HomeMy WebLinkAbout218049 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP%�g
?a CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE NECK AMOUNT: $29.91
CHICAGO IL 60693 CHECK NUMBER: 218049
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 449 29 . 91 AUTO REPAIR & MAINTEN
100006017
CARMEL NAPA Time: 13:22 'Invoice Number 868617
XNA1 1441 S GUILFORD AVE STE 140
AM - REF BY VER BY — Date: 03/06/2013
�- —�� CARMEL, IN 46032-2922
° (317) 844-3973 Page: 1/1
449 Employee: 14 Anna
CITY OF CARMEL-COMMUNITY SERVI Sales Rep: 10 PHIL Y Y `
1 CIVIC SO Accounting Day: 6 OCR
w CARMEL, IN 46032-2584 "- -
1000060178686172
Part%Number - Line Description. Quantity? x:;Price Net : .i' Total"
2006 Ford Truck Escape
60-2043 WIP ,Wiper Blade - Vista - Driver's 1.001 27.98• 15.1700• 15.17
60-1843 WIP Wiper Blade - Vista - Passenger's 1.001 27.18. 14.74.00 14.74'
3 j
E
1
Delivery: i Subtotal 29.91
Attention: 1 ( Indiana Sales Tax 7.0000% 0.00
Tar. Exemption:
PO#: adam 93
Terms:
a Total 29.:. 91
Charge Sale 29.91 .
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
IN SUM OF $
1441 S. Guilford Avenue, Ste. 140
Carmel, IN 46032-2922
$29.91
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE N0. I ACCT#/TITLE AMOUNT Board Members
1192
868617 I 43-510.00 I $29.91 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
Monday, March 11, 2013
i
Director
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))
03/06/13 868617 $29.91
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
120
Clerk-Treasurer