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224493 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1 ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP HECK AMOUNT: $269.55 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CHECK NUMBER: 224493 CHECK DATE: 9125/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 08517983 269 . 55 REPAIR PARTS Genuine Auto Parts September 23, 2013 5959 Collection Center Drive Chicago, IL 60693 Acct: 08517983 - City of Carmel Police Department Invoices paid: Date Invoice# Debit Credit 09/11/13 895338 $194.67 09/13/13 895529 $74.98 BALANCE $269.65 $0.00 TOTAL AMOUNT PAID $269.65 100006017 gt CARMEL NAPA Time: 08:48 InvoiceVNumber 895338 El 1441 S GUILFORD AVE STE 140 ® REF BY_ VER BY Date: 09/11/2013 CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 .,..,.------,,,..� 17983 Employee: 19 Jim ® CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y 3 CIVIC SQ Accounting Day: 11 OCR m CARMEL, IN 46032-7570 ® 1000060178953383 PartNuinber� �Lnef Descripti L on� yQuanttyPriceNet N Total' r 1255HIl AVB ;CAPSULE 10.00 16.16, 8.6500 86.50 4320P NCB ;PURPLE POWER 1 GAL 1.00: 8.281 3.9900 3.99 Above Item on Sale 8100 MAC GLASS CLEANER 1802 3.00 9.181 4.7300 14.19 R134AJ GET 1R134A -30LB 1.00 170.10€ 89.9900 89.99 Delivery: i Subtotal 194.67 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: 1 PO#: Stock Terms: � T.otalx 194 "67 Charge Sale 194.67 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY 100006017 CARMEL NAPA Time: 11:00 Invoice Number 895529° AN 1441 S GUILFORD AVE STE 140 REF BY_ VER BY Date: 09/12/2013 ' l CARMEL, IN 46032-2922 (317) 844-3973 Page: 1/1 17983 Employee: 14 Anna CITY OF CARMEL POLICE DEPT Sales Rep: 36 Tige Y Y 3 CIVIC SQ Accounting Day: 12 OCR a CARMEL, IN 46032-7570 ?............._ ...._.. _......._ __...., __._.._. j ® 1000060178955292 1 ..__ ...........__ .. ____..___..........._. ' Part Number F rLeDeSCription `�M w ., rQuantty Prce ? NetTOtala°r= 2010 Dodge Truck Ram 1500 1/2 Ton Pickup £4.7 L 287 C[D V8 SOHC AD-7991 1ADO jBrake Pads - Front, Adaptive One - j 1.001 137.56 74.9800 74.98 ! g s i .. ...------ Delivery: Our Truck W- 2-11:45 Subtotal 74.98 Attention: Indiana Sales Tax 7.0000% 0.00 Tax Exemption: PO#: i Terms: a Tea tall 4 9 8 _.....__ _ _.. o Charge Sale 74.98 Customer Signature ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE REMIT:GPC-IND 5959 COLLECTION CTR.DR. CHICAGO ILL. 60693 CUSTOMER COPY VOUCHER NO. WARRANT NO. ALLOWED 20 Genuine Auto Parts IN SUM OF $ 5959 Collection Center Drive Chicago, IL 60693 $269.55 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 42-370.00 $269.55 I hereby certify that the attached invoice(s), or I I ( 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 Thursday, September 19, 2013 Chief of Police 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)) 09/23/13 repair parts $269.55 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