222398 07/30/2013 a CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP_CHECK AMOUNT: $175.98
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 222398
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231500 08508081 175 . 98 886335
LCARMEL,6017
L NAPA Time: 10:03 Invoice Number 886335
(NAPA[ S GUILFORD AVE STE 140
Y VER BY Date: 07/10/2013 ��
lima IN 46032-2922 844-3973 Page: 1/1
8081 Employee: 1 Duane
® CITY OF CARMEL-BUILDING MAINT Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 10 OCR
m CARMEL, IN 46032-2584
1000060178863355
K
Part Number Line Description , }Quantity. t Price': N et ?t.• Total .,
27526MP SFI Oil Filter (ProSelect) - Master 3.00 6.89 4.2900 12.87
75530 NOL 5W20 SYNTHETIC MOTOR 24.001 9.56, 3.4900 83.76
Above Item on Sale 1
75500 INOL NAPA SYN 1OW30 QT 12.00 9. 56 3.4900 41.88
Above Item on Sale
10001 ILUC ?LUCAS OIL STABL 3202 3.00 16.241 12.4900 37.47
Deliver Subtotal 175.98
Attention: Indiana Sales Tax 7.000051 0.00
I
Tax Exemption: D
PO#:
Terms: UIL 2 9 2013
Total 175: 9§
B Charge Sale 175.98
Customer Signature Y
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
.r�„ -
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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))
07/10/13 886335 $175.98
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
GPC-IND IN SUM OF $
5959 Collection Center Drive
Chicago, IL 60693
$175.98
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 886335 I 42-315.00 I $175.98 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, July 29, 2013
r
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund