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217640 02/26/2013
a 100006017 _._.... CARMEL NAPA Time: 11:31 Invoice Number 8671351 1■p� 1441 S GUILFORD AVE STE 140 A q ffwfff OF LAE 3 INAPA� REF BY_ VER BY - Date: 02/22/2013 CARMEL, IN 46032-2922 © (317) 844-3973 Page: 1/1 449 Employee: 36 TIGE CITY OF CARMEL-COMMUNITY SERVI Sales Rep: 10 PHIL Y Y 1 CIVIC SQ Accounting Day: 22 OCR CARMEL, IN 46032-2584 1000060178671357 • Part:Number 'Line, , Description Quantity= Price:' `Net ;Tota] 2008 Ford Truck Escape 2.3 L 138 CID L4 Hybrid AD-7950 ADO 'Brake Pads - Front, Adaptive One - 1.00' 120.36 65.1800' 65.18 48880272 ;NB Brake Rotor Only - Front - Premium ; 2.001 75.94;, 39:8700; 79'.74 -R i Delivery: Subt6tal 144.92'. Attention:_ Indiana Sales Tax 7.0000% 0..00 Tax .Exemption: PO#: \ Terms: NET 10 :Total': . :,14 4�'.,9'2 Charge Sale 144.92 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY VOUCHER NO. WARRANT NO. ALLOWED 20 �J S G B&G rear-644dii►c@-Get wI6iJ- j IN SUM OF $ 06,11 —PO-B-ox-9644�(? C7LI'L�)) L-aGrar4ge,-I.L6.Q525 $300.00 (L� ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 I -90 76�---�. 43-5�53.Oj $300.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 435K) 0 0 materials or services itemized thereon for I which charge is made were ordered and received except i Friday, February 22 2013 r Directo 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)) 02/22/13 90671225 Yearly dues $300.00 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 20 Clerk-Treasurer