226982 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 355214 Page 1 of 1
ONE CIVIC SQUARE GENUINE PARTS COMPANY-INDIANA P_CHECK AMOUNT: $171.09
CARMEL, INDIANA 46032 - 5959 COLLECTIONS CENTER DRIVE
a�`o CHICAGO IL 60693 CHECK NUMBER: 226982
CHECK DATE: 12/1112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 08502867 40 . 92 905618
651 5023990 08502867 130 . 17 906096
100006017
CARMEL NAPA Time: 07:30 Invoice Number 905618-
1441 S GUILFORD AVE STE 140
REF BY VER BY Date: 11/25/2013
'.
f : CARMEL, IN 46032-2922
;317) 844-3973 P age: 1/1
Employee: 1 , Duane
4 k P i
Sales Rep: 10 Store Y Y
Accounting Day: 25 OCR
1000060179056181
Part.-Dumber tJescriptiom � zf, � 'Quantity
2003 Ford Truck F350 Super Duty 1 :Ton - Pickup 6.0
72 jNPS ':Power Steering Pressure Hose - OEM I 1.00' 30.52 16.0300, 16.03
437 NPS :Power Steering Pressure Hose - OEM : i.00, 24.8900: 24.89
i
NO U
Anticipated Time: Our Truck - 99-19:30 U Subtotal 40.92
Attention: Hazeldale By Indiana les Tax 7.0000% 0.00
Tax Exemption:
PO#: Truck 116
Terms:
sal 40 -92
Charge ale 40.
Customer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THIS INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 STORE COPY
100006017 _
CARMEL NAPA Time: 15:35 Invoice Number 906096
1441 S GUILFORD AVE STE 140
El AM REF BY_ VER BY _ Date: 11/27/2013
CARMEL, IN 46032-2922
(317) 844-3973 Page: 1/1
....... .........
2867 Employee: 36 Tige
CARMEL WASTEWATER Sales Rep: 10 Store Y Y
760 3RD AVE SW Accounting Day: 27 OCR
r CARMEL, IN 46032-2072
1000060179060960
Part"Number Line Descsip`"tion ',Quantity ,, Price Net Total
675-5223 NOE 'Door Hinge Assembly 1.00; 182.40? 107.6200 107.62
7-3445 NPS P/S Return Hose - OEM 1.001 42.93' 22.5500 22.55
Delivery: Subtotal 130.17
Attention: Hinge Assem Indiana Sales Tax 7.0000% 0.00
Ta x ption:
PO#: Trk 116
Terms
Totalk�
Charge Sale 130.17
Omer Signature
ALL GOODS RETURNED MUST BE ACCOMPANIED BY THI INVOICE
REMIT:GPC-IND
5959 COLLECTION CTR.DR.
CHICAGO ILL. 60693 CUSTOMER COPY
VOUCHER # 136973 WARRANT # ALLOWED
355214 IN SUM OF $
NAPA - GENUINE PARTS CO - INDIANS
5959 COLLECTIONS CENTER DRIVE a
CHICAGO, IL 60693
Carmel Wastewater Utility
1
4
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT i Audit Trail Code
906096 01-7502-06 $130.17
7 oS(,I? o[--75oa-o(, 140, ?9
JJi
i
I �Io oci
Voucher Total -$ —f
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
355214
NAPA-GENUINE PARTS CO -INDIANAPOLIS Purchase Order No.
5959 COLLECTIONS CENTER DRIVE Terms
CHICAGO, IL 60693 Due Date 12/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2013 906096 $130.17
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