225823 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P%%
CARMEL, INDIANA 46032 5959 COLLECTIONS CENTER DRIVE
1ECK AMOUNT: $25.93
CHICAGO IL 60693 CHECK NUMBER: 225823
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4231500 08518032 25 . 93 OIL
100006017
CARMEL NAPA Time: 10:19 Invoice Number 902015
N 1441 S GUILFORD AVE STE 140
APAI
® REF BY_ VER BY Date: 10/29/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
18032 Employee: 1 , Duane
o CITY OF CARMEL ENGINEERING Sales Rep: 10 Store Y Y
1 CIVIC SQ Accounting Day: 29 OCR
o CARMEL, IN 46032-2584 -------- -.---_......___-----... .. ....... - . ___. _ ___
1000060179020157
Part. Number' ';.liiner" "Description (';,Quantity,; -Price Net Total
2010 Ford Truck Escape 2.5 L 2488 CC L4 Hyb;Fid
21348MP SFI 'Oil Filter (ProSelect) - Master E 1.00 1.9900 1.99
75150 NOL ',Motor Oil - NAPA - HD SAE 5W20 - 1 ; 6.00 6.94 3.9900 23.94
I
i 3
j
Delivery Subtotal 25.93
Attention: Indiana Sales Tax 7.0000% 0.00
Tax Exemption:
PO#: El ?
Terms:
Charge Sale 25.93
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER 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
GPC-IN Purchase Order No.
5959 Collections Center Drive Terms
Chicago, IL 60693 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
10/29/2013 902015 Oil for E1 $ 25.93
Total $ 25.93
1 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
9
VOUCHER NC WARRANT NO.
GPC-IN ALLOWED 20
5959 Collections Center Drive IN SUM OF $
Chicago, IL 60693
$ 25.93
ON ACCOUNT OF APPROPRIATION FOR
095i903Z,
Board Members
Po#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 902015 2200-4231500 5 25.93 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
7 Z11/4/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund