216410 01/15/2013 CITy"O CA„RMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CI4:IC SQUARE GENUINE PARTS COMPANY-INDIANAPCK AMOUNT: $48.90
i ?o CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 216410
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 08518048 48 . 90 OTHER EXPENSES
Control No. 7 3 4 19 8
R AW
0® CARMEI,- NqPA
1441 S UJU-00 AVE STEE 140 Y OCR y REM I GPC 11D
Rff BY VER BY 5959 CIOLLEC"TION CTR. DR.
CAM, M 46032-29PP CHICAL'.0 1 9
RECEIVED x
1000060178430466 BY
ALL GOODS RVlJRrkD MIDST BE ACCOMPANIED BY THIS INVOICE
ACCT NO. SOLD TO DATE STORE NO. � EMP SR
)� .)-1-7 -3 1.
85-018048 CITY OF' CIARI'lla"L--SEWAGE D c:8 2 12 18 4. E, cl sc- I
760 3RD AVE SW I Of, 1. TIME PURCHASE ORDER NO. ATTENTION
CARMEL, 'IN 4E,(-')32--2584 1 :29 fe--st Light
.'03) INVOICE TYPE
Charqe Sale
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODEI
3. (")c_) 1. 12. 1-14) Stoplight Bulb'
AUG 0 6 2012
.a TOTAL 2. 28 0. 00 % �j in
TAX
100006017 Time: 10:47 Date: 12/31/2012 Page: 1/1
CARMEL NAPA
0 1441 S GUILFORD AVE STE 140
IMAPAI
REF BY_ VER BY Employee: 80 BOB
O CARMEL, IN 46032-2922 Sales Rep: 10 , PHIL
0
(317) 844-3973
Accounting Day: 30
18048 Promised Time:
CITY OF CARMEL-SEWAGE DEPT Attention: L[1
760 3RD AVE SW Tax Exemption: U-)
a CARMEL, IN 46032-2584 PO#: Blaine L() E
Terms: NET 10 O a
00
rx �
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Part;„,-Number�<,. °Line;;;°;<P > Description: ;Quan tity. . ;,'Price ;: Net`;;..,. Total`: x- ' O
MtNUS20 WWS ?WINDSHIELD SjaL ' 'R 3.19; 2.5900;A� 46.62 � ? O
O
JAN % 2013 .
Ln
Ln
00
Subtotal 46.62 !
Indiana Sales Tax. 7:0000% - :"0.00
Customer Signature I
I
! ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
r REMIT:GPC-iND Charge Sale 46.62 2
5959 COLLECTION CTR.DR..
t CHICAGO ILL. 60693 u
CUSTOMER COPY o
s
}
Account No TERMS
'08518048 2% 10TH,NET 20TH
Closing Date Due Date Sequence No
12/31/12 01/20/13 19571381 —_
Previous Balance Payments(s)Received
5.04- .00 —_
New Charges/Credits Finance Charge New Balance _
46.62 .00 41.58
Total Past Due Current Future
Aged 5.04- 46.62 .00 °--_
Account Past Due Past Due Past Due
10 Days 40 Days 70 or More Days
Status .00 .00 5.04-
Page 1 of 2
MDG2011 00037670
CITY OF CARMEL-SEWAGE DEPT e
760 3RD AVE SW
CARMEL IN 46032-2584 e
If you have QUESTIONS CALL:(877)558-9287 Press 1 for invoice copies.
Visit our website for invoice copies at
www.MAPAaccount.com
You may deduct early
Payment Discount of: .93
Therefore if Paid By: 01110113
Your Payment Should Be: 40.65
Your NAPA account is on the web!
www.NAPAaccount.com
Click on CUSTOMER LOGIN and
ACCOUNT ACTIVATION
Enter the 8-digit sequence number from your current
monthly statement and enter your email address.
A password will be entailed back to you.
You will have access to:
• Copies of statements and invoices
• Receive your monthly statement via E-mail
• Up to date account balance
• Last payment and date received
• E-Mail your customer representative
We Appreciate Your Business
PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY
SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D&B AND EQUIFAX
037670 2 2 044383 P
Customer Copy - Retain for your Records
Acct No. 108518048 Page 2 of 2
Customer I CITY OF CARMEL-SEWAGE DEPT
Statement of Account with 4v AWMAIM
Date Type ✓ Inv. No. Amount Due Explanation
03/23 RM 827056 126.71-
07/25 RI 841783 109.00
08/03 RI 843046 2.28 Test Light
09/27 RI 849871 10.39
12/31 RI 860555 46.62 Blaine
TOTAL DUE $41.58
TYPE CODES
RI Invoice RB Charge Back
RM Credit Memo RU Unapplied Payment
RF Finance Charge X# Miscellaneous Accounting Entry
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VOUCHER # 126447 WARRANT # ALLOWED
355214 IN SUM OF $
NAPA - GENUINE PARTS CO - INDIANi '
5969 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
`Cannel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
860555 01-7500-02 $46.62
i
i55a3703 oi--75oo--od 7, 15✓
15�,�y%�S di-�SUC� -•oa , 1 a6,y11 ✓
iS�yoai- 7,yl°1
3
Voucher Total
Cost distribution ledger classification if x
claim paid under vehicle highway fund r
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
355214
NAPA-GENUINE PARTS CO - INDIANAPOLIS Purchase Order No.
5969 COLLECTIONS CENTER DRIVE Terms
CHICAGO, IL 60693 Due Date 12/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201: 860555 $46.62
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
l�l /3 �° ffrt, p Yta
Date Officer