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224604 09/25/2013 ".F CITY OF CARMEL, INDIANA VENDOR: 367212 Page 1 of 1 ONE CIVIC SQUARE O'REILLY AUTO PARTS CARMEL, INDIANA 46032 PO BOX 9464 CHECK AMOUNT: $260.44 SPRINGRELD MO 65801 CHECK NUMBER: 224604 CHECK DATE: 9125/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 4421-109027 240 . 46 OTHER EXPENSES 601 5023990 4421-109644 19 . 98 OTHER EXPENSES RE PHONt 4 -17 A4�_._Zl tk4i PES�: 21H F tlETH �Sl l:ly7fflmmnmm=maau CARMEL IN 4t.V2-3�-:`76 OFFICE P.O.BOX 1156,SPRINGFIELD,MO.65801 IT TO: PD Box PHONE(417)862-3333 C, F PRINC MFl �580 -94�,4 ID, TE;IT BILL TO SHIP TO 4CE'1 I 0510E- CARMEL UTILITIES CHAR'GE SALE '15T ST CARREL IN 116074 COUNTER CUSTOMER TIME OF FILLED 0. CHECKED N SPECIAL INSTRUCTIONS SHIP VIA ORDER NO. ORDER BY - By DEL I VIER TRUCK!14 09:51,101E UNIT DESCRIPTION LIST NET DISC CORE EXTENDED -TAX OTY. LINE� ITEM NUMBER MEAS..CD. PRICE PRICE % PRICE PRICE MeLhanix�s FastFit Cilaye5 4.4iqualifying Monroe purcha;e. 21x03 Chevrolet Silverado 3500 '12 MOO K15693 AX BALL. j0IN1 F) 1 54, LIMITED LIFETIME WARRANTY 2 M(JD VIE-696 B BALL. JOINT 12*2 0121 LIMITED LIFETIME WARRANTY _TR &5u� TOTALS 4 CL) 0 STPM�R COPY 46 SUB-TOTAL 11- b 14 CASH TEND. misc. TAXIFEES '00 CUSTOMER SIGNATURE 4 CHANGE TOTAL Visit IJ,; :1r: w ww.orvill.va te to.com O ����� FIRE ONE 1 7 UTO FAM E ilf.'TH. CARIMP IN 4F,03,1­ OFFICE P.O.BOX 1156.SPRINGFIELD,MO.65801 EMIT PHONE(417)862-3333 *R� T0, P-i -Bt,-'X r�4614 i� BILL TO SHIP TO 3HINGFIEL.-D 65801­94C,4 1540075 CARMEL UTILITIES Imam _.�'450 W 13IST ST CARMEL IN 46074 COUNTER NO. SPECIAL INSTRUCTIONS SHIP VIA CUSTOMER TIME OF FILLED CHECKED ORDER NO. ORDER By I By 49250 TRENIT 09;0E.i5 TAX R OTY. LINE ITEM NUMBER UNIT,MEAS.'. DESCRIPTION LIST NET lots CORE EXTENDED C j PRICE PRICE "C PRICE PRICE hanim.FastFit Gloves w/TjahfyinR Mo n"' purchase.hase, N I PFM W84008 02 SOCKET IF).9u 9,99 9.99 LIMITED LIFETIME WARRANTY I PFM W1267 EA SOCKET LIMITED LIFETIME WARRANTY TOTALS CUSMMER COPY"",, SUB-TOTAL 19 *9 81 TFFNT �5X CAS"TEND, misc. CUSTOMER SV��ATUR TAX/FEES @0 CHANGE •TOTAL Visit Uv It: VOUCHER # 132726 WARRANT # ALLOWED 367212 IN SUM OF $ O'REILLY AUTO PARTS PO BOX 9464 SPRINGFIELD, MO 65801 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 4421-109027 01-6500-05 $$2240.0.46 Voucher Total Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 367212 O'REILLY AUTO PARTS Purchase Order No. PO BOX 9464 Terms SPRINGFIELD, MO 65801 Due Date 9/16/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/16/2013 4421-109027 $240.46 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 Date Officer