220163 05/21/2013 a CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPOLIS
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $249.77
CHICAGO IL 60693
>o„ CHECK NUMBER: 220163
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231500 085-08081 249 . 77 OIL
I
Fax Server 5/15/2013 11 : 57 : 55 AM PAGE 2/002 Fax Server
100006017
CAMEL NAPA Time: 10:43 Invoice Number 869890
DIU 1491 S GUILFORD AVE STE 190
J 1Y REF BY VER BY _ Date: 03/15/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
8081 �- Employee: 36 TIDE
CITY OF CARMEL-BUILDING MAI14T Sales Rep: 10 PHIL Y Y
1 CIVIC SQ Accounting Day: 15 OCR
CARMEL, IN 46032-2524 1000060178698908
Part Number, 1 Line <• Description _. __�Quant�it� PriCC '"tic Net I To�tal•.,:}s `�
7526 FIL NAPAGOLD OIL FILTER 1.00 a 10.96 3.2900 3.29 R
75500 NOL NAPA SYN 1OW30 QT 12.00 9.56 4.7800 57.36
10001 LUC LUCAS OIL STABL 3202 5.00 16.24 8.9900 44.95
Above Item on Sale
15530 NOL SW20 SYNTHETIC MOTOR 24.00 9.56 4.7800 119.72
9006CVS2 IMF CRYSTAL VISION 2 PK 1.00 57.74 29.4500 29.45
Promised Time: Subtotal 249.77
Attention: Indiana Sales Tax 7.00008 0.00
Tax Exemption:
Pot%
Terms:
• °;!',
Total _ :24.9 -:7:7
Charge Sale 249.77
Cus Omer Signature
ALL 0000$RETMAM MUST BE ACCOMPANIED By THIS INVOICE
REMIT:GPC-IND
5959 .COLLECT=ON.CTR.DR.
CHICAGO ILL. 60693 STORE COPY
MAY 202013
By
f 11 I NVOICE#=869890
[QPADEV003R RYOUNG 933696 05/15/2013 11 :57:381
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))
03/15/13 869890 $249.77
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
NAPA
IN SUM OF $
GPC-IND
5959 Collection Center Drive
Chicago, IL 60693
$249.77
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
_ 1205 I 869890 I 42-315.00 I $249.77 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, May 20, 2013
C�-
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund