HomeMy WebLinkAbout224818 10/08/2013 ».E CITY OF CARMEL, INDIANA VENDOR: 00352688 Page 1 of 1
ONE CIVIC SQUARE CARQUEST
CARMEL, INDIANA 46032 PO BOX 404875 CHECK AMOUNT: $12.72
ATLANTA GA 30384-4875 CHECK NUMBER: 224818
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2738214203 12 . 72 OTHER EXPENSES
Great people, great products, great prices!5"
CCQ OF IND-BASH RD IN # 9146 PAGE 1 OF 1
AR 8357 BASH STREET REF# 342371
15" INDIANAPOLIS, IN 46250
317-849-6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
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ATLANTA, GA 30384-4875
21201309200273800002142030000342371259
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAIL T GUARANTEE.
BCITY OF CARMEL WASTE WATER sCITY OF CARMEL WAST
X9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PAR v Lf
L INDIANAPOLIS, IN 46280 pINDIANAPOLIS, IN 4 0 OCT 0 1 203
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INVOICE NO. CUSTOMER DATE CUST. P.O. NO. S1 TEAMMATE FORM F PYMT.
NO. ID
2738-214203 463020 09 20 13 43 -1-1-13 CH GE
MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT.AMOUNT TAX
2002 CHEVY TRUCK SILVERADO 2500 PU VS-364 6. OL
_E DOR 703-2b7 2 10.39 6.36 0.00 N
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WARRANTY DISCLAIMER:The manufacturer's warranty,if any,constitutes the only warranty with respect to the sale of all goods.SELLER HEREBY EXPRESSELY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED
OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller does not authorize any person to grant any warranty or assume any liability by Seller.
SHIP VIA DELV.TIME DELV.ID FREIGHT TAXABLE AMT. SALES TAX I TOTAL CORE PREV. DEPOSIT
0 .00 0 .00
04:46 PM RECEIVED CUSTOMER COPY PAY THIS , 12.72
BY AMOUNT
VOUCHER # 136470 WARRANT # ALLOWED
00352688 IN SUM OF $
CARQUEST AUTO PARTS
PO BOX 404875
ATLANTA, GA 30384-4875
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2738214203 01-7500-02 $12.72
i
t
i
Voucher Total $12.72 it
r
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
00352688
CARQU EST AUTO PARTS Purchase Order No.
PO BOX 404875 Terms
ATLANTA, GA 30384-4875 Due Date 10/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/1/2013 2738214203 $12.72
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
C2 41/1 3
Date Officer