219861 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 365791 Page 1 of 1
ONE CIVIC SQUARE PEARSON WHOLESALE PARTS CHECK AMOUNT: $959.09
CARMEL, INDIANA 46032 10650 N MICHIGAN ROAD
ZIONSVILLE IN 46077 CHECK NUMBER: 219861
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 70606 535 . 16 REPAIR PARTS
2201 4237000 70761 215 . 96 REPAIR PARTS
2201 4237000 71733 207 . 97 REPAIR PARTS
III II ® �I111111111111111111111111111111111111111111
160. -0 PEARSON PEARSON
AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES. Any warranties on the item/items sold hereby are those made by
the manufacturer. The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all
10650 North Michigan Road Zionsville, IN 46077 warranties either express or implied, including any implied warranty of merchantability or fitness for
a particular purpose, and PEARSON WHOLESALE PARTS, LLC, neither assumes nor authorizes any
Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this tern/Items
DATE ENTERED YOUR ORDER NO. DATE SHIPPED I INVOICE DATE INVOICE APR NUMBER 717 33 C,
S ACCOUNT NO. 6200 H PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTMEI
D 3400 W 131ST ST P
T WESTFIELD, IN 46074-8267 T
SHIP VIA ELSM B/L NO TERMS F.O.B.MC)ORE
1 ]! 0 17D784MH BRK PA 4,-' 320 79 . 99 63 . 99 63 . 99
2 0 18A1206 ROTOR ✓; 321 89 . 99 71 . 99 143 . 98
NO RETURNS
WITHOUT THIS
INVOICE.
NO RETURNS AFTER
10 DAYS.
A 15% HANDLING
CHARGE WILL BE
ADDED.
****** THANKS FROM ALL OF US ****** NO RETURNS ON
******* AT PEARSON WHOLESALE ******* ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FREIGHT PARTS
SALES TAX -0 00
°" ""°°°°°°'°` CUSTOMER COPY III IIIIIIIIIIIIII III IIIIIIIIIIIIIII III Bill[111111111111
000 III II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111
0 PEARFSON PEARSON
AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/gems sold hereby are those made by
the manufacturer.The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all
10650 North Michigan Road • Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
a particular purpose, and PEARSON WHOLESALE PARTS,LLC, neither assumes nor authorizes any
Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items.
DATE ENTERED YOUR ORDER N0. DATE SHIPPED INVOICE DATE INVOICE
NUMBER
0 ACCOUNT NO. 6200 H PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTMEI
D 3400 W 131ST ST P
0 WESTFIELD, IN 46074-8267 0
SHIP VIA SLSM. B(L N0. TERMS F.O.B.gn
QRn I.SHIP 'R.0 I PART NILIMRIFR DESCRIPTION I IqT NET -AMC)LINT
2 2 0 5C3Z*2CO26*CA ROTOR A 73 179 . 97 107 . 98 215 . 96
NO RETURNS
WITHOUT THIS
INVOICE.
NO RETURNS AFTER
10 DAYS.
A 15% HANDLING
CHARGE WILL BE
ADDED.
****** THANKS FROM ALL OF—US ****** NO RETURNS ON
******* AT PEARSON WHOLESALE ******* ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FRET HT 0 . 00 PARTS
CUSTOMER COPY III IIIIIIIIi111111111111111111111111111111111181111111111
OPEARSON�` III II IIIIIIIIIIIIII11111111111111111111111111111
000 PEARSON
AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/items sold hereby are those made by
the manufacturer.The seller, PEARSON WHOLESALE PARTS,LLC, hereby expressly disclaims all
10650 North Michigan Road • Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
a particular purpose,and PEARSON WHOLESALE PARTS,LLC, neither assumes nor authorizes any
Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items.116 APR DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
13 1 15; APP NUMBER 706 06
S ACCOUNT NO. 6200 H PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTMEI
D 3400 W 131ST ST P
T WESTFIELD, IN 46074-8267 T
SHIP VIA SLSM. B/L NO. TERMS F.O.B.
QRn qHIP R.0. 1 PA9T NUMBER DESCRIPTION— I 111T NET ' AMOUNT
2 2 0 5C3Z*1S175*GA SEAL 2 62 . 73 37 . 64 75 .28
2 Z 0 9C3Z*2001*A KIT - B 107 99 . 97 59 . 98 119 . 96
2 2 0 6U2Z*1V125*D ROTOR A 104 149 . 97 89 . 98 179 . 96 NO RETURNS
2. 2 0 5U2Z*1V125*M ROTOR A 103 133 . 30 79 . 98 159 . 96 WITHOUT THIS
INVOICE.
NO RETURNS AFTER
10 DAYS.
A 15% HANDLING
CHARGE WILL BE
ADDED.
****** THANKS FROM ALL OF US ****** _ NO RETURNS ON
******* AT PEARSON WHOLESALE PARIS _ ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FREIGHT PARTS
SAI ES TAX 0 - 00
CUSTOMER COPY III IIIIIIIIAl111111111111111111111111111111111111111111
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Wholesale Parts
IN SUM OF $
10650 N. Michigan Road
Zionsville, In 46077
$959.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 70606 42-370.00 $535.16 I hereby certify that the attached invoice(s), or
2201 70761 42-370.00 $215.96 bill(s) is(are)true and correct and that the
2201 71733 42-370.00 $207.97
materials or services itemized thereon for
which charge is made were ordered and
received except
F MaAV y 03, 2013
r'
Strese 6IoWorMRsl RPer
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))
04/16/13 70606 $535.16
04/17/13 70761 $215.96
04/29/13 j 71733 j $207.97
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
20
Clerk-Treasurer