219325 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA Pp��
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE NECK AMOUNT: $20.31
oN�o CHICAGO IL 60693 CHECK NUMBER: 219325
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 085-18032 20 . 31 869351
100006017 _..v_._._... ....... .... _:.._.....
>' CARMEL NAPA Time: 10:26 ; Invoice Number, 869351?
NAPAI 1441 S GUILFORD AVE STE 140
m
,® REF BY VER BY Date: 03/12/2013
CARMEL, IN 46032-2922
o (317) 844-3973 Page: 1/1 e
18032 Employee: 36 TIGE Y Y
® CITY OF CARMEL ENGINEERING Sales Rep: 10 PHIL
1 CIVIC SQ Accounting Day: 12 OCR
a CARMEL, IN 46032-2584
1000060178693510
Part,NUmber,. iliine; DBSCription Quantity;; Prig Net Total
1.00 12.58 3.7900; 3.79 {R
7203 €FIL NAPAGOLD OIL FILTER i
75155NOL NAPA 5W20 5 QUART 1.00' 33.04' 16.5200; 16.52
s
Delivery: Subtotal 20.31
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption: ?
PO#: [
Terms:
i s
:Total;.
Charge Sale 20.31
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
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
Napa Auto Parst Purchase Order No.
5959 Collections Center Drive Terms
Chicago, IL 60693 Date Due
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
3/12/2013 869351 E5 Oil $ 20.31
VOUCHER NC WARRANT NO.
Napa Auto Parst ALLOWED 20
5959 Collections Center Drive IN SUM OF $
Chicago, IL 60693
$ 20.31
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 869351 2200-4231500 $ 20.31 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
�i 4/22/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund