224888 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANAP���g
0 CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE CFIECK AMOUNT: $494.86
CHICAGO IL 60693 CHECK NUMBER: 224888
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 08517996 494 . 86 REPAIR PARTS
I
FPage lof 1 STATEMENT OF ACCOUNT WITH GNA�PAO
ACCOUNT NO. TERMS p.
08517996 GOVT.45 DAYS NET 06/03 I 881106 47.52
CLOSING DATE PAST DUE DATE SEQUENCE NO. 06/03 I 881113 64.14
09/30/13 PAY NOW 20674432 06/11 I 882324 96.33 tation 46
06/12 RI 882517 14.20 STOCK
PREVIOUS BALANCE PAYMENT RECEIVED DISCOUNT EARNED 06/21 I 883862 10.9 8
1,408.01 1, 014.55- 18 06/24 I 884025 11.99
06/28 I 884587 161.04
NEW CHARGES & CREDITS FINANCE CHARGE NEW BALANCE 06/28 I 884668 12.5 6
494 .86 .00 888.50 06/28 M 884674 25.12-
09/04 I 894360 T: 37.28
TOTAL PAST DUE CURRENT -UR'Er )00/00 .00 tools
AGED 09104 I 894452 T: 66.75'
ACCOUNT 393.64 .00 494 .86 09/09 I 895042 T: 89.26
STATUS PAST DUE 10 DAYS PAST DUE 40 DAYS PAS'i�- MORE 00/00 .00 t a t i cn 46
09/09 I 895043 T: 218.14
.00 393 .64 .00 00/00 . . .00 lurango
09/10 M 895201 T: 89.26-
USTOMER:
00/00 . . .00 C REDIT
09/16 I 896097 T: 26.00✓
CITY OF CARMEL-FIRE DEPT 00/00 . . . . .00 Stock
2 CIVIC SQUARE 09/16 RM 896112 T: 13.00-
00/00 .00 Credit
CARMEL IN 46032-2584 09/19 I 896500 T: 44.97
00/00 . . .00 jason '
09/19 I 896581 T: 114.72
00/00 . . . . . . . .00 tock
If you have QUESTIONS CALL (877) 558-9287 Press 1 for invoice copies.
visit our website for invoice copies at www-Hansa o+*+ om
*** Notice: Your Total Account
Balance is Past Due
Please Pay Total Immediately
LEASE REMIT TO:
GENUINE PARTS COMPANY - INDIANAPOLIS, IN
5959 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693
Important: To insure proper credit please return right side
of statement with your payment. If for some reason all items
are not paid, please enter a check mark and explanation
wide 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
100006017 -----—
CARMEL NAPA Time: 12 :16 Invoice Number 895042'
NAPA 1441 S GUILFORD AVE STE 140 ?
REF BY_ VER BY , Date: 09/09/2013
CARMEL, IN 46032-2922
{317) 844-3973 Page: 1/1
17996 Employee: 36 Tige
CITY OF CARMEL-FIRE DEPT Sales Rep: 36 Tige Y Y
2 CIVIC SQUARE Accounting Day: 9 OCR
CARMEL, IN 46032-2584 1000060178950420
• I
:stn :,,• - W, ;,r, II w :�;�..•::�;�.:,_; i uantit ;,Price• ;Net'• Total
.
-. .. ,�;Partr Number; .x ,r Line. ': :._v_•r°:::`Descript on ��`,t } Quan _ ty . . - _' i ` t �
r• , .
613842 �NPT RUBBER AIR HOSE 1.00 138.91 89.2600 89.26
Anticipated Time: -�� Subtotal 89.26
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: station 46
Terms:
, ��,�,• - ;. �; .... . ,>,.... t.r8 92'6
0
'�i Of Charge Sale 89.26
Customer Signature
ALL GOODS RETURNED MUST 8E ACCOMPANIED BY THIS INVOICE
REMIT:GPC—IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 STORE COPY
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))
$494.86
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Genuine Parts Co - Napa
IN SUM OF $
5959 Collections Center Drive
Chicago, IL 60693
$494.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
q67
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I I 42-370.00 I $494.86 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
orT =72013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund