220988 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 00352688 Page 1 of 1
ONE CIVIC SQUARE CARQUEST
4 =' CARMEL, INDIANA 46032 CHECK AMOUNT: $133.82
PO BOX 404875
ATLANTA GA 30384-4875 CHECK NUMBER: 220988
CHECK DATE: 6/1812013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2738206330 133 . 82 OTHER EXPENSES
Great people, great products, great prices!S"
® CQ OF IND-BASH RD IN # 9146 PAGE 3 OF 3
edRQUEST 8357 BASH STREET REF# 331817
INDIANAPOLIS, IN 46250
IWO- 317-849-6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
111$11$�111 Ilk I O11111HH11111111�1 111 II i d N PO BOX 404875
ATLANTA, GA 30384-4875
21201305310273800002063300000331817540
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
,CITY OF CARMEL WASTE WATER 5 ITY OF CARMEL WASTE WATER
,9609 HAZEL DELL PARKWAY X9609 HAZEL DELL PARKWAY
LINDIANAPOLIS, IN 46280 PINDIANAPOLIS, IN 46280
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INVOICE NO. CUSTOOMER DATE CUST. P.O. NO. SIDCUU T.
MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET UN .IyTAX
BOSCH EVOLUTION WIPE
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WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPIRESSED
OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA DELV.TIME DELV.ID I FREIGHT IT AXABLE AMT. SALES TAX TOTAL CORE PREY. DEPOSIT
07:31 AM RECBEIVED X CUSTOMER COPY AMOUNT ® 133 .82
Great people, great products, great prices!5"
eRC�uEST CQ OF IND-BASH RD IN # 9146 PAGE 1 OF 3
8357 BASH STREET REF# 331817
AN". INDIANAPOLIS, IN 46250
317-849-6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
(IIIIIIlIIIIIIIIIIIIIIIII9IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlII PO BOX 404875
ATLANTA, GA 30384-4875
21201305310273800002063300000331817540
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
BCITY OF CARMEL WASTE WATER sCITY OF CARMEL WASTE WATER
X9609 HAZEL DELL PARKWAY "9609 HAZEL DELL PARKWAY
LINDIANAPOLIS, IN 46280 PINDIANAPOLIS, IN
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INVOICE NO. CU ST .DATE CUST. P.O. NO.
NS TEAMDATE FO F PYMT.
2738-206330 463020 05 31 13 S13600 CMI.GE
MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT.AMO NT I TAX
BY
_r RF1 RUb4lb 9.0 9 UO 18.18 TIN
AIR FILTER- RED
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WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED
OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA DELV.TIME DELV.ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT
07:31 AM RECEIVED X CUSTOMER COPY PAY THIS )0' CONTINUED
BY AMOUNT
Great people, great products, great prices!5M
CARQUEST 8357 OF IND-BASH RD IN # 9146 PAGE 2 OF 3
8357 BASH STREET REF# 331817
14 INDIANAPOLIS, IN 46250
or- 317-849-6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS lJ
IIIIII IIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII lII PO BOX 404875
IIIIII�III ATLANTA, GA 30384-4875 JUN 10 2013
21201305310273800002063300000331817540
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR 11 92 ILS OF THE COAST TO COAST GU RANTEE.
BCITY OF CARMEL WASTE WATER sCITY OF CARMEL W
L9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY
LINDIANAPOLIS, IN 46280 PINDIANAPOLIS, IN 46280
T T
O 0
CUSTOMER SALES TEAMMATE
INVOICE NO. DATE CUST. P.O. NO. ID ID FORM OF PYMT.
NO
2738-206330 463020 05/31/13 S13600 F1750 CHARGE
MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT.AMOUNT I TAX
RFI R 1 2 .30 0.00 4.60 N
OIL FILTER- RED
RFI RB5040 2 4.19 2.30 0.00 4.60 TIN
OIL FILTER- RED
0.00 4.88 ITIN
o OIL FILTER-RED
X 0 0.00 9.20 N
W OIL FILTER- RED
U
10.49 41.96 N
BOSCH EVOLUTION WIPE
WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED
OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA -DELV.TIME DELV.ID FREIGHT TAXABLE AMT. SALES TAX TOTAL CORE PREV. DEPOSIT
RECEIVED PAY THIS
07:31 AM BY CUSTOMER COPY AMOUNT ®CONTINUED
I
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
00352688
CARQUEST AUTO PARTS Purchase Order No.
PO BOX 404875 Terms
ATLANTA, GA 30384-4875 Due Date 6/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/11/2013 2738-206330 $133.82
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
Date icer
VOUCHER # 135725 WARRANT # ALLOWED
00352688 IN SUM OF $
CARQUEST AUTO PARTS
PO BOX 404875
ATLANTA, GA 30384-4875
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2738-206330 01-7502-06 $133.82
Voucher Total $133.82
Cost distribution ledger classification if
claim paid under vehicle highway fund