216047 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP��g
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE Cl1ECK AMOUNT: $208.23
CHICAGO IL 60693 CHECK NUMBER: 216047
CHECK DATE: 119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 208 .23 REPAIR PARTS
100006017 Time: 08:49 Date: 12/21/2012 Page: 1/1
CARMEL NAPA
.0 REF S GUILFORD AVE STE 140 ;
REF BY VER BY Employee: 1 Duane
0
CARMEL, IN 46032-2922 Sales Rep: 36 TIGE
(317) 844-3973
Accounting Day: 21
17996 Promised Time: Our Truck N- 99-20:49
CITY OF CARMEL-FIRE DEPT Attention: Bob 00
2 CIVIC SQUARE Tax Exemption:
CARMEL, IN 46032-2584 PO#: 00
0-) tt
Terms: NET 10 LIl t
00 `s
O �
Part4_Numberk'°°% Line.' Description' :Quantity Price Net"':„ µ Total CD
90306 ;NTH :EXTENSN t 4.00 17.48 9.1800`. 36.72 }
CD
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i 0
€L
i CO j
Subtotal 36.72
Indiana Sales Tax 7.0000% 0.00
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F �
Customer Signature j
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE e I
72` A �
' REMIT:GPC-IND
ChargeM•Sale' 36.72 e
5959 COLLECTION CTR.DR. iz
CHICAGO ILL. 60693 u s
CUSTOMER COPY
0
100006017 Time: 12:24 Date: 12/06/2012 Page: 1/1
CARMEL NAPA
a O p a Q 1441 S GUILFORD AVE STE 140
REF BY_ VER BY Employee: 36 TIGE
O — CARMEL, IN 46032-2922 ! Sales Rep: 36 TIGE
(317) 844-3973 !
• ,., Accounting Day: 6
17996 Promised Time: }._...,CD
CITY OF CARMEL-FIRE DEPT Attention: i N
2 CIVIC SQUARE Tax Exemption: '
® 'CARMEL, IN 46032-2584 PO#: E46 )
Terms: NET 10
! 00
a Fi
Part xNumber_" ;Line' Description °Quantity`:. Price` x` Net;"' TotalF o O k
823-1275 iTWD MUD^FLAPS ps _ 1.00` &20.34 10.7300. 10.73 k-0 g
Os j( O
€ } i Ln
Subtotal 10.73 '
Indiana Sales Tax 7.0000 0.00_ - g
d•
i Customer Signature �
1i ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
e> zi
REMIT:GPC-IND Charge Sale 10.73• , z
5959 COLLECTION CTR.DR.
( CHICAGO ILL. 60693N '
U �
CUSTOMER COPY
100006017 Tirie: 33:03 Date: 12/19/2012 Page: 1/1
C,7,-RMEL NAPA
1.441 S GUILFOR A�T- ��T--
AMFM Employee: 1 Duane
AN I
-a'RMEL, IN 46 � !2 Sales Rep: 36 TICE
-397'�'
317) 844
El Accounting Day: 19
17996 00
CITY OF CARMEL-FIRE DEPT --'c
2 CIVIC SQUARE Tax
CARMEL, IN 46032-2584 PG--: 4562
Te 7 NET 10
Ln
00
U
0• Tor
al 0�Pnt 1 PHc6 N CD
Part 'Number,,`�',` :`Line.... . ......
AL7Z7823395B XXX ,WiPE MCt,02: I co� 189..38€ 131.30 DP
O
jPU 1 # 1073401 1-1,-9/2'112
CD
AL7Z7823395B �Cor( eposlit I M 46. 1�5�; 41S.i53 8 46.15 DP
:PU I,. CD
"0
Ln
co
Subtotal 177.45
.Indiana SaD�-q Tax 7.0000% 0.00
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND 'Charge sale 177.45
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693
CUSTOMER COPY 0
>
100006017 Time: 10:27 Date: 12/20/2012 Page: 1/1
CARMEL NAPA
1441 S GUILFORD AVE STE 140
El m.
REF BY VER BY Employee: 36 TIGE
CARMEL, IN 46032-2922 Sales Rep: 36 TIGE
(317) 844-3973 i
Accounting Day: 20
17996 Promised Time: }
CITY OF CARMEL-FIRE DEPT Attention: 00 r
� ff
2 CIVIC SQUARE Tax Exemption: I
CARMEL, IN 46032-2584 PO#: credit `
Terms: NET 10
Lfl
i CID :
U C j
Part,NUmb6v � ;Line. "p, '-Description, °:;Quantity.'' Price."-ix'-: "Net;:.. Total'_' O
90305 :NTH °EXTENSION -2.00 20.66: 10.8500; 21.70 CR
i -This, item was purchased 'bn invoice # 859586 2/19/2012 O
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cor .... ........
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Subtotal 21.70CR i
Indiana Sales Tax 7.0000% 0.00
Customer Signature
i
S
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE i4
REMIT:GPC-IND
Credit Memo 21`.70 MCR
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 a m
U
CUSTOMER COPY p
H
100006017 Time: 07:21 Date: 12/19/2012 Page: 1/1
�,.. CARMEL NAPA
1441 S GUILFORD AVE STE 140
IhlUll IIWII �'s
REF BY VER BY Employee: 14 Anna
CARMEL, IN 46022-2923 Sales Rep: 36 TIGE
(317) 844-3973
Accounting Day: 19
17996 Promised Time: Our Truck N- 3-08:21' pp
CITY OF CARMEL-FIRE DEPT Attention: 2 lfl R
2 CIVIC SQUARE Tax Exemption: e
® CARMEL, IN 46032-25b4 PO#:
Ln
®
Terms: NET 10 ("
Ln
} � 00 d
t U
O t
Part Number, ;Eliine Description Quantity, Price. ;,"•<?° r°•s Net P'`,'; Total: O
90305 ;NTH EXTENSION n X2.00' 20.56; 10.8500 21.705 j
O I
j f O ,r
s O
CD
pi -".. _- _-
Ln
([ fI
Subtotal 21.70 #'
Indiana Sales Tax 7.0000% 0.00 .
Customer Signature ##
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE -
.°::tea, ` - rr�" To:4•al:.:°.��a=;= 7;0.
REMIT:GPC-IND _ ! E .. a
Charge Sale 21.70 Iz #
5959 COLLECTION"CTR.DR. 8
CHICAGO ILL. 60693 Q)
CUSTOMER COPY 0
O
Page 1 of I STATEMENT OF ACCOUNT WITH (N ,
ACCOUNT NO. TERMS �.
08 GOVT.45 DAYS NET
517996 11/01 I 854003 10.08 4 0
CLOSING DATE PAST DUE DATE SEQUENCE NO. 11/08 I 854766 15.9 2 4505
12/31/12 01/14/13 19571376 11/08 I 854823 19.38 UB ED
11/14 I 855535 16.67
PREVIOUS BALANCE PAYMENT RECEIVED DISCOUNT EARNED 11/14 I 855556 16.6 7
11/15 I 855620 25.64
520.31 164.45- .00 11/29 I 857325 202 .34 4599
NEW CHARGES & CREDITS FINANCE CHARGE NEW BALANCE 11/29 I 857341 4 9.16 4599
208.23 .00 564.09 12/03 M 857689 T: 16.67-
00/00 . .00 holesale
TOTAL PAST DUE CURRENT FUTURE 12/06 I 8 5 8 1 7 2 T: 10.73/
AGED 00/00 .00 E46
ACCOUNT .00 355.86 208.23 12/19 I 859586 T: 21.70
STATUS PAST DUE 10 DAYS PAST DUE 40 DAYS PAST DUE 70 OR MORE 12/19 I 859669 T: 177.45/
00/00 . . .00 4562 /
.00 .00 .00 12/20 M 859778 T: 21.70
CUSTOMER: 00/00 . . .00 credit
12/21 RI 859898 T: 36.72
CITY OF CARMEL-FIRE DEPT
2 CIVIC SQUARE
CARMEL IN 46032-2584
If you have QUESTIONS CALL (877) 558-9287 Press 1 for invoice copies.
Visit our website for invoice copies at www.napaaccount.com
Please Pay The Total Due
No Later Than 01/14/13
Thank You.
LEASE REMIT TO:
GENUINE PARTS COMPANY - INDIANAPOLIS, IN
5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693
Important: To insure proper credit please return right side
of statement with your payment. If for some reason all items
are not paid, please enter a check mark and explanation
wide each item NOT PAID.
TOTAL DUE $ 355.86
SHOW AMOUNT PAID
Please Remit this Statement with Payment
and Retain a copy for your Records
*TYPE CODES
RI INVOICE RB CHARGE BACK
RM CREDIT MEMO RU UNAPPLIED PAYMENT
RF FINANCE CHARGE X# MISCELLANEOUS ACCOUNTING ENTRY
WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY
BY SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D & B AND EQUIFAX
.3 RR
nBPn=Paaaountcsm Amu brlu F<zme,o;.P-m 0 x B MaPava2 a a m 8"awu �" "x G1 Q t
[(317)0006017 Time:11:59 Date:12/03/2012 Page: 1/1
RMEL NAPA
--_- NAPA W 41 S GGILPORD A TE 1G0 --- ------
ZOOM 100°b- REP V^ Qy -�L/ EaQlpyeC:1 Duaf:e
RMEL, IN 46032-2922 Selas Rep:36 TIGE -�
Posmon 0' - Bs4-3973 —_- Accouncinfl Day:3___
Document 1 -ofi 17996 Promised Time:
CITY OF CAR.YEL-FIRZ DEPT Attention:
2 CIVIC SOUARE Tex 3xempti0n:
cARNEL, IN 46032-2584 PO4:Wholesale
Terms:NET 70
Part Number I Line Descrlpti0n Quantity; Price) Net Tota1�J�s�
785136 NW BATTERY ACCESSORIES -1.00 30.27 16.6700 16.67 CR:
This item wes purchased n invoice 0 855556 1/14/2012
Subtotal 16.67 CR I
Indiana Sales Tax 7.0000% 0.00
Cuatom Signature
a0ms nc-us�ouusr se�cwlraaeom�s nw¢e
Total 16.67®;
REM.IT:GPC-I:1D Credit Memo 16.67 CR I
z
5959 COLLECT ION CTR.DR.
0
CHICAGO ILL. 60693
STORE COPY a
VOUCHER NO. WARRANT NO.
ALLOWED 20
Genuine Parts Co - Napa
IN SUM OF $
5959 Collections Center Drive
Chicago, IL 60693
$208.23
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 42-370.00 I $208.23 1 hereby certify that the attached invoice(s), or
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
JAN 7 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
)rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
%n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
Misc. Repair Parts $208.23
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