217148 02/13/2013 a CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA Pp��g CK AMOUNT: $47.97
5959 COLLECTIONS CENTER DRIVE Z�1E
CARMEL, INDIANA 46032 CHICAGO IL 60693 CHECK NUMBER: 217148
CHECK DATE: 2113/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 47 . 97 OIL
100006017 ------
CARMEL NAPA Time: 14:28" Invoice Number 862143
(NAPA I 1441 S GUILFORD AVE STE 140 €
W REF BY_ VER BY _ Date: 01/14/2013
o — CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
18032 . .. • �-,_„_.._..„..._.,_. Employee: 4 Chris �,_�� � .� m�.•.
®
CITY OF CARMEL ENGINEERING Sales Rep: 10 PHIL Y Y.
1 CIVIC, SQ 'A OCR
' ccounting Day: 14 _
CARMEL, IN 46032=2584
10000601786.214:3.8.
_.
nF w
�Total *��
2010 Ford Truck Escape 2.5 L 2488 CC L4 Hybrid
31348' SFL Oil Filter (Silver) 1.00 6.50 2-..5.400 2..54
Above.Item on Sale
082 CAS QT 5W30 GTX 5.00 6.99 : 3 4900 17:45
Above Item on Sale
2010•Ford Truck Escape II -
6020431 WIP Wiper Blade —Vista - Front -
2 00 :27.981-_ 90
13.90 27 98
f Delivery: ^- Subtotal
47.97
f Attention: Indiana Sales-Tax 7 0000 0.00 .
Tax Exemption:
PO#.:
j Terms NET 10
MAE_ dN s "47".
,Total
�� • a
t. Charge. Sale 47_97
I Cu stomer'Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT-.GPC-IND
5959 COLLECTION CTR':DR
ti_ CHICAGO I;LL. 60693- CUSTOMER .COPY
- - ---------------------------------------------
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or bill to be r
p operly itemized must show: kind of
rates per day, number of service, where performed, dates
Y hours, rate per hour, number of units, service rendered, by whom
nits, price per unit, etc.
Payee
Napa Auto Parst
Purchase Order No.
5959 Collections Center Drive
Terms
Chicago, IL 60693
Date Due
Invoice Invoice
Description
Date Number (or note attached invoice(s) or bill(s)
1/14/2013 862143 Engineering vehicle oil/wipers Amount
$ 47.97
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance 47.97
with IC 5-11-10-1.6.
,20
Clerk-Treasurer
i
VOUCHER NC WARRANT NO.
Napa Auto Parst ALLOWED 20
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5959 Collections Center Drive IN SUM OF$
Chicago, IL 60693
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$ 47.97
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO#or
DEPT# INVOICE NO. ACCT#/TITL AMOUNT I hereby certify that the attached invoice(s),
0 862143 2200-4231500 $ 47.97 or bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
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received except
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2/11/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund