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225908 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 215000 Page 1 of 1 ONE CIVIC SQUARE NAPA AUTO PARTS-DISTRIBUTION CE'RMCK AMOUNT: $798.00 CARMEL, INDIANA 46032 PO Box 102218 �', �• ATLANTA GA 30368 CHECK NUMBER: 225908 CHECK DATE: 1115/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4357004 055758 798 . 00 EXTERNAL INSTRUCT FEE (NAPA! DISTRIBUTION CENTER Ari100 I N V O I C E 10/22/13 Page 1 -------------------------------------------------------------------------------- Remit To: IND NAPA AUTO PARTS P.O. BOX 102218 ATLANTA, GA 30368 -------------------------------------------------------------------------------- Charged To: Invoice # 055758 17995 CITY OF CARMEL-STREET DEPT 3400 W 131ST ST CARMEL, IN 46074 -------------------------------------------------------------------------------- Date Reference # Description of Charges Amount -------- --------------- ----------------------------------- ------------- 10/22/13 JE - 0027203 INDY DIESEL SUMMIT 798 . 00 Total Due 798 . 00 ----- This is your invoice ----- VOUCHER NO. WARRANT NO. ALLOWED 20 Napa Auto Parts - Distribution Center IN SUM OF $ P.O. Box 102218L©° Atlanta, GA 30368 `'1 � f $798.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members r — 2201 I 055758 I 43-570.041 $798.00 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 Th ay, r 1 013 SfteoCawn li'»sibneer Title Cost distribution ledger classification if claim paid motor 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 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)) 10/22/13 055758 $798.00 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