221512 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P%%
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE �F1ECK AMOUNT: $17.99
CHICAGO IL 60693
CHECK NUMBER: 221512
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 883250 17 . 99 AUTO REPAIR & MAINTEN
100006017
CARMEL NAPA Time: 09:24 ; Invoice Number 883250`
1441 S GUILFORD AVE STE 140
El REF BY_ VER BY _ Date: 06/18/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
449 E Employee: 36 Tige
® CITY OF CARMEL-COMMUNITY SERVI Sales Rep: 10 PHIL Y Y
1 CIVIC SQ € Accounting Day: 3.8 OCR
® CARMEL, IN 46032-2584 _. ....._.._._.._...__.._.__. _.. ._. .._ _ ...
1000060178832503
Part 'NUmber'M lime," ± <Descripti'on "" 'Quantity.; ,Price- :;€ Net Total
;. w. .
I, ).x,
8234015 'BK 'FLOOR MAT 2PC RUB BK 1.00, 33.79; 17.9900 17.99
Above Item on Sale
t f
I
j � 4
Delivery: Subtotal 17.99
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#:
Terms:
Charge Sale 17.99
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
06/18/13 883250 $17.99
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.
Carmel NAPA ALLOWED 20
&OU t � 5 IN SUM OF $
1441 S. Guilford Avenue, Ste. 140
Carmel, IN 46032-2922
$17.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 883250 I 43-510.00 I $17.99 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
Friday, June 28, 2013
)` 0
f
i ect
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund