219730 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP_ ACK AMOUNT: $255.32
ti`�i�ro CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 219730
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 085-17983 255 . 32 REPAIR PARTS
Genuine Auto Parts May 6, 2013
5959 Collection Center Drive
Chicago, IL 60693
Acct: 08517983 - City of Carmel Police Department
Invoices paid:
Date Invoice# Debit Credit
04/22/13 875089 $95.96
04/29/13 876037 $159.36
I
BALANCE $255.32 $0.00
TOTAL AMOUNT PAID $255.32
I
100006017
CARMEL NAPA Time: 13:09 Invoice Number 876037
�® 1441 S GUILFORD AVE STE 140
(NAPA[ as REF BY_ VER BY Date: 04/29/2013
CARMEL, IN 46032-2922 €
(317) 844-3973 Page: 1/1 _...
17983 Employee: 14 Anna `[
o CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y i
i
3 CIVIC SQ Accounting Day: 29 OCR
a CARMEL, IN 46032-7570
1000060178760377
Part.Number-` !Line ..Description_ Quantity Price Net Total
48880110 NB BRAKE ROTOR ONLY 2.00 85.24 44.7600, 89.52 'R
2010 Ford Crown Victoria 4.6 L 281. CID V8 SDHC
AD-7834 ADO DISC PAD 1.00 128.96 69.8400 69.84
e
Delivery: Our Truck W- 99-01:09 Subtotal 159.36
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
rms?�
/ Total 159 . 16
Ilk/ Charge Sale 159.36
Custom r ignature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
100006017 �. .---...... .._._... _ .r..._...�..
CARMEL NAPA Time: 15:23 ; Invoice Number 875089
1441 S GUILFORD AVE STE 140 El AlRY® P S REF BY VER BY Date: 04/22/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
17983 Employee: 1 Duane
CITY OF CARMEL POLICE DEPT Y Y j
® Sales Rep: 36 Tige
3 CIVIC SQ Accounting Day: 22 OCR
® CARMEL, IN 46032-7570
® ; 1000060178750896
Part: Number , ;(Line'' Description-` ' Quantity Price• ;j?` Net µ .•Total,,
._ . _ g :. ... M w = .
855-2201 (BK 1RADIATOR FAN ASSEMBLY 1.00 154.43] 95.9600 95.96
1 E
3 � 3
F
i
Delivery: Our Truck W- 2-16:08 Subtotal 95.96
Attention: Indiana Sales Tax 7.0000% 0.00
s Tax Exemption:
PO#:
Terms:
Total 95 ..96'.
Charge Sale 95.96
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMTT: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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/01/13 repair parts $255.32
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Genuine Auto Parts
IN SUM OF $
5959 Collection Center Drive
Chicago, IL 60693
$255.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-370.00 $255.32
I hereby certify that the attached invoice(s), or
I I
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
Wednesday, May 01,2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund