215321 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P_CHECK AMOUNT: $5,069.15
s•�•'o CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 215321
CHECK DATE: 12/1112012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 08517995 5, 069. 15 REPAIR PARTS
It
E) CARMEL NAPA
1-4 1441 S GUILFORD AVE STE 140
CD RUP BY VER BY
CARMEL,IIr 46032-2922 �
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ACCT # SOLD TO` DATE TIME STORE # EMP # INVOICE
-------- ---------------------------------'-------------------------- -----'---- ---------- ------------ -------- --•-------
17995 CITY OF CARREL-STREET DEPT 11/15,2012 18,15 S 100005017 1 855768
3400 V 131ST ST PURC83SE ORDER # ' - ----ATTBNT ON-
----------------•--- ------------- ------
SR # .ACCT 7995 Wholesale
---35--- CARKEL, IN 46074-8267 TAX EXEMPTION- REPRINT
AD � TERMS: NET 10 Credit Memo
15 PROMISED:
PART NUMBER LN DESCRIPTION QUAIPTITY PRICE NET TOTAL
Q ---------------------- ---- ---------------------------------------- ------------ ------------ ------------ ------------------
n 7236 BAT Core Deposit -3.00 18.00 18.0000 54.00 CR
z This item was purchased on invoice # 855551 11/:.4/2012
J 7565 BAT Core Deposit ' -1.00 12.00 12.0000 12.00 CR
w This item was purchased on invoice # 848429 09/ 7/2012
�
843478 BAT Core Deposit -1.00 1.2.00 12.0000 12.00 CR
v This item was purchased on invoice # 805333 08/!7/2011
7565 BAT WARRANTY -1.00 152.53 89.8900 89.89 CR
This item waa.purchased on invoice # 848429 09/17/2012
7565 BAT Core Deposit -1.00 12.00 12.0000 12.00 CR
7565 BAT WARRANTY ADJUSTMENT 35.00 1.63 1.6300 57.05
Purchased Date 12/15/2009
843478 BAT WARRANTY -1.00 152.16 E9.5900 69.59 CR
This item was purchased on invoice # 844680 08/20/2012
643478 BAT Core Deposit -1.00 12.00 12.0000 12.00 CR
643476 BAT WARRANTY ADJUSTMENT 33.00 1.45 1.4500 47.85
Continued
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m All goods returned must be accompanied by this invoice
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CD CARMBL NAPA
N 1441 5 GUILFORD AVE STE 14D
CS) REF BY VHR BY
CARTEL, IN 46032-2922
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ACCT # SOLD TO DATE TIME { STORE # EMP # INVOICE i#
-------- --------------------------------- --------------------------- ---------- ---------'- ------------
17995 CITY OF CARMEL-STREET DEPT 11/15/2012 18:15 100006017 1 855768
3400 N 131ST ST PURCHASE ORDER # ATTENTION
------------------------------------ ----------------------
--SR-#-- .ACCT 7995 Wholesale
36 CARMEL, IN 46074-8267 TAX EXEMPTION: HSPRINT
AD 1 TERMS: NET 10 Credit Memo
-- 15--- PROMISED:
PART NUMSER LN DESCRIPTION QUANTITY PRICK NIT TOTAL
Q ---------------------- ---- ------------ --------------------------- ------------ ------------ ------------ ------------------
Purchased Date 02/15/2010
Z 7534 SAT WARRANTY -1.00 133.35 78.5900 78.59 CR
J This item was! purchased on invoice # 653602 10/31/2012
Ld 7534 SAT Core Deposit ,, -1.00 12.00 12.000D 12.00 C8
0'_ 7534 SAT WARRANTY ADJUSTMENT 19.00 1.42 1.420D 26.98
< Purchased Date 04/1512011
REMIiT:GPC-IND Subtotal 240.19 C8
5959 COLLECTION CTR.DR. -ndiana Sales Tax 7.0000% 4.45 CB
m CHICAGO ILIA. 60693 % 0.00
N TOTAL 244.64 CB;k+
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SIGNATURE
M ALI goods returned must be accompanied by this invoice
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Control No. 15 5
MAN
0® CARMEL. NnPA
1441-S GUILFORD AVE STE 140 Y 0 Cl R y RE lyl 11"-GP C.--I 1\1 D
REF BY VER BY 5959 COLI-ECTION C'1-R. DR.
CARK07, 1K 49).32-2922 —c.vj16AG0 6CIP,
RECE ED
-I
1000069178539563. BY x m a)
ACCT.NO. SOLD TO ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
DATE jumagm STORE NO. EMP SR
85 0 1799 5 C I TY, 0 F C A R lyl E L. STR E ET Ti e.51-0356 (�E,0,1 36
340C, W "1" 1. of I TIME PURCHASE ORDER NO. I ATTENTION
CARMEL, I.N 460-174-8267 0•47 INVOICETYPE Charge Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2. W 765-- J. J 55 BK PTEX THRD SEAL T 1.8, 84 4., 0 42
sue 2 S. 4 2 wsrs.-O C-)0 7. o000 %
TOTAL TAX Q. 00 TOTAL 2 S. 4
o Conlrol No. L-A
RAW 15 '1510 3 4 8 2
CARMIEL NAPA
14415 GUILFORD AYE STE 140 Y 0 C,R REM 1 T:GF)C--I ND
REF.BY YER BY •`359 CqL1-EC-TI0N C-T•R. 1,,rl.
CRR<—lN 46032-2922 c-wlvtpGuU,ll�� 50�--7
1000060178547233 y X-
ALL GOODS RE��f FAIED MbST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE ` p STORE NO. EMP SR
85-017995 CITY OF-- (-'ARl',lEL.--S-fREET D . .I. f -
, (-)T/2012185472:3 ([)F,('.)17 .1136
3400 W 131ST ST I of I TIME PURCHASE ORDER NO ATTENTION
CARMEL, IN 46074 '82'E,'7. n
07) NVOICE TYPE 1'h
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL r CODE
1. 00 H--253 INIBH 2005 AIRIHOSE 45. '25 :_S, 38 0 26. 38
SUB :C,. 3 81 mYsd:0 1 C . Oo 7. ()(-)O()T%AX ). 00� TOTAL 26. 30
TOTAL
Control No. 15534874
RAW
0® CARMEL NAPA
1441 S GUILFORD WE STE 140 Y OCR y REM I T-GPC----I ND
REF BY VER BY 5i.)5 9 C 0 L.I E C T 10 C'I**R. DR.
MWa, IN 4602-2E C �,,A C,C) J�L, E-, j9 13
1000060178547634 By x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE I MN@M M I STORE NO. EMP SR
,95--01-1,995 CITY OF CARMIEL -STRE'.E'T D 1 /06IL01�`�, 1854763 $15017 ±il;�
3400 W 131ST ST I of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 4C-*,(-.)-,-"4...9`6 r 10 p I I ri n r, k3lb? Woo s-::-p I 'I r,Q=,
08) 1 INVOICt PE F.t),.A r I;e 6 a 1 e
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
.. 2. C)(**) 81/9-5670/ BK LIFT MKIINT, 43. 83 3,C-). 19 C,
SUB A C-1 c,. c) 000c) % 0�TOTAL X -1
TOTAL L/ TAX 0. (. Is-). -7
Control No. 15-534 ,409
a0® CAVIMEL- NAP-14
1441 S GUILFORD AVE STE 140 Y 0CR y IRILlyl 11-l'-CPC,----I ND
REF BY VER BY 5951.1 COLL-ECTIC]IN CTR.-I)R.
CAM, IN 46032-ZE CHICP1130 TLA— 6069-`�� 1
RECEIVED
1000060178543647 y X
ALL GOODS KiQf3VtdJ$,V-QjE-,1 C"PANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. EMP SR
31
8`- 1 T-3 C11"Y -'-*)F' CARIIEL..-E31REE-1- E) 1/057/2012 854364 ( -1 -3 6 :36
F,()[) l
-3400 W 13 1 S T ST I of I TIME I PURCHASE ORDER NO. ATTENTION
F
CARIIEL, IN .11 -2E, 14-1 R Y
05) INVOICE PE Charne &-Rle
QUANTITY P,RT NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2. 00 AX-3 NBF1 TRI-PIWER IKU V- 15. 14 10. '79 o C-) 21. 4 C'.
_7
SUB 401,%q 0(-')1 % 01 0. 00 TOTAL 2 1. 4
TOTAL TAX
Control No. 15535077
VAN
0® CARMEL NAP(I
1441 S GUILFORD AVE STE 140 Y OCR Y REMIT:GPC-IND
RY BY ER BY 5959 COLLECTION CTR. DR.
CARra, IN W),32--2922 Cg919130 ILL. 60693
1000060178549393 x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD To DUE I MW%6&@M@ MI16 I STORE NO. EMP I SIR
85-017995 CITY OF CARMEL-ST REET D J I/!_91 E-!0 12 8549 3 9 (115 0 17
3400 W 131ST ST I of 1. TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN 415074-e267 I ==='l
C1 CI I INVOICE PE Credit mpmn
QUANTITY FART NUMBER LINE DESCRIPTION WE NET TOTAL CODE
-2. 00 AX35 NBH HI-WER IND V- 1.5. 14 10. 7000 21. 40 CR
This item was purchased om inyoice # 854364 11/05/2012
TOTAL -21. 40 Wst.-Ol 0. 00 1 7. 0000 % 11.7)1) FTOTAIL
I TAX �I 2 1. 4f CI{
Control No. -1553bu
'��e CARMEL PJAPA
1441 S GUILFORD AVE STE 140 Y of',R REM I-f-GPC.. I ND
FH BY VER. BY 5,-)5'-') COLLEC-110N CTR. DR.
CWMEC,-11 40re-24722 L:"ri 7
1000060178549400 BY x nj)
ALL GOODS f*Yljf ED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT-1.... NO. SOLD TO DATE STORE NO. EMP SR
.1 if 9-9 5: CITY OF' [IARI'lEL.-- S**f'f-'i E:.E"!" 0
0,--1 1854940
-340o W 131ST, s-r* 1. of 1 TIME PURCHASE ORDER NO. ATTENTION
ICARMEL, 1N 46(*)'*,',4 8,!2 U-7 ()4 r-1-. -4 h I p I p Y. P f f
INVOICE TYPE
0 9) , I Cha-.-ne Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
0 o X 8 X 6 TI N G 4 E1'-) E,, a 9
I. ("o WH F IT
I a i ti) E I C.) 94 Pl:*:-I-1 Air Filter
5. 2WO 5. "",0
SUB 12. o=-Imisd...0
TOTAL 7. 0 11 0 0 0. C) TOTAL 12. 0
I- I - 1 01 T- j
Control No.
QaapaD 15* 3 64�ju
o® CARMEL NAPIA
1441 S GUILFORD AVE STEE 140 Y 0 c I-R, Y PEI'll P - G-PC -- I ND
REF BY_ VER BY -- 5959 CO.1 L'"c;CTYj� CT R. DP.
CAR Ma, IN 49)32--2K2 CHICAGO ALI 0y)693
RECEIVED
1000060178561911 y x <E--d
L GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE , I msudmo M I STORE NO. EMP SR
85-017995 'CITY OF CARMEL-STBEET D 1 /20/2012IS56191 §6017 1 1136
3400 W 1319T ST I a f .1. TIME I PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46074-a2S7 f 1ARM 07: 36 dike
!20) 1 De I iv-eri
INVOICE ME Charc4e Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. 00 I'VE T47 SKlTRXBIT3 8DRT4 7. 71 1 . 1500 1. 95
Above Item an Sale -
-1. 00 NBT4'-,' NHT WARRANTY 7. 71 1. 9506 1 . 95 CR
Above Item an Sale
SUB 0. ()0 0. 00 1 7. 0 00 0 % TOTAL 0
TOTAL TAX
o Control No. 15536322
RAW
0® CAFZMEL NAPA
1441 S GUILFORD AVE STIE I"to Y OCR y R E:1,t',1-1--G P C-..1N D
REF BY VER BY C(.*LL-EC'1-1(.')N CTR. DR.
MRKE�Iffl 2--M
4603 -2 CHTCAGO IS 0E,
'
RyCEIVED *.
E
1000060178560351 L- x
ALL GOODS RETURNED MUST BE ACCOMPANIEd'BY THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. I EMP SR
D ()FCC) 1 251 - G
w 1.1,31ST ST 1. 0 f 1. TIME PURCHASE ORDER NO. ATTENTION
C A F*2 M E L 11\1 4 IF, .-b i E�
1"g)- INVOICETYPE h G 1.
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1. Oo 05642 1`411111-11 SPRE*.ADER 1 940C) 94
NPP SHP TWELS 4. 54 4. 7
1. ()0 7615-- x'41.7 M. NRKA 5 WIN EXPDX 6.1. r,1 5. 4900 5. 4 9
SUB r 0. 00 TOTAL 9.
3. 2 1 1 mys6: 0. 0 0 7. 0000 %
TOTAL TAX
Control No.
155359- 79
O® CAFI IYIEL. NAPA
1441 S MUGU ME STE 140 Y OCR REM I T n GPk--.—T f-,ID
REF BY VER BY 59 5 C 0 L..L-E CT 10 N DR
CAM, IN 4602-29a, CH IC"AGO//�-L.. f-,06
RECEIVED
1000060178557285 y x W�/WAAV 18-/,
ALL GOODS 444NE15 MUST BE ACCOMkWIEDBYVHIS INVOICE
ACCT NO. SOLD TO DATE 0 CQO STORE NO. I EMP SR
85 017`9 5 CITY Oi:---' CARMEL •STREET D I /15/L:-,C)l 2 E35.`_-,7,_H 1,0 1 31, of
314:)f W 1.3 1.S T S 1- 1 it f I TIME I PURCHASE ORDER NO. ATTENTION
CARMEL, 11\1 46C)"74-6,26i 1 4 31 4:e v i n e v i n
- 15) 1 INVOICETYPE Chal--;10 Sale-,
QUANTITY .PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
G. 00 462.6 JAGK Spark Plug - Sta 7. 6,4 4. 29oc) 25. '74
3. 00 51:).L-:: 1
NGK Spark Plug - Law fi•. 24 2,: 2900 6. 87
SUB
% TOTAL
TOTAL TAX I
Control No. 15 b-0
QaapaD
155 " 13
0® ' CARMEL NAPE)
1441 S WILFORD AVE STE 140 Y OCIR y REM IT T-GPC I WD
REF BY VER BY 5;-,'5:'-,' COLLECT ION CTR. DR.
MM, IN 4032-2cTP? ;qG0; -,"
RECEIVE
.11000060178556730 c
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT.NO. SOLD TO DATE 0 CQo STORE NO. EMP SR
2 0 12",,18 5 5 G 7
85-01 995 (-,'I'I-Y OF C A R 11 E L. STR E-E"1 7 3E
?40C-) W 13 1 S T �3 1 .1. of I TIME PURCHASE ORDER NO. ATTENTION
CARMEL, IN .1- 1—oC. I IKE:
15) 1 INVOICE TYPE i7h.-a-r-ge. 6ale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
FIL M%ULD AIR F1 56. 80 1,5. 09C)c) 1.5.
TOTAL .1.5. 0. 00 -7. %TAX 15. 0
Control No. 155 36 0 36
CARMEL. NAPA
1441 S GUILFORD AVE GTE 140 Y OCR y R I=fYi I'T-G P)C', - I Iq 1)
REF BY VER BY 59519 COLLECT ION C'TR. DR.
CAPM, IN 46032-M C C-3 0 'I'LL_. 6 0 F
1000060178557757 BY x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT.NO. SOLD TO DATE STORE NO. I EMP SR
85 -0 1 79'�-15 CUVY OF'
1 1/1.15/1201i:-z 1855775 46017 1 1;6, 1
3400 W i s*i- I a f I TIME I PURCHASE ORDER NO. ATTENTION
CARMEL., '11\1 46074-8'r-167 7 14 i t
1 (--*1 b
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
2.
00 612 F*1L Hydraulic Filter 15 4. 2*7 4 E7`9(`)0 S-z- -..
SUB
TOTAL 8-31 78 7 0
'. 6 0
TAX
00 % , C)c) TOTAL 8 3. 7.
�I �. I I
o Control No.
15535781,
�e CARMEL
1441 S GUILFORD AT STE 140 Y OCR Y RE11 I T. I NI-)
REF BY VER BY 5959 COLLECTION C]Tkhbf'
CAME, IN 4f,032-2?.-:, CH I-'.'A(-,Cl Tj2L. -, 6(-)693-
-'; RECEIVED
'x 1000060178555517 y x
ALL GOODS RqjfAED?UST BE ACCOMPANIED By THIS INVOICE
ACCT NO. VQ SOLDTO DATE flW=M STORE NO. EMP SR
I IS
C I Ily OF CARMEL -• TRUET J) 1 1/14/20121856551 16017 1 36
9400 W 131ST ST- I a f J. TIME I PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46074-026'-,'' W- t-1+:05 '1 3-20 Kevin
14) 1 Deliveri Charm, Sale
QUANTITY FART NUMBER LINE DESCRIPTION -PRICE NET TOTAL CODE
2006 Ford Truck F550 Super Duty
LIDO 35298 NOS No W Sul 96. 17 54. 2700 54. 27
3. 00 723E, BAT BATTERY 159 97 104. 9400 314. 82
3. 00 7236 BAT Core Deposit 18. (10 IS. 0000 5-<'+. 00
2. 00 1073 MAC MC BATTERY PRG'i,;,,: 5. 32 3. 9700 7. 94
2. 00 10 7;7-.' MAC MACS BATTERY 01 5. 32 3. 9700 7. 94
SUB 4 3S. 97 dl'g6: 0. 00 TT. 0 0 A). 0, 05 TOTAL 438. 9'.
TOTAL TAX
Control No. 15536- 152
CARMEL NAW-1
1441 S GUILFORD AVE STE 140 `( 0 1*..*.R y REM I"I"-GPIC I ND
REF BY_ VER BY 5959 COLLECTION CTR. DR.
CAW, M 46032--2922 CjBY jEq0GO ILL. 60693
1000060178558845 x
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE I EN@M M I STORE NO. EMP SR
85-017995 CITY OF CARMEL-STREET D : I/16/2012jQ55Sa4 4SO17 _36, 11 ,33FO
3400 W 131ST ST I of 1. TIME I PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46074 -WS'_,' mvpHif.
1A) I INVOICE TYPE Credit hems
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
- 1. 00 3646 F I L WSW REL Fl 52. 61 13. 8900 13. 89 CR R
This item was purchased om invoice # 853592 10/29/2012
-1. 00 3738 F IL WPIRD Rfn, A 53. 02 14. 0900 14. 09 CR R
This item was purchased 01 inloice # 853592 10/2 12012
SUB 2 7. 0. 0 C) "y
TOTAL ;A/.X TOTAL 27. Q. C R
Control No. 15 5%"), 6 15 3
RAW
0® CnRINIEL 114-TIA
1441 S GUILFORD AVE STE 140 Y OCR y REMIT.GPIC IND
REF BY VER BY 5951.3 C(A 11 f C,I I 1� CJ*R. DR.
CAR L, IN 46037?--2T2 C H I C A G� --*wC7
RECEIVED
1000060178558854 BY X
ALL GOODS R",' ED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. EMP SR
`7,C)1 1855885 1�-7 1 —E.,
0.1.799 5 CIT"T' OF* CCIRMEL --STREE"I" D IS,
- TIME PURCHASE ORDER No. ATTENTION
W 1.131ST S'f t of 1.
CARIIIEL, IN 46(_).74--Esi_2E.`7 7 1'1-.40
INVOICE PE Ch e g ale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE ,
�-'O. )0 07048 lyllillyl MASK .1.. 5r9 C). 83C)C) 16. 6o
4
sue 16. S c). oo 0(_)00 % 01 0. ()(" 16. 60
TOTAL TAX TOTAL
Control No. 1 � � � ����
RAW �L�J����W ��
\_-__7e CARMEL NAPA
l441SGUILFORD AVE STEl4V Y Of R Y REMIT:GPC—IND
U8Y__ �M8Y __ 5959 COLLECTION CTR. DR.DAGOJLP;L��6--c')(U.-C
RECEIVED
1000060178549534 BY x
ALL GOODS RfTA�
t; , ED hAJST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE MN@M=I STORE NO. I EMP SR
3400 W 1.31 S-11" S T I of 1. TIME PURCHASE ORDER NO. ATTENTION
CAPMEL. IN
INVOICE PE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
SUB TOTAL ' 2�
_10TAL I/
Z/ Control No, 15535131
0® CARREL NAPA
1441 S GUILF00 AVE ST 140 Y OCR Y REM!TgGPC"IND
Fff BY_VER BY 5959 COLLECTIO CTR. DR
CAML, M 4032--n22
% 1
1000060178549874 'y 10
ALL GOODS RETbAEdMd&f BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DUE I M%rgM M I STORE NO. I EMP SR
85-017995 CITY OF CARMEL-STREET D : 1 /09/2012 654987 6%O17 1 1136
3400 W W S T S''C I of 1. TIME I PURCHASE ORDER NO. ATTENTION
CAPMEL, IN 46074-826-7 1 _3- �5 ATPOW
Qq) I INVOICE PE Co- i f M M11
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
-1. 00 7269 BAT BATTERY 278. 29 184. 050o IB4. 05 CR
This it m was purchased om invoice # 854953 11/09/2012
-1. 60 7260 BAT Core Deposit 48. 00 48. 0000 48. 00 CR I)
-3. 00 72G'3 BA"fi, ore Deposit 48, 00 * 8. 0000 144. 00 CR D
This item was purchased om in oice # 8+',4953 11/1 9/2 0
SW
0. 001 7. 0000;Q 0. 00 1 TOTAL 37Q0f CR
o Conl,ol No. 15535965
RAW
0® CPl`MEl- NAPICI
1441 S WILFORD AVE STE 140 Y 0 C,'R Y REI-11 I'T-GPIC ND
FH BY VER BY 5 9-'15:9 COLLECT],ON' UTR. DR.
CAKI,—IN 46032--M— c�[&W-6 c-i 0 (")6 C4-i
10000601785571411 BY x &f 201IK414 620
'bfkf'
ALL GOODS RET D MUST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE MM0 C M I STORE NO. EMP SR
55-1 14 46c
8 j 0 1 99 5 CITY OF' (N)PMEL-STREE-11' -0 15;20 121 6
TIME PURCHASE ORDER NO. ATTENTION
3400 W 1315T ST I. ci f .1
CARME- 214:35 (74 i q E v
L, 1 N 4 6'�c 7 W INVOICE TYPE I
15) if`harp- Palc-
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
t. 00 7002L75 FA K GO 11 DLX Tk'- :s, c)9 19,91M 1, 959. 00
t�bove Item an &-ale
TOTAL 1, 959. 0o o. c) , 7. c)c)
%c)0c) % OF 0. TOTAL 9.59. C
TAX I
eta 100006017 —�� Ti ,e: C .C3 Late 11/20/2012 Page: 1/1
CARMEL NAPA
1441 S GUILFORD AVE STE 140
REF BY VER BY -___- Employee: 36 TIGE
{!sCARMEL, IN 46032-2921 Sal�-s Rep: 36 IiCF
` (317) 844-3973
Day:
17995 Promised Time:
i
CITY OF CARMEL-STREET DEPT Attention: E_
3400 W 131ST ST Tax Exemption:
s? CARMEL, IN 46074-8267 PO#: SWEEPrR 402 (`
F Terms: NET 10
yI f i
dI�E, i j E
Part:"Niunier. :° Line•: .; DESCr:i tiori Quarti`t
. - °... .. °GREW . . ..
7151232 iBK ? GTJN 1.00 44. 32' :1_5.9900; 1.9.99
!Aboi� Item on Sale
t € . .
f r
t lP
-- co
Subtoi:al 19.99 f;
Indiana Sales Tax 7.0000% 0,00
Ci/a A '2/'0
+� ' ustomer Signature f
4
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
'i'3�a®✓ " ';fix` _ >'�' - '�i'/'-; x�' N
REMIT:GPC-IND �`
Charge Sa.l.e 19.99 !
i 5959 COLLECTION CTR.DR. Z
CHICAGO ILL. 60693.
0
U
i CUSTOMER COPY
100006017 Time: 13:33 Date: 11/26/2012 Page: 1/1
El 1441 S NAPA
1441 S GUILFORD AVE STE 140
REF BY- BIER BY _ Employee: 36 TIGE
CARMEL, IN 46032-2922 Sales Rep: 36 TIGE
(317) 844-3973
Accounting Day: 25
17995 Promised Time:
CITY OF CARMEL-STREET DEPT Attention:
3400 W 131ST ST Tax Exemption:
® CARMEL, IN 46074-8267 PO#:
® Terms: NET 10
- Part::Number. ;Line Description Quantity Price Net• Total
5800 .MAC FUEL STABILIZER 1.00 7.41 5.6000 5.60
i
I
m� t
If �
I �
Ln
co
Subtotal 5.60
Indiana Sales Tax 7.0000% 0.00 j
Custo r Signature
ALL GOODS RETURNED ST BE ACCOMPANIED BY THIS INVOICE
Total
REMIT:GPC-IND Charge Sale 5.60
5959 COLLECTION CTR.DR. z
CHICAGO ILL. 60693
STORE COPY o }
>
100006017 Time: 13:32 Date: 11/26/2012 Page: 1/1
CARMEL NAPA
El 1441 S GUILFORD AVE STE 140
_ REF BY_ VER BY Employee: 36 TILE
CARMEL, IN 46032-2922
Sales Rep: 36 TIGE
(317) 844-3973
Accounting Day: 25
17995 Promised Time:
® CITY OF CARMEL-STREET DEPT Attention:
3400 W 131ST ST Tax Exemption:
® CARMEL, IN 46074-8267 PO#: KEVIN
® Terms: NET 10
s
Part,Number.: Line' Description :Quantity Price ; Net Total.
SF16 SF MOTOR TUNE-UP 1602 24.00 12.49 189.12
E
F
r co
1 co ,
oo
LP
Subtotal 189.12
I �y� Indiana Sales Tax 7.0000% 0.00
e
Cust er Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE ' N
Total 189 .22
REMIT:GPC-IND
Charge sale 189.12 I �
5959 COLLECTION CTR.DR. z
CHICAGO ILL. 60693
Reprint 0
r={ E
MERCHANDISE RECEIPT
DATE l' `.)
�� ---
/NAPAI 752165
NNW
CUSTOMER -! �� �"t " YACICT.#
,QTY. PARt'NUMBER', LINE NEW
I p- /
f •
PICKED UP BY
STORE
CUSTOMER
SIGNATURE
CREDIT MEMO# DATE
ALL RETURNS SUBJECT TO VERIFICATION
100006017 a.. . ;. .,r. E. --I 1 1, PaceE 1/1
CARMEL NAPA
1441 S GUILFORD AVE S'TE "140
LI CnJI�IJC/
REF BY VER EY na
i
r � C.-LRMEL, IN 460=2-2t?.- _ IGE
(317) 844-3973
17995 Promised 7-
:.me�------------_._—._.���----.--,--- ,' ;
CITY OF CARMEL-STREET DEPT Atten:._-)r_:
y 3400 W 131ST ST Tax FxemiDt;-or--:
1
CARMEL, IN 46074-8267 PG' :
NET 10
isl F4' '
Part'•Number: [L1I2e`< DF?SCription ���ant�ry,. Price ' vwei— - T -
..
X2813-108 ,RFD tSTUI' 10 3.010, 3. 33: 0400' + .i2 �
co
I �
(E
' 3 I
S t -.n .Lana Shce?S Tax 'i.G'1`�+;', 0.0u
i
" Customer Signature i
AL L.GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
Charcill
5959 COLLECTION CTR.DR. i 2
CHICAGO ILL. •60693
CUSTOMER COPY ! ; i
{: H ;
100006017 Tit mie 3:55 DaLe: 11/28;2012 Page: 1/3
CARMEL NAPA
1441 S GUILFORD AVE STE 140
p. REF BY VER BY Employee: 36 TIGE
e..
l CARMEL, IN 460,2-2922 Sales Rep: 36 TIGE
(317) 844-3973
a Acr_.ountir_g Day_ 37
17995 Promised Time: I`
1" CITY OF CARMEL-STREET DEPT Attention:
3400 W 131ST ST Tax Exemption: �-
,
CARMEL IN 46074-8267 PO#:
1- t
Terms: NET 10
Part;:IVumber°' I ne Descri t" uar'E" Price',:rz". NEt:', Total..
BL05500200 'TSS ;35 ',�,RPROCART BLUE 2.00 616.37 666-25 #
7009605 BK 'CLIP' 1.00 29. 19; 23.9900 23.99 -
7009610 ;BK LEAF.. 1.00 29.2l �9Q0: 23.39
1708 ;SER :STUD ,'=RACTOR -.00 47.18: ,300: 37.33
22,78707 €VG 'PLIERS 1-00 63.;8' 35.9900 35.99 I.
f ;Above Item on Sale
:1610 ISER 'TIE ROD SEPARATOR 1.00' 64.12, 51.41001 51.41 CC)
03656 :BK !STYLUS. LED LIGHT 3.00' 29.95; 24.6700: 74.01
co
I
Customer Signature F
1 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
.. .....,:.
REMIT:GPC-IND
5959 COLLECTION CTR.DR. i' 2
CHICAGO ILL. 60693 '
I CUSTOMER 'COPY o
i >
100006017
Ti 11/218/2012 Pag- 2%3
':'J CARMEL NAPA
1441 S GUILFORD AVE STE 140
Employee: 35 TIGE
REF BY VER By
IMAPAI q CARMEL, IN 460-,2-2922 Sa_es Rep: 36 TzGE
(317) 844-3973 Account--ng T-):-,,,,: 27
17995 Promised Time: i.
CITY OF CARMEL-STREET DEPT Attention:
3400 W 131ST ST Tax Exemption:
CARMEL, IN 46074-8267 PO#:
Terms: NET 10
0e n
";'Qua Net,w Total'.
7705706 BK ;PRO ",AA W HOLSTER 1.00 44. 331 33.4100 33.41
7-/0-3852 IBK !TRTE T LIGHT 1.00 53..37 4 Cl.()5 0 0: 40.05
90461 I;NTH IHOSH 1.00: 49.76 2 7.B 0,'-'0
7653038
,BK :BUTT. .' FUEL i.W 21. LO� 9 0
Ab ovz Item on Sale
:SER HOOK PICK TOOL
0" 1 .00 45.36 36.3700; 36.37
NUS20 ;WWS :WINDSHIELD SOL 60.00 3.19? 'L.)9010 -1
119. 0 s,CD co
018 :WIP ;WIPE' BLADE 50.00_ 14.-3 8 5.9000-w 295.00
co
i7
Customer Signature
fit!GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
...........
f R-
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY
0
CARMEL NAPA
1441 S GUILFORD AVE STE 140
REF BY
VER BY Employee: 34 TIGE
Ci"PMEL IN 460-2-2922 Sales Re�:)-. 36 ITGE
-_ --
17995 Promised Time:
CITY OF CARMEL-STREET DEPT
3400 W 131ST ST Tax Exemption:
CARMEL, IN 46074-8267 PO#:
Terms: NET 10
SNA] ING PLIERS SET
3495 �ER
co
co
Indiana Sales Tax 0.00
Customer Signature
�J.'GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND Charge Sale 1,621.614 �j
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY 0
100006017 Time: 10:14 Date: 11/21/2012 Page: 1/1
CARMEL NAPA
1441 S GUILFORD AVE STE 140 .. ... ..__.... ... .......... ... ...,
® REF BY VER BY Employee: 36 TIGE
CARMEL, IN 46032-2922 Sales Rep: 36 TIGE
O
(317) 844-3973
Accounting Day: 21
17995 Promised Time:
® CITY OF CARMEL-STREET DEPT Attention:
3400 W 131ST ST Tax Exemption:
® CARMEL, IN 46074-8267 PO#:
® Terms: NET 10
? s''":s° '�aPart''�Niwibe'r .�=, :'. L"irie; -'�'d Descr,i'�.ti:on.,°:�`•: :�� �'�:. ToCal .�°
I4i'.........�.:...,......�.,�,<...�..A>.w, .>'� .....<` .�..._,.>......,....��,,...�.._.a_.�:��s.,,.-�� _ � _•`_.. ..._sM7�.;�:�...> :._..?�z. _:.:.w_..w..�.�a�::...,a,�Fa:�.ss.,.,..
NB113 NHT WARRANTY I 1.00; 7.591 5.6200: 5.62 CRs
This item was purchased bn invoice # 824911 03/05/2012
NB113 NHT SKTHEXBIT3 SDR5t32 ? 1.00' 7.591 5.62001 5.62
I I
i 3
3 1
C1
7 C
I Ln
a
i O 9 Indiana Sales Tax 7.0000% 0.00
1 Customer Signature
j ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE S4
6 1Z
REMIT:GPC-IND
Charge Sale 0.00 '
1 5959 COLLECTION CTR.DR. 2 €€
CHICAGO ILL. 60693 L)
CUSTOMER COPY D
G If
...~._..................._..I
100006017 Time: 10:17 Date: 11/21/2012 Page: 1/1
CARMEL NAPA
1441 S GUILFORD AVE STE 140
e
ffi REF BY_ VER BY Employee: 1 Duane
CARMEL, IN 46032-2922 Sales Rep: 36 TIGE
O
(317) 844-3973
Accounting Day: 21
17995 Promised Time: Our Truck W- 2-11:02
® CITY OF CARMEL-STREET DEPT Attention: Mike
3400 W 131ST ST Tax Exemption: E
® CARMEL, IN 46074-8267 PO#: Tool
Terms: NET 10
t
' Park Number; Linei, Descri taori: iQuaiitt gi: . Price ®>`' Nets Pota1.;-`;.'
,
p lr;
.....'6a...___.. u _,:x_^.<.._ �».i;•F i. ._.s:ca_. _..n,._ .,._:.:.�°4�_...,.'_._,...m....,.
NB111 ;NHT !SKTHEXBIT3 8DR1 8 , 1.00 7.591 1.9500: W 1.95
i ;Above Item on Sale
NB111 NHT (WARRANTY -1.00 7.59z 1.9500: 1.95 CR.
Above 'Item on Sale
� I
j Ln
0
+ Indiana Sales Tax 7.0000% 0.00
I �
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE _
REMIT:GPC-IND Charge Sale 00
5959 COLLECTION CTR.DR. 2
CHICAGO ILL. 60693 o
CUSTOMER COPY 0
100006017 Time: 10:53 Date: 11/26/2012 Page: 1/1
CARMEL NAPA
1441 S GUILFORD AVE STE 140
IMAPI . 't REF BY_ VER BY Employee: 36 TILE
ou
`., CARMEL, IN 46032-2922 Sales Rep: 36 TIGE
——� (317) 844-3973
Accounting Day: 25
a3.
17995 Promised Time:
CITY OF CARMEL-STREET DEPT Attention: I:
{ 3400 W 131ST ST Tax Exemption:
CARMEL, IN 46074-8267 PO#: KEVIN
e;
Terms: NET 10
.; ,.Part"Nuiitiber> Line' :°5{. rescr;iption: 'Quantity Price '' Net Total:
SF16 sSF MOTC T TdF.-UP 1602 1.00 12.49*1 8.4900 8.49
i CO� w.t,
�. Ln ;
c
Subtotal 8.49
Indiana Sales Tax 7.0000% 0.00
Customer Signature
SO-1-GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND Charge Sale 8.49 z i
5959 COLLECTION ,CTR.DR.
CHICAGO.ILL. 60693 U
Reprint.. 0
100006017 Time: 11:56 Date: 11/21/2012 Page: 1/1
CARMEL NAPA
1441 S GUILFORD AVE STE 140
� REF BY_ VER BY Employee: 1 Duane
CARMEL, IN 46032-2922 Sales Rep: 36 TIGE
(317) 844-3973
Accounting Day: 21
17995 Promised Time: Our Truck W- 2-12:41
® CITY OF CARMEL-STREET DEPT Attention: ed
3400 W 131ST ST Tax Exemption:
s CARMEL, IN 46074-8267 PO#: ed
® Terms: NET 10
A,..: Pait
.'�" .`°,i.'v"'-. : 'r"1;;':a° aa. . F•. �, ,_. P` ' i.-a r.; ,>�;:I
-.Niiinber�.. Lzr '-- Descr-it*'ion Quantity Pra`ce Net=:s°•`" TOtal';z.,, €;
»_,
6754 NPT 1 4IN MED DIE GRINDER 1.00 126.16; 88.9900 88.99
7706465 WLD MANDREL W 3 8 ADAPT 1.00: 8.2900 8.29
3
M
to
co
Subtotal 97.28
Indiana Sales Tax 7.0000% 0.00
Customer Sign ure
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
>a : ; v Total
REMIT GPC—IND ,...°' .>...uscn,s-°.t ua�.✓ a �s
Charge Sale 97.28 z .
5959 COLLECTION CTR.DR. ,
CHICAGO ILL. 60693 toi
CUSTOMER COPY ; EI
� EH
"100006017 Time: 07:54 D'ate: 11/30/2012 Page: 1/1
CARMEL NAPA
1441 S GUILFORD AVE STE 140
� REF BY VER BY Employee: 36 TIGE
CARMEL, IN 46032-2922 Sales Rep:. 36 TIGE
(317) 844-3973
Accounting Day: 29
... ............ ..........
17995 Promised Time:
® CITY OF CARMEL-STREET DEPT Attention: KEVIN
3400 W 131ST ST Tax Exemption:
® CARMEL, IN 46074-8267 PO#: KEVIN
Terms: NET 10
�: rice i Net Total`D r: '.. P..:
.e;.=" Descrip'ti-ons:-, gQuarit _.H.
s_,,. ...... {. x•_" _ .., __ ... §f°-. « Fs•u1 may`
8222NF_ BAT BATTERY 1.00 143.23; 91.4600' 91.46.
8222NF. BAT Core Deposit j 1.00: 12.00' 12.0000. 12.00 D
I
I c
co
Subtotal 103.46
I
Indiana Sales Tax 7.0000% ' 0.00
Customer Signature -
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE - -
_ ;;�• -: ..� ,. «°3va° -°T-ot°ala 1:03::' Lmt - n
REMIT:GPC-IND Charge Sale . 103.46 J
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 u
-a
j CUSTOMER COPY
$" 100006017 if _ 2 PagE 1/1
CARMEL NAPA
1441 S GUILFORD AVE ST'E 140
IYl1W��I r�, nY ..__.. �-rr.nl a,a- Zh TT(=w
REF BY VER �l'- - -
;?
CARMEL, IN 460=2-2932
(317) 844-3973
17995 Promised Time: j
® CITY OF CARMEL-STREET DEPT Attention: mike
3400 W 131ST ST Tax Exemption:
is CARMEL, IN 46074-8267 PO-#: mike i
os Terms: NET 10
NUmb2r^, Llrie -k
, .«,_........:..,.a.:�,.:...- t_..t, . Y'.._......,1,..C....Pa'. i=DES N.G.t
091843 CRC E-'=CTRONIC CLEANER 6.00 10. L2i
... - _.,..„_.
8.4900' ;t.,94[
t:
.._...'.T.....".""1_.._
i N
( N
— -- SLh_Ot_l
Indiana Sales Tax 7.0C!0� C. U
Customer Signature ;
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND {{4�-',C.i`�i`.":or.
1 ChargT� ?e 30 1 �: Z
i 5959 COLLECTION CTR.DR. IIII
CHICAGO ILL. 60693
CUSTOMER COPY
Page Iof 1 STATEMENT OF ACCOUNT WITH
ACCOUNT NO. TERNS IN
®.1
DATE rw NO EXPLANATIQN
08517995 GCVT.45 DAYS NET 03/04 M 787978 29.69-
CLOSING DATE PAST DUB DATE SEOUBNCE NO. 10 03 I 8 5 0 5 0 9 143.64 d
11/30/12 12/15/12 19461710 10/03 I 850552 7. 18
10/03 I 850619 40.76 d
PREVIOUS BALANCE PAYMENT RECEIVED DISCOUNT EARNED 10/04 I 850683 71 88 took
881.91 .00 00 10/04 I 8S0723 23.57 evin
10/04 Z I 850771 7.76
NMV CHARGES s CREDITS FINANCE CHARGE NEW BALANCE Woe ZI 651060 90.59 attery
5,064 .70 OC 5, 946.61 i0/11 I 851555 118.32 IKE
10/12 R I 851738 31.69
TOTAL PAST DUE CURRENT FUTURE 10/18 R 1 852422 1.33 qRUCK 7
AGED 10/18 RI 852457 41. 93 ed
ACCOUNT 29,69- 911.60 5, 064.70 10/19 RI 852571 9.89 R3
STATUS 10/22 I 852773 17.46 03
PAST DUE 10 DAIS PAST DUB 90 DAYS PAST DUB 70 OR MORE
10/22 I 852831 32.04 . hot.
00 .00 29.69- 10/25 RJ 853231 19. 96
10/26 ZI 853270 52.14 ED
IISTOMER: 10/26 I 853272 20.45 Ed
10/26 I 853301 15.99 n ike
CITY OF CARMEL-STREET DEPT 10/26 ZI 853330 70. 97 nike
3400 W 131ST ST 10/26 RM 853348 15, 99-
C 10/26 I 853362 53.35
ARMEL IN 46074-8267
10/29 I 853592 27.98
10/30 I 853669 3.8i nick Connect
10/30 I 853686 24. 90
11101 I 8S3956 T: 28.42'
11/05 Ri 854364 T: 21.40-
00/00 .00 CARY
If you have QUESTIONS CALL (877) 118-9287 Praea I for invoice copies. 12/07 I SS4723 T: 26.38-
Viait our webaite for invoice copies at 00/00 . . .00 _1,op
11/08 zi 854763 T: 60.38"
Please Pay The Total Due 00/00 .00 ellogs
11/09 M 854939 T: 21.40-
No Later Than 12/IS/12 00/00 .00 hole sale
Thank You. 11/09 RI 854940 T: 12.09
00/00 .00 able Coinppressor
11/09 zi 854953 T: X328.20 -'
00/00 .00 Prrow
LEASE REMIT To: 11/09 M 854987 T: 376.05-
GENUINE PARTS COMPANY - INDIANAPOLIS, IN 00 rrcw
11/14 ZI 855551 I T: 438.97 --
5959 COLLECTIONS CENTER DRIVE 00/00 .I 855673 00 I:15.09-
CHICAGO IL 60693 li/15 zi 855714 T: 1,959.00 --
11/15 I 855728 T: 32.61•'
Important: To Insure proper credit please return right side 00/00 .00 Revin
f statement with tour payment. 1f for some reason all items 11/15 zM 855768 T: 244.64-
re not paid, please enter a check mark #and explanation 00/00 . . . .00 hale sale
aside each item NOT PAID. 11/16 RI 855775 T: 83.78'
00/00 .00 aike
TOTAL DUE
881.91 12/16 RM 855889 T: 27.98-•-
SY.Oh FMOUNT PAID 00/00 .00 credit
$ e - 11/16 R I 855885 T: 16.60•`
�
�j 11/19 I 856035 T: 9.21
11/21 t�5/0 � l I 00/00 ,T 8.56437 .00 d: 97.28y
Please Remit this Statement with Payment 11/26 RI 856788 T: 8.49
and Retain a copy for your Records 00/00 .00 EVIN
11/26 RI 856845 T: 189.12
00/00 . . .00 IFVIN
11/26 I 656846 T: 5.60''
11/28 I 857108 T: 1,621.64
11/28 RI 857110 T: 19.99
00/00 .00 WEEPER 402
11/28 RI 85-1213 T: 6.12''
11/29 I 857281 T: 50.94 -
00/00 .00 Rike
11/30 I 857385 T: 103.46
00/00 . . .00 F EVIN
'TYPE CODES
RI INVOICE RB CHARGE BACK
RM CREDIT MEMO RU UNAPPLIED PAYMENT
RF FINANCE CHARGE Xp MISCELLANEOUS ACCOUNTING ENTRY
WE PROVIDE MORE TJYMDT AND ACrU A.TE jN ORYA.TiON TO THE BUSINESS COW.VNITY
EY SHAPING OUR ACCOUNT£ RECEIVABLE INFORY.ATION WITH D t B AND EQUIFAX
VOUCHER NO. WARRANT NO.
ALLOWED 20
GPC-IND
IN SUM OF $
5959 Collection Center Drive
Chicago, IL 60693
$5=66 .70
15o I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I I 42-370.001 $5;06+4-70 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
C�
materials or services itemized thereon for
which charge is made were ordered and
received except
Fri ay,JDecember 07, 2012
t l / is
Street Commissioner
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))
12/07/12 $5,064.70
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