222945 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAPOLIS
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE NECK AMOUNT: $101.59
CHICAGO IL 60693
.o„a CHECK NUMBER: 222945
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4351000 08518032 101 . 59 AUTO REPAIR & MAINTEN
Fax Server 8/14/2013 2 : 07 : 57 PM PAGE 2/002 Fax Server
100006017
CARMEL yr.pn Time: 09:43
1441 S GUILFORD AVE STE 140 13 [voice NwtIhez 3"S.
LullAM REF BY_ VER BY — Date- 05/03/20
'=�L! CAMEL, IN 46032-2922
(317) E144-3973 Page: 1/1
18032
hm Employee; 36 Tige
M CITY OF CAR14EL ENGINEERING sales Rep: 10 PHIL y y
I CIVIC SQ
I Accounting Day: 3 OCR
CAIMkb, 1N 46032-2564
1000060178767478
Per Number Line D6icription iQuanticy I, Pvice 1 Net
_ ! Total
. ............
2008 Ford Truck Escape 2.3 L 138 OIDL^4 Hyb'�id
BAT Battery - NAPA Battery 84 Month 1.00; 152.05 89.5900 89.59 iR
84968 BAT Core Deposit 1.00 12.00 12.0000r 1.2.00 1D
-----------
Anticipated Time: Subtotal 201.59
Attention: Indiana Sales Tax 7.00009 0.00
Tax Exemption:
PO#:
Terms;
iO 1..59
Charge Sale 101.59
Customer Signature
ALL 0000s AE%mwo musr DE ACCOMPANIED BY THIS INVOICE
REMTT:GPC-IN'D
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 STORE COPY
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[11 INVOICE#=876747
[OPADEV009M PCRAY 581824 08/14/2013 14:07:35]
Account No TERMS
4APA/ 08.518032 Past Due- Pay Total Immediate
Closing Date Due Date Sequence No
07/31/13 Urgent 20412061 —_
Previous Balance Payments(s)Received Discount Earned
JULY STATEMENT 172.82 54.53- .63-
New Charges/Credits Finance Charge New Balance
Account No. 08518032 TOTAL DUE .00 .00 117.66
$117.66
Closing Date 07/31/13 A ed Total Past Due Current Future
g 117.66 .00 .00 _
DUE DATE Urgent Account Past Due Past Due Past Due
10 Days 40 Days 70 or More Days
Status 100 89.59 28.07
I[ Please fold on this line before mailing �I
------.....---- ---- _.................... - Page 1 of 2
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— We Appreciate Your Business
WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY BY
SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D&B AND EQUIFAX
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Customer Copy - Retain for your Records Payment Copy - Return with Payment
Acct No. 108518032 1 Page 2 of 2 Acct No. 08518032 I PaKZ-"
Customer I CITY OF CARMEL ENGINEERING Customer I CITY OF CARMEL ENGINEERING
Statement of Account with 41AM Statement of Account with 1- — OR15
Date Type ✓ Inv. No. Amount Due Explanation Date Type ✓ Inv.No. Amount Due Explan tion
10/02 RI 850387 28.07 E4 7
05/03 RI 876747 101.59 "05!03 RI 876747 101.59
05/10 RM 877901 12.00- credit 877901 -
TOTAL DUE $117.66 TOTAL DUE $117.66
TYPE CODES
RI Invoice RB Charge Back
RM Credit Memo RU Unapplied Payment
RF Finance Charge X# Miscellaneous Accounting Entry
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VOUCHER NO. WARRANT NO.
Carmel NAPA ALLOWED 20
IN SUM OF $
1441 S. Guilford Avenue, Ste. 140
Carmel, IN 46032-2922
$101.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel n"t
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
43-510.00 I $101.59_
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, August 12, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/13/13 Oil and Filters $101.59
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