HomeMy WebLinkAbout218851 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P��g
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE tiHECK AMOUNT: $128.75
. .o�.�o CHICAGO IL 60693 CHECK NUMBER: 218851
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 08502867 128 . 75 871800
100006017 w
CARMEL NAPA Time: 12:22 ; Invoice Number 871800
1441 S GUILFORD AVE STE 140
ANFOLAff APA REF BY_ VER BYE _ Date: 03/29/2013
CARMEL, IN 46032-2922
=" c (317) 844-3973 Page: 1/1
2867 Employee. 1: , Duane Y Y
® CARMEL WASTEWATER Sales Rep: 10 PHIL
760 3RD AVE SW Accounting Day: 29 OCR
® CARMEL, IN 46032-2072
1000060178718003
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4 Part Number LirieAe :, DesCrption Quanta"tyx Price c Net k Potal
91-273211 WIL <Starter - Reman(ufactured) 1.00E 252.45 128.7500E 128.75
91-27 321`1' WIL ,Core Depo--sit 1.00£ 66.67 66.6700' 66.67 D
' 66.67' . 7CR D 91-27-3211 MIL Core Depos' 1.00; . .
APR o 3 202 _
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Delivery:. Subtotal.: 128.75
Attention: Indiana Sales Tax`7': 0.00
Tax Exemption: `
PO#: Blaine - Starter :
` Iti
Terms:
K
Charge Sale 128.75
Customer Signature riF
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
1.�4.
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY ( ±
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01 75oZ .606
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.
5959 COLLECTIONS CENTER DRIVE Terms
CHICAGO, IL 60693 Due Date 4/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/4/2013 871800 $128.75
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
Date Officer
VOUCHER # 135259 WARRANT # ALLOWED
355214 IN SUM OF $
NAPA - GENUINE PARTS CO - INDIAN/
5959 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
��� � Board members
0R�
PO# INV# ACCT# AMOUNT Audit Trail Code
871800 01-7502-06 $128.75
Voucher Total $128.75
Cost distribution ledger classification if
claim paid under vehicle highway fund