223928 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA Pp��g
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CFIECK AMOUNT: $1,014.55
CHICAGO IL 60693 CHECK NUMBER: 223928
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 1, 014 . 55 REPAIR PARTS
FPage lof 1 STATEMENT OF ACCOUNT WITH 'N '
ACCOUNT N0. TERMS �.
08517996 GOVT.45 DAYS NET 06/03 I 881106 47.52
CLOSING DATE PAST DUE DATE SEQUENCE NO._ 06/03 I 881113 64.14
08/31/13 PAY NOW 20543895 06/11 I 882324 96 .33 Station 46
06/12 I 882517 14.20 STOCK
PREVIOUS BALANCE PAYMENT RECEIVED DISCOUNT EARNED 06/21 I 883862 10.9 8
700.77 307.13- 00 06/24 I 884025 11.99
06/28 RI 884587 161.04
NEW CHARGES & CREDITS FINANCE CHARGE NEW BALANCE 06/28 I 884668 12 .5 6
06/28 M 884674 25.12-
1,014.37 .00 1,408.01 08/05 I 890101 T: 17.04•
TOTAL PAST DUE CURRENT FUTURE 00/00 .0 O S took
AGED 08/06 I 890234 T: 32.97;/
ACCOUNT 393.64 .00 1, 014 .37 08/09 I 890820 T: 13.47V
STATUS PAST DUE 10 DAYS PAST DUE 40 DAYS PAST DUE 70 OR MORE 08/12 I 891063 T: 222 .2 4
00/00 .00 Eat 4
393.64 .00 .00 08/12 I 891086 T: 61.57
STONER: 00/00 .00 Stock
08/12 I 891138 T: 7.61
08/14 I 891448 T: 7.64'
CITY OF CARMEL-FIRE DEPT 00/00 .00 ISU45
2 CIVIC SQUARE 00/00 -I 739890 00 T: 18.02'/
CARMEL IN 46032-2584 00/00 .I 892170 .00 41 7.99
08/19 I 892201 T: 31.04/
00/00 .00 Silverado 150
08/19 ZI 892202 T: 108.98
00/00 . . . . ... . .00 hop Sup�lies
If you have QUESTIONS CALL (877) 558-9287 Press 1 for invoice copies. 08/19 I 89203 T: 62.06
Visit our website for invoice copies at c:-a.napaa o+.+ om 00/00 OO ool Car 1
08/21 I 892529 T: 166.10
*** Notice: Your Total Account 00/00 .00 E 081
08/21 RI 892610 T: 1.98
Balance is Past Due 00/00 .00 E 081
08/22 I 892709 T: 75.93,
00/00 .00 Shop tools
Please Pay Total Immediately 08/23 RI 741073 T: 20.12
00/00 .00 STATION 42
LEASE REMIT TO: 00/00 .I 893862 .00 T: 35.87
GENUINE PARTS COMPANY - INDIANAPOLIS, IN 08/30 I 893991 T: 23 .74
5959 .COLLECTIONS CENTER DRIVE 00/00 . . . . . . . .00 Imbulance 42
CHICAGO IL 60693
Important: To insure proper credit please return right side
f statement with your payment. If for some reason all items
are not paid, please enter a check mark and explanation
eside each item NOT PAID.
TOTAL DUE $ 393.64
SHOW AMOUNT PAID
Please Remit this Statement with Payment
and Retain a copy for your Records
*TYPE CODES
RI INVOICE RB CHARGE BACK
RM CREDIT MEMO RU UNAPPLIED PAYMENT
RF FINANCE CHARGE X# MISCELLANEOUS ACCOUNTING ENTRY
WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION TO THE BUSINESS COMMUNITY
BY SHARING OUR ACCOUNTS RECEIVABLE INFORMATION WITH D & B AND EQUIFAX
' I
I NAPAO Remi t td
Genuine Parts Company , Inc _
COLLECTIONS CENTER DRIVE
CHICAGO I L 6 0 6 9 3
NAPA AU T O PART S I ND 0 1 7
1 4 4 1 SOUTH GUILD FORD ROAD
SUITE 140 RECEIVED v
BY x
O 17 8 9 3 8 6 ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
ACCT. NO. SOLD TO DATE • • STORE NO. I EMP SR
1-7996 C I T Y 03F CAF.P�L-FIRE DEPT 0 8/3 0/1 3 8 9 3 8 6 2 0601 0 0 3 3 6
TIME PURCHASE ORDER NO. ATTENTION
CApxrdm L I N
(30 ) 460322584 ICE TYPE
QUANTITY PART NUMBER LINE DESCRIPTION PRICE NET TOTAL CODE
1 . 00 6552282 O1 CTUATOR _ 00 - 00c 35 . 8
_ 00 00 . 00 _ 00 _ O
3 . 00 04 _ 00 _ 00 - oc T
_ 00 00 . 00 _ 00 _ O
_ 00 _ 00 _ 00 _ O
_ 00 _ 00 _ 00 _ O
SUB °
TOTAL 3 5 _ 8 7 MISC.0 _ 00 _ 0 4 _ OTOT t :35 7 CH IE
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))
$1,014.55
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
Genuine Parts Co - Napa
IN SUM OF $
5959 Collections Center Drive
Chicago, IL 60693
$1,014.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
Og 51`wqjo
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 42-370.00 I $1,014.55 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
SFP -;9 2(1�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund