sil' erado 2500 3/4 To ''WD - P E
3157 :3LMP €Turn Signal Bulb - Rear 1.00, 3.24 2.2900? 2.29 i 00
9006 £LMP Headlight Bulb - Low 1.00? 15.381 10.9900# 10.99 . ( O >
3157 iLMP =Stoplight Bulb 1.00; 3.24; 2.2900; 2'.29 ) O
3156 LMP ?Back-Up Light Bulb 1.M 4.18 2.9900 '2.99
1156 LMP ;Back-Up Light Bulb 1.00; 2.50 1.7900; 1.79 € °
90413 INTH TIRE VAL 2.00; 3.16 2.1900! 4.38' 1 -4__.„.,..__..
3 c 7
co {'
I Subtotal 24.73
( Indiana Sales Tax 7.0000% 0.00 )
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND '
Charge Sale •24.73
5959 COLLECTION CTR.DR. ,2 g
j CHICAGO ILL. 60693 v 31
CUSTOMER COPY {
100006017 Time: 09:36 Date: 12/07/2012 Page: 1/1
«
CARMEL NAPA
1441 S GUILFORD AVE STE 140
REF BY VER BY Employee: 36 TIGE
O CARMEL, IN 46032-2922 i Sales Rep: 10 PHIL
(317) 844-3973
i Accounting Day: 7
1898 Promised Time:
® CITY OF CARMEL/BROOKSHIRE GOLF Attention: O
1 CIVIC SQ Tax Exemption: N
s CARMEL, IN 46032-2584 PO#:
Terms: NET 10
Ln
O
Par't;,Number',;:;+• :
tin "aQuanti ty>..'.:Prue;,',;.€. Net;,, ;z :.:•'Tota3... $rt';•; O
302SX 4 =WH FITTING (( 6.00; 2.92 2.6900; 16.14 $j
813-5506 ;BK =POLY ARMOUR BRK LINE d 4.00. 3.3900 13.56 1 .
813-1225 'BK -FBRAKE LINE 2.00. 7.77j 6.4900 12.98' O
813-1224 jBK !BRAKE LINE 1.00.: 6.96[ 5.7900[" 5.79 p
10003 `LUC LUCAS FUEL TREAT 3202 1.M, 14.99 11.9900:', 11.99
35032 iNBF )B FLUID DOT 3-3202 1.00; 11.90(1 6.9900; 6.99
i #�
!00
Subtotal 67.45 '
Indiana Sales Tax 7.0000% 0.00
Customer Signature )
1
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE s
{ REMIT:GPC-IND F�.,...,.,.�_4�.,..°.:�'����::,,", ..::a,«_.x�.:,° .•,.....,�,rr:...,,>.._m�,».,,.::"^d.�•�..». ,.,..,.,,.,..,..
Charge Sale
i 67.45
5959 COLLECTION CTR.DR. Z
a
,.
CHICAGO ILL. 60693 v
CUSTOMER COPY ; o
100006017 Time: 10:34 Date: 12/07/2012 Page: 1/1
CARMEL NAPA
1441 S GUILFORD AVE STE 140
_.... _..
� a � REF BY VER BY ; Employee: 36 TIGE ;
CARMEL, IN 46032-2922 Sales Rep: 10 PHIL
i
(317) 844-3973 =
Accounting Day: 7,
1898 Promised Time: '�-
® CITY OF CARMEL/BROOKSHIRE GOLF Attention: to ?
CO
1 CIVIC SQ Tax Exemption:
® CARMEL, IN 46032-2584 PO#: B
v
Terms: NET 10 i
Ln
co
c
U �
i O
3a'
:a'
PartNumberr ;nine; Descript-iori;• ,.Quarit`ity� Price ,��_>.-., '.;Nst`�` , ,'Totah; `__ '. O
(
12000 Chevrolet Truck Sil-,Verado 2500 3/4 Ton �-WD - P gi
TS-7652-x iTS Brake Pads - Front, 1.00 51.941 29.9900; 29.99 O !
x 1 C:) i
' co
i ico
Subtotal -29.99 '
Indiana Sales Tax 7.0000% 0.00
Customer Signature t
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR. Charge Sale 29.99 Z
CHICAGO ILL. 60693
U
CUSTOMER COPY p
3 �
1.~._...._..__._
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Ctr. Drive
Chicago, IL 60693
$122.17
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
�04
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 858151 43-500.00 j $24.73 1 hereby certify that the attached invoice(s), or
1207 858270 43-500.00 $67.45 bill(s) is (are)true and correct and that the
1207 I 858286 I 43-500.001 $29.99
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 10, 2012
Director, Bro hire Golf Club
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))
12/06/12 858151 Repair Parts $24.73
12/07/12 858270 Repair Parts $67.45
12/07/12 I 858286 I Repair Parts I $29.99
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