222400 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA PCK AMOUNT: $28.07
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 222400
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 28 . 07 850387
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1441 S GUILFORD AVE STE 140 Y OCR Y RE11IT:GPIC- IND
Ru BY_VER BY _ 5959 COLLECTION GTR. DR.
(YIRMEI, IN 4FA322922 1000050178503878 L ,j&Q°,, GO ILL. G()693'
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT.NO, SOLD TO DATE • 17M STORE N0. I EMP SR
85-018(:),3''2 CITY OF CARMEL ENGINEER 10/02/2012 E35�)'87 ( 6017 1 1C1
I CIVIC !30. 1 of 1 TIME i PURCHASE ORDER NO. ATTENTION
CARMEL, IN 46037 CH-?584 il•ti'
I I W vole"IYP� Sale I Ch
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
"006 Fo d 'frl.kck Escape L 1 38 CID 1-1. Hybrid
1. 00 272CI3MP 5F I' Oil Filter IProS 5. 47 .?,. '.i7C11:1 ,. :;7
5. 0 755.1 NOL. Motor Oil -MAPR 6. 86 4. 9400 24. 71 i
TOTAL E8. 117 M 1r.� ' 1.1. (:117 I. l)CIUI�TAX I� fl, Q(7 TOTAL 2 8. (_)
[1 ] INVOICE#=850387
[QPADEV005X MHAYES 834336 07/23/2013 09:05:021
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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
GPC-IN Purchase Order No.
5959 Collections Center Drive Terms
Chicago, IL 60693 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
10/2/2012 850387 oil and filter E2 $ 28.07
Total $ 28.07
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
i
VOUCHER NC WARRANT NO.
GPC-IN ALLOWED 20
5959 Collections Center Drive IN SUM OF $
Chicago, IL 60693
$ 28.07
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 850387 2200-4231500 $ 26.07 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
7/29/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund