225775 11/05/2013 1
CITY OF CARMEL, INDIANA VENDOR: 00352688 Page 1 of 1
ONE CIVIC SQUARE CARQUEST
l CARMEL, INDIANA 46032 PO Box 404875 CHECK AMOUNT: $185.94
ATLANTA GA 30384-4875
CHECK NUMBER: 225775
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2738216633 123 . 56 OTHER EXPENSES
651 5023990 2738216713 62 . 38 OTHER EXPENSES
Great people, great products, great prices!"
�aR UEST CQ OF IND-BASH RD IN # 9146 PAGE 1 OF 1
8357 BASH STREET REF# 345704
IN ® INDIANAPOLIS, IN 46250
317-849-6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
IIIIIIIIII�I IIIIII I ISIIIIIIIIIIIIIIIIIII II II�II I�I PO BOX 404875
ATLANTA, GA 30384-4875
21201310300273800002167130000345704611
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
BCITY OF CARMEL WASTE WATER SCITY OF CARMEL WASTE WATER
X9609 HAZEL DELL PARKWAY 19609 HAZEL DELL PARKWAY
LINDIANAPOLIS, IN 46280 PINDIANAPOLIS, IN 46280
T T
0 0
CUSTOMER
INVOICE NO. NO DATE CUST. P.O. NO. ID ID SALES TEAMMATE FORM OF PYMT.
2738-216713 463020 10/30/13 V 126 EF1750 CHARGE
MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT.AMOUNT TAX
* NOTE: JC 456 CAN U PLEASE BRING TOD Y
THIS TICKET CONTAINS PARTS FOR .
2005 CHEI-Z TRUCK EQUINOX V6-201 .3.4L OHV
1 BDR 55080 2 2 63.49 31.19 0.00 62.38 /N
o BRAKE ROTOR
xx
w
U
u
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
RECEIVED PAY THIS Poo. 62.38
04.:31 PM BY CUSTOMER COPY AMOUNT
Great people, great products, great prices!5"
CQ OF IND-BASH RD IN # 9146 PAGE 1 OF 1
CAR ._:r:=rte-•-
8357 BASH STREET REF# 345600
® ® INDIANAPOLIS, IN 46250
317-849-6300
AUTO PARTS REMIT TO: CARQUEST AUTO PARTS
PO BOX 404875
IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII9�IIII�IIIIII ATLANTA, GA 30384-4875
21201310300273800002166330000345600286
ANY PRODUCT RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THE COAST TO COAST GUARANTEE.
�ITY OF CARMEL WASTE WATER CITY OF CARMEL WASTE WATER
X9609 HAZEL DELL PARKWAY 609 HAZEL DELL PARKWAY
,INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
T
O 0
CUSTOMER SALES TEAMMATE
INVOICE NO. NO DATE CUST. P.O. NO. ID ID FORM OF PYMT.
2738-216633 463020 10/30/13 V 126
MFG.PART NUMBER ORDERED SHIPPED LIST PRICE NET NET CORE EXT.AMOUNT TAX
* NOTE: JC 456 FOREMAN
THIS TICKET CONTAINS PARTS FOR
RUCK EQUINOX V6-201 3.4L QHV 0.00 43.11 IN
1 FRI BXD913H 1 1
ERAMIC
w 2 FRI S780 1 1
a
U SHOES !IN
r3 rFRIKTS 932 1 1
1:kP4,'KF. SHOES
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 TOTAL CORE PREV. DEPOSIT
0 .00 U .UU
RECEIVED PAY THIS 123 .56
09:'07 AM BY X CUSTOMER COPY AMOUNT ,
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
CARQUEST AUTO PARTS Purchase Order No.
PO BOX 404875 Terms
ATLANTA, GA 30384-4875 Due Date 10/31/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/31/201, 2738-216633 $123.56
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
VOUCHER # 136749 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
2738-216633 01-7502-06 $123.56
9738-916'713 69.38
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund